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1194172122
WILLOW GLEN HIGH
SAN JOSE, CA
NPI
1194172122
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Entity Type
Organization
Authorized Contact
LOREN GISSIBLE
Program Coordinator
408-287-6200
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
WILLOW GLEN HIGH
160 E VIRGINIA ST STE 280
SAN JOSE, CA 95112-5817
Phone number: 408-287-6200
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Mailing Address
WILLOW GLEN HIGH
2001 COTTLE AVE
SAN JOSE, CA 95125-3502
Phone number: 408-287-6200
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