Provider First Line Business Practice Location Address:
2201 SW 29TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66611-1908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-266-6503
Provider Business Practice Location Address Fax Number:
785-266-6546
Provider Enumeration Date:
06/12/2006