Provider First Line Business Practice Location Address:
115 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAK HABOR
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-463-7441
Provider Business Practice Location Address Fax Number:
419-637-3777
Provider Enumeration Date:
06/18/2008