Provider First Line Business Practice Location Address:
1201 PLEASANT AVENUE
Provider Second Line Business Practice Location Address:
BROOKE COUNTY BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
WELLSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26070-1344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-737-3480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/24/2007