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Organization
DESOTO CCSD 86
Active
Organization
DESOTO CCSD 86
Active
Other names
DeSoto Cons School Districxt 86
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWARD BULLOCK (SUPERINTENDENT)
(618) 867-2317
Entity
Organization
Contact information
Practice address
311 HURST RD, DE SOTO, IL 62924-1228
(618) 867-2317
(618) 867-3233
Mailing address
311 HURST RD, DE SOTO, IL 62924-1228
(618) 867-2317
(618) 867-3233
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/24/2008
Last updated
04/20/2008
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