Provider First Line Business Practice Location Address:
763 JOHNSONBURG RD
Provider Second Line Business Practice Location Address:
ST. MARYS FINANCE DEPARTMENT
Provider Business Practice Location Address City Name:
ST MARYS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15857-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-788-8580
Provider Business Practice Location Address Fax Number:
814-788-8092
Provider Enumeration Date:
08/10/2005