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Organization
BLUE HERON
Active
Organization
BLUE HERON
Active
Other names
Konocti Unified
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BECNEL PHD (SUPERINTENDENT)
(707) 994-6475
Entity
Organization
Contact information
Practice address
15850 DAM ROAD EXT, CLEARLAKE, CA 95422-9359
(707) 994-6447
Mailing address
15850 DAM ROAD EXT, CLEARLAKE, CA 95422-9359
(707) 994-6447
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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