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Organization
HEAVENER PUBLIC SCHOOLS
Active
Organization
HEAVENER PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILSON (SUPERINTENDENT)
(918) 653-7223
Entity
Organization
Contact information
Practice address
500 W 2ND ST, HEAVENER, OK 74937-3002
(918) 653-7223
(918) 653-7843
Mailing address
PO BOX 698, 500 WEST 2ND STREET, HEAVENER, OK 74937-0698
(918) 653-7223
(918) 653-7843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100680070B
—
OK
Enumeration date
07/23/2013
Last updated
07/23/2013
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