Provider First Line Business Practice Location Address:
DUKE UNIVERSITY TRENT DRIVE
Provider Second Line Business Practice Location Address:
122 BAKER HOUSE
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-4126
Provider Business Practice Location Address Fax Number:
919-681-7936
Provider Enumeration Date:
07/31/2006