Provider First Line Business Practice Location Address:
4201 S WASHINGTON STREET
Provider Second Line Business Practice Location Address:
INDIANA WESLEYAN UNIVERSITY ATHLETIC TRAINING
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-677-3335
Provider Business Practice Location Address Fax Number:
765-677-1676
Provider Enumeration Date:
04/29/2014