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Organization

COOLIDGE UNIFIED SCHOOL DISTRICT 21

Active
Other names
Special Service Department
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY ANN ORTIZ (MEDICAID SECRETARY)
(520) 723-2054
Entity
Organization

Contact information

Practice address
351 N ARIZONA BLVD, COOLIDGE, AZ 85228-4302
(520) 723-2054
(520) 723-2181
Mailing address
351 N ARIZONA BLVD, COOLIDGE, AZ 85228-4302
(520) 723-2054
(520) 723-2181

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
556053
AZ
Enumeration date
11/06/2007
Last updated
11/06/2007
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