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Individual

YUNIOR ISIDRO CASTANO PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
440 UNION AVE, BRIDGEWATER, NJ 08807-3142
(949) 687-6107
Mailing address
102 CATALPA AVE, PERTH AMBOY, NJ 08861-4619
(949) 687-6107

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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