Provider First Line Business Practice Location Address:
2195 ALLENTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45805-1705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-227-2245
Provider Business Practice Location Address Fax Number:
419-229-1573
Provider Enumeration Date:
07/01/2014