Provider First Line Business Practice Location Address:
RR #1 BOX 1000
Provider Second Line Business Practice Location Address:
GREENE COUNTY GENERAL
Provider Business Practice Location Address City Name:
LINTON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47441-9457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-847-2281
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2006