Provider First Line Business Practice Location Address:
1200 N PINE ST
Provider Second Line Business Practice Location Address:
STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
ROLLA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65401-2831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-341-4284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2007