Provider First Line Business Practice Location Address:
204 N OAK ST
Provider Second Line Business Practice Location Address:
SUITE A GRANT COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
SHERIDAN
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72150-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-942-3157
Provider Business Practice Location Address Fax Number:
870-942-2736
Provider Enumeration Date:
08/09/2006