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Individual
JOHN A CASTRO
Active
Individual
JOHN A CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2110
WI
Other
Enumeration date
01/03/2020
Last updated
01/04/2020
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