Provider First Line Business Practice Location Address: 
841 MALCOLM BLVD.
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
RUTHERFORD COLLEGE
    Provider Business Practice Location Address State Name: 
NC
    Provider Business Practice Location Address Postal Code: 
28671
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
828-874-3379
    Provider Business Practice Location Address Fax Number: 
828-874-0833
    Provider Enumeration Date: 
02/13/2007