Provider First Line Business Practice Location Address:
313 E. FRANKLIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-524-4474
Provider Business Practice Location Address Fax Number:
785-524-5320
Provider Enumeration Date:
03/26/2007