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Individual
MIKE EDUARDO CASILLASVITELA
Active
Individual
MIKE EDUARDO CASILLASVITELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/08/2019
Last updated
02/23/2026
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