Provider First Line Business Practice Location Address:
100 HOSPITAL DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARNESVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43713-0309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-425-5780
Provider Business Practice Location Address Fax Number:
740-425-5781
Provider Enumeration Date:
03/05/2012