Provider First Line Business Practice Location Address:
1501 BRECKENRIDGE
Provider Second Line Business Practice Location Address:
GREEN RIVER DISTRICT HEALTH DEPT
Provider Business Practice Location Address City Name:
OWENSBORO
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-686-7747
Provider Business Practice Location Address Fax Number:
270-926-9862
Provider Enumeration Date:
04/06/2007