Provider First Line Business Practice Location Address:
822 E MERRY STREET BOWLING GREEN STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
300 PSYCHOLOGY BUILDING
Provider Business Practice Location Address City Name:
BOWLING GREEN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43403-0232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-372-2540
Provider Business Practice Location Address Fax Number:
419-372-2533
Provider Enumeration Date:
09/14/2010