Provider First Line Business Practice Location Address:
1637 PERRYVILLE RD.
Provider Second Line Business Practice Location Address:
BOYLE COUNTY HIGH SCHOOL
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-236-5047
Provider Business Practice Location Address Fax Number:
859-236-6826
Provider Enumeration Date:
05/14/2015