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Organization
CARBONDALE ELEM SCHOOL
Active
Organization
CARBONDALE ELEM SCHOOL
Active
Other names
Carbondale Elem Sch Dist 95
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K WILLIAMS (ASSISTANT SUPERINTENDENT)
(618) 457-3591
Entity
Organization
Contact information
Practice address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-4411
Mailing address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-4411
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/17/2008
Last updated
04/20/2008
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