Provider First Line Business Practice Location Address:
112 ALLIE YOUNG HALL
Provider Second Line Business Practice Location Address:
MSU CAUDILL HEALTH CLINIC
Provider Business Practice Location Address City Name:
MOREHEAD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40351-1179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-783-2055
Provider Business Practice Location Address Fax Number:
606-783-6877
Provider Enumeration Date:
07/05/2011