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Organization

POTEAU SCHOOL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA L MOQUETT (MEDICAID COORDINATOR/SCH. PSYCH.)
(918) 647-7765
Entity
Organization

Contact information

Practice address
100 MOCKINGBIRD LN, POTEAU, OK 74953-2602
(918) 647-7708
(918) 647-9357
Mailing address
100 MOCKINGBIRD LN, POTEAU, OK 74953-2602
(918) 647-7708
(918) 647-9357

Taxonomy

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

Other

Enumeration date
09/01/2006
Last updated
08/22/2020
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