Provider First Line Business Practice Location Address:
124 W KAPP ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOBSON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27017-8825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-401-6242
Provider Business Practice Location Address Fax Number:
336-352-4483
Provider Enumeration Date:
10/29/2005