Provider First Line Business Practice Location Address:
WASHINGTON STATE UNIVERSITY ATHLETICS
Provider Second Line Business Practice Location Address:
BOHLER ATHLETIC COMPLEX M4
Provider Business Practice Location Address City Name:
PULLMAN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99163
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-771-3541
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2021