Provider First Line Business Practice Location Address:
1001 N. LEAVITT RD.
Provider Second Line Business Practice Location Address:
LABRAE LOCAL SCHOOLS
Provider Business Practice Location Address City Name:
LEAVITTSBURG
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44430
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-898-0800
Provider Business Practice Location Address Fax Number:
330-898-7808
Provider Enumeration Date:
01/13/2015