Provider First Line Business Practice Location Address:
120 MASON FARM RD
Provider Second Line Business Practice Location Address:
CAMPUS BOX 7264, DEPARTMENT OF GENETICS
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-9437
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2015