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Organization

PAINTED DESERT DEMONSTRATION PROJECT

Active
Other names
STAR School
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK SORENSEN ED.D (DIRECTOR)
(602) 412-3533
Entity
Organization

Contact information

Practice address
145 LEUPP RD, FLAGSTAFF, AZ 86004-8501
(602) 412-3533
(928) 225-2179
Mailing address
145 LEUPP RD, FLAGSTAFF, AZ 86004-8501
(602) 412-3533
(928) 225-2179

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
908600
AHCCCS
AZ
Enumeration date
07/18/2007
Last updated
07/18/2007
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