Provider First Line Business Practice Location Address:
2707 N. TOPEKA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-232-8614
Provider Business Practice Location Address Fax Number:
785-232-6915
Provider Enumeration Date:
11/18/2005