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Organization
CIRCLE USD 375
Active
Organization
CIRCLE USD 375
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B KELLER (SUPERINTENDENT)
(316) 541-2577
Entity
Organization
Contact information
Practice address
901 MAIN STREET, TOWANDA, KS 67144-0009
(316) 541-2577
(316) 536-2499
Mailing address
901 MAIN STREET, TOWANDA, KS 67144-0009
(316) 541-2577
(316) 536-2499
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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