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Individual
JORGE CASTILLON
Active
Individual
JORGE CASTILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CADC 00752
NV
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
225400000X
Rehabilitation Practitioner
—
NULL
Other
Enumeration date
09/19/2011
Last updated
05/22/2014
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