Provider First Line Business Practice Location Address:
115 N 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OSBORNE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67473-2001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-346-2412
Provider Business Practice Location Address Fax Number:
785-346-5638
Provider Enumeration Date:
01/26/2024