Provider First Line Business Practice Location Address:
3101 BURNET AVENUE
Provider Second Line Business Practice Location Address:
AMBROSE H CLEMENT HEALTH CENTER
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45229-3014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-357-7300
Provider Business Practice Location Address Fax Number:
513-357-7307
Provider Enumeration Date:
08/15/2006