Provider First Line Business Practice Location Address:
115 N 2ND AVE E
Provider Second Line Business Practice Location Address:
COUNTY ANNEX BUILDING
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50208-3241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-787-9224
Provider Business Practice Location Address Fax Number:
941-791-4022
Provider Enumeration Date:
02/17/2006