Provider First Line Business Practice Location Address:
SCHOOL DIST R 7 TRI COUNTY
Provider Second Line Business Practice Location Address:
904 W AUBERRY GRV
Provider Business Practice Location Address City Name:
JAMESPORT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64648-7374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-684-6118
Provider Business Practice Location Address Fax Number:
660-684-6218
Provider Enumeration Date:
03/14/2007