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Individual

JESSICA CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6767
Mailing address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6767

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
05/06/2021
Last updated
05/06/2021
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