Organization
INDEPENDENT SCHOOL DISTRICT 484
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL V. ATHMAN (BUSINESS MANAGER)
(320) 468-6458
Entity
Organization
Contact information
Practice address
112 KAMNIC ST, PIERZ, MN 56364-4000
(320) 468-6458
(320) 468-6408
Mailing address
112 KAMNIC ST, PIERZ, MN 56364-4000
(320) 468-6458
(320) 468-6408
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897952900
—
MN
Enumeration date
08/09/2006
Last updated
06/13/2008
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