Provider First Line Business Practice Location Address: 
325 E H ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
IRON MOUNTAIN
    Provider Business Practice Location Address State Name: 
MI
    Provider Business Practice Location Address Postal Code: 
49801-4760
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
906-774-3300
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/12/2011