Provider First Line Business Practice Location Address:
102 N PLUMER
Provider Second Line Business Practice Location Address:
STARR CTR TUSD
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-225-3293
Provider Business Practice Location Address Fax Number:
520-225-3201
Provider Enumeration Date:
07/02/2007