Provider First Line Business Practice Location Address:
132 NORTH MARKET STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST PALESTINE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-426-9484
Provider Business Practice Location Address Fax Number:
330-426-2248
Provider Enumeration Date:
11/02/2006