Provider First Line Business Practice Location Address:
209 W HARRISON
Provider Second Line Business Practice Location Address:
HPMHC
Provider Business Practice Location Address City Name:
OSBORNE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-346-2184
Provider Business Practice Location Address Fax Number:
785-346-2487
Provider Enumeration Date:
01/18/2007