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Individual

CIPRIANO CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
15624 SKYLARK AVE, FONTANA, CA 92336-4127
(909) 689-9902
Mailing address
15624 SKYLARK AVE, FONTANA, CA 92336
(909) 689-9902

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6752
CA

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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