Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
163WS0200X |
| NPI Number | 1578785820 |
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| LBN Legal business name | MOUND BAYOU PUBLIC SCHOOLS | ||||||||
| Authorized official | WILLIAM CROCKETT - (SUPERIENTDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/03/2007 | ||||||||
| Last updated | 10/08/2008 - About 18 years ago | ||||||||
| Identifiers |
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