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GLEN CASTOR, LD

LD

Denturist

NPI: 1013151083Individual

Specialties, Licenses & Credentials

DenturistPrimary

Denturist

Code: 122400000X

LD-53(ID)

Contact & Hours

Address
306 12TH AVE S
NAMPA, ID 83651

Quick Facts

NPI
1013151083
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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