Provider First Line Business Practice Location Address:
301 WIRE RD
Provider Second Line Business Practice Location Address:
AUBURN SCHOOL OF KINESIOLOGY
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36849-5419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-844-4483
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2016