Provider First Line Business Practice Location Address:
1400 US ROUTE 22 NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON COURT HOUSE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43160-1402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-335-7282
Provider Business Practice Location Address Fax Number:
740-335-6802
Provider Enumeration Date:
01/02/2007