Provider First Line Business Practice Location Address:
112 E LIBERTY ST
Provider Second Line Business Practice Location Address:
HEALTH RESOURCE CENTER
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45202-6510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-357-4602
Provider Business Practice Location Address Fax Number:
513-357-4696
Provider Enumeration Date:
04/17/2007