Provider First Line Business Practice Location Address:
124 W KAPP ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOBSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27017-8825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-356-2092
Provider Business Practice Location Address Fax Number:
336-356-2090
Provider Enumeration Date:
08/27/2010