Organization
KINGMAN UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHENIE CASTILLO (DSC CONTACT)
(928) 718-6308
Entity
Organization
Contact information
Practice address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
(928) 718-6308
Mailing address
3033 MCDONALD AVE, KINGMAN, AZ 86401-4235
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
169644
AZ
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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