Provider First Line Business Practice Location Address:
102 S. SANDUSKY AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPPER SANDUSKY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43351-1424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-294-1212
Provider Business Practice Location Address Fax Number:
419-294-6336
Provider Enumeration Date:
05/05/2010