Provider First Line Business Practice Location Address:
MIDDLE TENNESSEE STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
329 KUC BOX 53
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-898-2670
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2007