Provider First Line Business Practice Location Address:
TIPTON COUNTY WIC PROGRAM
Provider Second Line Business Practice Location Address:
119 WEST WASHINGTON STREET
Provider Business Practice Location Address City Name:
TIPTON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-675-8494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2007