Provider First Line Business Practice Location Address:
345 S. MAIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW KNOXVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45871-0476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-753-2431
Provider Business Practice Location Address Fax Number:
419-753-2333
Provider Enumeration Date:
11/11/2008