Provider First Line Business Practice Location Address:
152 N FIFTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-463-7700
Provider Business Practice Location Address Fax Number:
724-463-7738
Provider Enumeration Date:
11/08/2006