Provider First Line Business Practice Location Address:
ABILENE STATE SCHOOL
Provider Second Line Business Practice Location Address:
2501 MAPLE STREET
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-795-3609
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2007