Provider First Line Business Practice Location Address:
12500 CUTSHIN RD
Provider Second Line Business Practice Location Address:
CUTSHIN CLINIC
Provider Business Practice Location Address City Name:
YEADDISS
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-279-4125
Provider Business Practice Location Address Fax Number:
606-279-4125
Provider Enumeration Date:
03/23/2007