Provider First Line Business Practice Location Address:
1461 S MAIN 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:
17201-8676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-264-2912
Provider Business Practice Location Address Fax Number:
717-264-1201
Provider Enumeration Date:
10/01/2010