Provider First Line Business Practice Location Address:
408 W MARKET ST
Provider Second Line Business Practice Location Address:
SCHOOL DIST R 3 SAVANNAH
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64853-0151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-324-3123
Provider Business Practice Location Address Fax Number:
816-324-5594
Provider Enumeration Date:
03/12/2007