Provider First Line Business Practice Location Address:
1601 S.W 37TH STREET
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:
66611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-228-5691
Provider Business Practice Location Address Fax Number:
785-272-1522
Provider Enumeration Date:
02/16/2011