Provider First Line Business Practice Location Address:
JOPLIN PUBLIC SCHOOLS, JEC
Provider Second Line Business Practice Location Address:
2825 S MCCLELLAND BLVD.
Provider Business Practice Location Address City Name:
JOPLIN
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-625-4575
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2006