Provider First Line Business Practice Location Address:
900 W 12TH ST
Provider Second Line Business Practice Location Address:
NEWTON HIGH SCHOOL
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67114-1451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
316-284-6280
Provider Business Practice Location Address Fax Number:
316-284-6288
Provider Enumeration Date:
05/23/2007