Provider First Line Business Practice Location Address:
169 W. HIGH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKFORT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-998-0000
Provider Business Practice Location Address Fax Number:
740-998-0010
Provider Enumeration Date:
02/11/2025