Provider First Line Business Practice Location Address:
111 E 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPMAN
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67431-2517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-238-4711
Provider Business Practice Location Address Fax Number:
785-530-6150
Provider Enumeration Date:
01/06/2023