Provider First Line Business Practice Location Address:
UNIVERSITY OF SOUTHERN INDIANA
Provider Second Line Business Practice Location Address:
8600 UNIVERSITY BLVD
Provider Business Practice Location Address City Name:
EVANSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-465-1298
Provider Business Practice Location Address Fax Number:
812-465-7094
Provider Enumeration Date:
09/09/2005