Provider First Line Business Practice Location Address:
520 W MILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINVILLE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67663-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-688-4277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2009