Provider First Line Business Practice Location Address:
116 E PITTSBURGH ST
Provider Second Line Business Practice Location Address:
LOWER LEVEL
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-3312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-837-6590
Provider Business Practice Location Address Fax Number:
724-837-6592
Provider Enumeration Date:
06/20/2007