Provider First Line Business Practice Location Address:
2323A HIGH SCHOOL DR
Provider Second Line Business Practice Location Address:
SPECIAL SERVICES - CLAIM CARE
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64067-1525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-259-4369
Provider Business Practice Location Address Fax Number:
660-259-4992
Provider Enumeration Date:
07/10/2012