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Organization

MEXICO HIGH SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH WALLACE (REGISTERED NURSE)
(315) 963-8400
Entity
Organization

Contact information

Practice address
3338 MAIN STREET, MEXICO, NY 13114
(315) 963-8400
(315) 963-8400
Mailing address
3338 MAIN STREET, MEXICO, NY 13114
(315) 963-8400
(315) 963-8400

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
451582-1
NY

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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