Provider First Line Business Mailing Address:
80396 LOST CREEK RD.
Provider Second Line Business Mailing Address:
ATTN: SAMANTHA JOSEPH, DC
Provider Business Mailing Address City Name:
DEXTER
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
316-210-7560
Provider Business Mailing Address Fax Number: