Provider First Line Business Practice Location Address:
236 W READE AVE
Provider Second Line Business Practice Location Address:
HEALTH AND EXERCISE SCIENCE
Provider Business Practice Location Address City Name:
UPLAND
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46989-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-998-5132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2006