Organization
DONGOLA SCHOOL UNIT DIST 66
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA KAY LASTER (BOOKKEEPER)
(618) 827-3841
Entity
Organization
Contact information
Practice address
1000 HIGH STREET, DONGOLA, IL 62926
(618) 827-3841
(618) 827-4641
Mailing address
1000 HIGH STREET, DONGOLA, IL 62926
(618) 827-3841
(618) 827-4641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
IL
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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