Provider First Line Business Practice Location Address:
146 S. GRANITE STREET
Provider Second Line Business Practice Location Address:
PRESCOTT UNIFIED SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
PRESCOTT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-717-3268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2014