Provider First Line Business Practice Location Address:
2260 THIELEN STUDENT HEALTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50011-2280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-294-5802
Provider Business Practice Location Address Fax Number:
515-294-7180
Provider Enumeration Date:
11/08/2005