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Organization

CLARK COUNTY EDUCATIONAL SERVICE CENTER

Active
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Organization

CLARK COUNTY EDUCATIONAL SERVICE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN PHILLIP CALLAND (TREASURER)
(937) 325-7671
Entity
Organization

Contact information

Practice address
30 WARDER ST., SUITE 120, SPRINGFIELD, OH 45504-2580
(937) 325-7671
(937) 325-9915
Mailing address
30 WARDER ST., SUITE 120, SPRINGFIELD, OH 45504-2580
(937) 325-7671
(937) 325-9915

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0902232
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
Update your record

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