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Organization

CROW WING COUNTY IND SCHOOL DISTRICT 182

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA LANE (THIRD PARTY ADMINISTRATOR)
(218) 454-5532
Entity
Organization

Contact information

Practice address
711 POPLAR ST, CROSBY, MN 56441-1135
(218) 546-5165
Mailing address
804 OAK STREET, BRAINERD, MN 56401

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600975100
MN
Enumeration date
10/05/2006
Last updated
11/12/2020
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