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Organization

HITCHCOCK-TULARE SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MANDY MARIE MILLER (BUSINESS MANAGER)
(605) 596-4171
Entity
Organization

Contact information

Practice address
401 4TH AVE, TULARE, SD 57476-2125
(605) 596-4171
(605) 596-4175
Mailing address
PO BOX 108, 401 4TH AVE., TULARE, SD 57476
(605) 596-4171
(605) 596-4175

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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