Provider First Line Business Practice Location Address:
1227 U S ROUTE 22 S W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON COURT HOUSE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43160-1882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-333-3310
Provider Business Practice Location Address Fax Number:
740-333-4303
Provider Enumeration Date:
02/07/2007