Provider First Line Business Practice Location Address:
304 N 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16830-2527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-765-5371
Provider Business Practice Location Address Fax Number:
814-762-8755
Provider Enumeration Date:
09/16/2006