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Organization
GUSTINE USD
Active
Organization
GUSTINE USD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILIMEK (SUPERINTENDENT)
(209) 854-3784
Entity
Organization
Contact information
Practice address
1500 MEREDITH AVE, GUSTINE, CA 95322-1701
(209) 854-3784
Mailing address
1500 MEREDITH AVE, GUSTINE, CA 95322-1701
(209) 854-3784
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS2473619
MEDI-CAL
CA
Enumeration date
01/12/2007
Last updated
08/22/2020
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