Provider First Line Business Practice Location Address:
1451 YAUGER RD
Provider Second Line Business Practice Location Address:
GROUND FLOOR
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43050-8097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-393-5551
Provider Business Practice Location Address Fax Number:
740-393-5581
Provider Enumeration Date:
09/20/2005