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Organization

COUNTY OF JEROME

Active
Other names
Valley School District 262
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINA K ALEXANDER M.S.,CCC-SLP (MEDICAID COORDINATOR)
(208) 829-5333
Entity
Organization

Contact information

Practice address
882 VALLEY RD, HAZELTON, ID 83335-5050
(208) 829-5353
(208) 829-5548
Mailing address
882 VALLEY RD, HAZELTON, ID 83335-5050
(208) 829-5353
(208) 829-5548

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052680
ID
Enumeration date
04/02/2007
Last updated
08/19/2008
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