Provider First Line Business Practice Location Address:
2400 PRATT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27705-3976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-668-7540
Provider Business Practice Location Address Fax Number:
919-668-7166
Provider Enumeration Date:
06/24/2006