Provider First Line Business Practice Location Address:
26832 HIGHWAY 129
Provider Second Line Business Practice Location Address:
BUCKLIN PUBLIC SCHOOLS
Provider Business Practice Location Address City Name:
BUCKLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64631-9230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-695-3555
Provider Business Practice Location Address Fax Number:
660-395-3345
Provider Enumeration Date:
03/27/2007