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Organization

JEFFERSON DAVIS PARISH SCHOOL BOARD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOMMY LEE SMITH (SUPERINTENDENT)
(337) 824-1834
Entity
Organization

Contact information

Practice address
203 E PLAQUEMINE ST, JENNINGS, LA 70546-5853
(337) 824-1834
Mailing address
203 E PLAQUEMINE ST, JENNINGS, LA 70546-5853
(337) 824-1834

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
1415286
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1415286
LA
Enumeration date
09/25/2007
Last updated
09/25/2007
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