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Individual

MRS. AMY LENEE CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
750 E LONG ST STE 3000, COLUMBUS, OH 43203-1874
(614) 340-6700
(614) 792-5699
Mailing address
6275 EMERALD PKWY, DUBLIN, OH 43016-3241
(614) 792-5698
(773) 869-3578

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003412
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0461301
OH
Enumeration date
07/21/2009
Last updated
05/05/2023
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