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Organization
GIANT CITY SCHOOL DISTRICT 130
Active
Organization
GIANT CITY SCHOOL DISTRICT 130
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON MAYES (SUPERINTENDENT)
(618) 457-5391
Entity
Organization
Contact information
Practice address
1062 BOSKYDELL RD, CARBONDALE, IL 62902-7743
(618) 457-5391
(618) 549-5060
Mailing address
1062 BOSKYDELL RD, CARBONDALE, IL 62902-7743
(618) 457-5391
(618) 549-5060
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
04/20/2008
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