Provider First Line Business Practice Location Address:
301 SOUTH CLEVELAND
Provider Second Line Business Practice Location Address:
FARMERVILLE WAGGONER AREA AMBULANCE SERVICE
Provider Business Practice Location Address City Name:
FARMERSVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-227-4121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2006