Provider First Line Business Practice Location Address:
1025 E. 7TH STREET, RM C200
Provider Second Line Business Practice Location Address:
SCHOOL OF PUBLIC HEALTH, INDIANA UNIVERSITY
Provider Business Practice Location Address City Name:
BLOOMINGTON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-855-3114
Provider Business Practice Location Address Fax Number:
812-856-2596
Provider Enumeration Date:
01/13/2015