Provider First Line Business Practice Location Address:
135 E CLAFLIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67401-6145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-827-7996
Provider Business Practice Location Address Fax Number:
785-825-4490
Provider Enumeration Date:
12/27/2010