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Organization

NORTH LAKES CHARTER ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANICE RAE JENSEN (BUSINESS MANAGER)
(651) 982-2773
Entity
Organization

Contact information

Practice address
255 7TH AVE NW STE B, FOREST LAKE, MN 55025-1177
(651) 982-2773
(651) 464-6409
Mailing address
255 7TH AVE NW STE B, FOREST LAKE, MN 55025-1177
(651) 982-2773
(651) 464-6409

Taxonomy

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

Other

Enumeration date
10/14/2011
Last updated
10/14/2011
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