Provider First Line Business Practice Location Address:
2932 S. 5TH STREET
Provider Second Line Business Practice Location Address:
SANCTUARY OF THE OHIO VALLEY
Provider Business Practice Location Address City Name:
IRONTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-532-6188
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2012