Provider First Line Business Practice Location Address:
1381 NORTH WAYNE
Provider Second Line Business Practice Location Address:
ANGOLA URGENT CARE
Provider Business Practice Location Address City Name:
ANGOLA
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
260-668-4040
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2005