Provider First Line Business Practice Location Address:
801 N HANOVER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-1599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-249-5322
Provider Business Practice Location Address Fax Number:
717-254-1125
Provider Enumeration Date:
01/23/2007