Provider First Line Business Practice Location Address:
5100 SW 28TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-273-8088
Provider Business Practice Location Address Fax Number:
785-273-4096
Provider Enumeration Date:
11/06/2006