Provider First Line Business Practice Location Address:
1318 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:
66451-0627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-828-3113
Provider Business Practice Location Address Fax Number:
785-828-3671
Provider Enumeration Date:
07/24/2006