Provider First Line Business Practice Location Address:
801 N. MAIN STR.
Provider Second Line Business Practice Location Address:
FAITH FAMILY PRACTICE
Provider Business Practice Location Address City Name:
WEST LIBERTY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41472-1021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-743-1422
Provider Business Practice Location Address Fax Number:
606-743-1455
Provider Enumeration Date:
01/01/2007