Provider First Line Business Practice Location Address:
1902 S US HIGHWAY 59 BLDG D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARSONS
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67357-4955
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-423-1606
Provider Business Practice Location Address Fax Number:
620-423-1668
Provider Enumeration Date:
02/22/2006