Provider First Line Business Practice Location Address:
147 GETTYS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GETTYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17325-2534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-337-4168
Provider Business Practice Location Address Fax Number:
717-337-4249
Provider Enumeration Date:
02/02/2006