Provider First Line Business Practice Location Address:
11028 COUNTY HIGHWAY 44
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER SANDUSKY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43351-9056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-294-4901
Provider Business Practice Location Address Fax Number:
419-294-2054
Provider Enumeration Date:
04/20/2007