Provider First Line Business Practice Location Address:
412 W BROADWAY
Provider Second Line Business Practice Location Address:
NEW FRANKLIN R-I SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
NEW FRANKLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65274-9602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-338-2012
Provider Business Practice Location Address Fax Number:
660-338-5999
Provider Enumeration Date:
03/02/2007