Provider First Line Business Practice Location Address:
11 GREENLAW BLVD
Provider Second Line Business Practice Location Address:
CLAY COUNTY CHIROPRACTIC INC
Provider Business Practice Location Address City Name:
FLORA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62839-1300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-662-4100
Provider Business Practice Location Address Fax Number:
618-662-8751
Provider Enumeration Date:
10/04/2006