Provider First Line Business Practice Location Address:
500 E MAIN ST
Provider Second Line Business Practice Location Address:
SPECIAL SERVICES -- CLAIM CARE
Provider Business Practice Location Address City Name:
BUNCETON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65237-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-427-5347
Provider Business Practice Location Address Fax Number:
660-427-5348
Provider Enumeration Date:
11/07/2012