Provider First Line Business Practice Location Address:
165 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEECHBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15656-1334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-842-1771
Provider Business Practice Location Address Fax Number:
724-845-7897
Provider Enumeration Date:
10/21/2006