Provider First Line Business Practice Location Address:
1314 S STUART ST
Provider Second Line Business Practice Location Address:
UI FAMILY CARE SIGOURNEY
Provider Business Practice Location Address City Name:
SIGOURNEY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-622-3840
Provider Business Practice Location Address Fax Number:
641-622-3529
Provider Enumeration Date:
09/27/2005