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Organization
VAN FAR R-I
Active
Organization
VAN FAR R-I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KENNETH FORTNEY (SUPERINTENDENT)
(573) 594-6111
Entity
Organization
Contact information
Practice address
2200 W US HIGHWAY 54, VANDALIA, MO 63382-1130
(573) 594-6111
(573) 594-2878
Mailing address
2200 W US HIGHWAY 54, VANDALIA, MO 63382-1130
(573) 594-6111
(573) 594-2878
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NULL
Other
Enumeration date
04/04/2007
Last updated
08/01/2023
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