Provider First Line Business Practice Location Address:
59 COWTOWN RD.,
Provider Second Line Business Practice Location Address:
UK JUNE BUCHANAN CLINIC
Provider Business Practice Location Address City Name:
HINDMAN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-785-3175
Provider Business Practice Location Address Fax Number:
606-785-9968
Provider Enumeration Date:
08/15/2005