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Organization

FRUITVALE I S D

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MCCANN (BUSINESS MANAGER)
(903) 896-1191
Entity
Organization

Contact information

Practice address
244 VZCR 1910, FRUITVALE, TX 75127
(903) 896-1191
(903) 896-1011
Mailing address
PO BOX 77, FRUITVALE, TX 75127-0077

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065023602
TX
Enumeration date
02/13/2007
Last updated
06/20/2008
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