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Organization
GIANT CITY CC SCHOOL DIST 130
Active
Organization
GIANT CITY CC SCHOOL DIST 130
Active
Other names
Giant City School District 130
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R ROGERS M.S. EDUCATION ADMIN (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
—
IL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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