Provider First Line Business Practice Location Address:
228 THIRD STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKERSBURG
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-346-1744
Provider Business Practice Location Address Fax Number:
319-346-1745
Provider Enumeration Date:
05/31/2007