UPI (Provider ID): 2960
Change Report (if Any):

Short Name: CLER CO TASC

Long Name 1: CLERMONT COUNTY TASC
Long Name 2:

Address 1: 150 WEST MAIN STREET SUITE 2A
Address 2:

City: BATAVIA
Zip Code: 45103
County: CLER

Contact: DAVID LAVINE
Title:
Phone: 5137328070
FAX: 5137328075

Vendor: 2960

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012