Provider First Line Business Practice Location Address:
WRUSD #8 NAVAJO ROUTE 12
Provider Second Line Business Practice Location Address:
WINDOW ROCK UNIFIED SCHOOL
Provider Business Practice Location Address City Name:
FT DEFIANCE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-810-7740
Provider Business Practice Location Address Fax Number:
928-729-7630
Provider Enumeration Date:
04/16/2007