Provider First Line Business Practice Location Address:
1025 N COUNTRY CLUB
Provider Second Line Business Practice Location Address:
MESA PUBLIC SCHOOLS STUDENT SERVICES
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-472-0562
Provider Business Practice Location Address Fax Number:
480-472-0796
Provider Enumeration Date:
03/23/2007