Provider First Line Business Practice Location Address:
1224 HOLLY PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-4240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-6396
Provider Business Practice Location Address Fax Number:
717-243-6444
Provider Enumeration Date:
07/26/2006