Provider First Line Business Practice Location Address:
119 S WASHINGTON ST
Provider Second Line Business Practice Location Address:
AMBUCARE CLINIC
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46952-3805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-664-0511
Provider Business Practice Location Address Fax Number:
765-668-2786
Provider Enumeration Date:
01/30/2006