Provider First Line Business Practice Location Address:
127 S SANDUSKY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER SANDUSKY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43351-1451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-294-5733
Provider Business Practice Location Address Fax Number:
419-294-6431
Provider Enumeration Date:
06/25/2007