Provider First Line Business Practice Location Address:
600 SW COLLEGE 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:
66606-1684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-233-9643
Provider Business Practice Location Address Fax Number:
785-233-6821
Provider Enumeration Date:
12/04/2007