Provider First Line Business Practice Location Address:
102 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARGONIA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-435-6356
Provider Business Practice Location Address Fax Number:
620-435-6169
Provider Enumeration Date:
04/05/2006