Provider First Line Business Practice Location Address:
320 PLEASANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARIS
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40361-2035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-987-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2011