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Organization

ANNANDALE PUBLIC SCHOOL

Active
Other names
ISD #876 Annandale
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE NIKLAUS (SUPERINTENDENT)
(320) 274-5602
Entity
Organization

Contact information

Practice address
125 CHERRY AVE N, ANNANDALE, MN 55302-1121
(320) 274-5602
(320) 274-5978
Mailing address
PO BOX 190, ANNANDALE, MN 55302-0190
(320) 274-5602
(320) 274-5978

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148458300
MEDICAL ASSISTANCE
MN
Enumeration date
11/30/2006
Last updated
06/25/2008
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