Provider First Line Business Practice Location Address:
599 ARMOUR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
N KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64116-3513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-421-0750
Provider Business Practice Location Address Fax Number:
214-775-4502
Provider Enumeration Date:
03/07/2007