Provider First Line Business Practice Location Address:
307 W HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC ARTHUR
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45651-1093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-596-5218
Provider Business Practice Location Address Fax Number:
740-596-3142
Provider Enumeration Date:
03/15/2007