Provider First Line Business Practice Location Address:
BUCKNELL UNIVERSITY, SNAKE ROAD
Provider Second Line Business Practice Location Address:
SHS
Provider Business Practice Location Address City Name:
LEWISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17837-6509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-577-1401
Provider Business Practice Location Address Fax Number:
570-577-3570
Provider Enumeration Date:
04/02/2007