Provider First Line Business Practice Location Address:
1616 INDUSTRIAL DR
Provider Second Line Business Practice Location Address:
COLE COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
JEFFERSON CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65109-1471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-636-2181
Provider Business Practice Location Address Fax Number:
573-635-7534
Provider Enumeration Date:
09/14/2006