Organization
IND SCHOOL DIST 720
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KIESER (3RD PARTY BILLING COORDINATOR)
(952) 496-5052
Entity
Organization
Contact information
Practice address
505 HOLMES ST S, SHAKOPEE, MN 55379-1344
(952) 496-5052
(952) 496-5093
Mailing address
505 HOLMES ST S, SHAKOPEE, MN 55379-1344
(952) 496-5093
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/01/2008
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