Provider First Line Business Practice Location Address:
2814 US HIGHWAY 24
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILL CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67642-1482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-421-2135
Provider Business Practice Location Address Fax Number:
785-421-5657
Provider Enumeration Date:
10/05/2009