Provider First Line Business Practice Location Address:
901 E MCKINLEY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-0643
Provider Business Practice Location Address Fax Number:
717-267-1130
Provider Enumeration Date:
08/15/2005