Provider First Line Business Practice Location Address:
510 N 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEUBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952-1934
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-282-3461
Provider Business Practice Location Address Fax Number:
740-282-3462
Provider Enumeration Date:
12/30/2005