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1013436971
GUSTABO TRUJILLO ROMO
MODESTO, CA
NPI
1013436971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-09-12
Last Update Date
2023-01-25
Business Address
GUSTABO TRUJILLO ROMO M.S.
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-552-2720
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Mailing Address
GUSTABO TRUJILLO ROMO M.S.
500 N 9TH ST STE C
MODESTO, CA 95350-5814
Phone number: 209-552-2720
Copy
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