Provider First Line Business Practice Location Address:
CITY OF COLFAX
Provider Second Line Business Practice Location Address:
15 E HOWARD ST
Provider Business Practice Location Address City Name:
COLFAX
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50054-1020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-674-4096
Provider Business Practice Location Address Fax Number:
515-674-4996
Provider Enumeration Date:
08/16/2005