Provider First Line Business Practice Location Address:
904 SCIOTO ST
Provider Second Line Business Practice Location Address:
COMMUNITY MERCY REACH
Provider Business Practice Location Address City Name:
URBANA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43078
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-653-3001
Provider Business Practice Location Address Fax Number:
937-484-6186
Provider Enumeration Date:
10/01/2007