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Organization

GOLDEN SANDS RCS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA WITUCKI (CEO)
(920) 787-0777
Entity
Organization

Contact information

Practice address
220 W MAIN ST, WAUTOMA, WI 54982-5411
(920) 787-0777
Mailing address
PO BOX 1141, WAUTOMA, WI 54982-5411
(920) 787-0777

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2362045
WI

Other

Enumeration date
12/02/2010
Last updated
08/26/2011
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