Provider First Line Business Practice Location Address:
911 E BRADY ST
Provider Second Line Business Practice Location Address:
MCCANDLESS CORPORATE CENTER BUILDING 111
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-4646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-285-0823
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2009