Organization
DESOTO CCSD 86
Active
Other names
DeSoto Cons School Districxt 86
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWARD BULLOCK (SUPERINTENDENT)
(618) 867-2317
Entity
Organization
Contact information
Practice address
311 HURST RD, DE SOTO, IL 62924-1228
(618) 867-2317
(618) 867-3233
Mailing address
311 HURST RD, DE SOTO, IL 62924-1228
(618) 867-2317
(618) 867-3233
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/24/2008
Last updated
04/20/2008
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