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Organization

CARBONDALE ELEM SCHOOL

Active
Other names
Carbondale Elem Sch Dist 95
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN K WILLIAMS (ASSISTANT SUPERINTENDENT)
(618) 457-3591
Entity
Organization

Contact information

Practice address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-4411
Mailing address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
(618) 457-4411

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
IL

Other

Enumeration date
03/17/2008
Last updated
04/20/2008
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