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Individual

SARAH M CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 470-5420
(402) 476-1670
Mailing address
1021 N 27TH ST, LINCOLN, NE 68503-1803
(402) 470-5420
(402) 476-1670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28278
NE
207Q00000X
Family Medicine Physician
TEP6755
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025024300
NE
05
10025024400
NE
05
10026451700
NE
05
10026466400
NE
05
10026476700
NE
05
10026494200
NE
05
470553011-00
NE
Enumeration date
07/05/2012
Last updated
08/05/2015
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