Provider First Line Business Practice Location Address:
14590 ST RT 93
Provider Second Line Business Practice Location Address:
FAMILY HEALTH CENTER JACKSON
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-286-2826
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2008