Provider First Line Business Practice Location Address:
239 S BUTLER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042-8939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-273-8871
Provider Business Practice Location Address Fax Number:
717-270-2452
Provider Enumeration Date:
03/24/2010