Provider First Line Business Practice Location Address:
SCHOOL HARRISONVILLE PUBL
Provider Second Line Business Practice Location Address:
503 S LEXINGTON ST
Provider Business Practice Location Address City Name:
HARRISONVILLE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64701-2415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-380-2727
Provider Business Practice Location Address Fax Number:
816-380-3134
Provider Enumeration Date:
03/19/2007