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Organization

DEXTER R-XI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY A FLOWERS (ASSISTANT SUPERINTENDENT)
(573) 614-1000
Entity
Organization

Contact information

Practice address
1031 BROWN PILOT LN, DEXTER, MO 63841-1803
(573) 614-1000
(573) 614-1002
Mailing address
1031 BROWN PILOT LN, DEXTER, MO 63841-1803
(573) 614-1000
(573) 614-1002

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506180405
MO
Enumeration date
01/11/2012
Last updated
01/11/2012
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