Provider First Line Business Practice Location Address:
MSC 22 PLYMOUTH STATE UNIVERSITY
Provider Second Line Business Practice Location Address:
17 HIGH ST
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-535-3028
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006