Provider First Line Business Practice Location Address:
ONE BAKER PLACE
Provider Second Line Business Practice Location Address:
MINERAL CO BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
KEYSER
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-788-4200
Provider Business Practice Location Address Fax Number:
304-788-6461
Provider Enumeration Date:
01/16/2008