Individual
RYAN CASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
Mailing address
1360 KEVIN DR, FAIRBORN, OH 45324-5661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0900351
OH
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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