Provider First Line Business Practice Location Address:
223 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWCOMERSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43832-1042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-498-8551
Provider Business Practice Location Address Fax Number:
740-498-4754
Provider Enumeration Date:
02/23/2006