Provider First Line Business Practice Location Address:
1516 SW 6TH AVE
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66606-1696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-233-1747
Provider Business Practice Location Address Fax Number:
785-233-9008
Provider Enumeration Date:
08/09/2005