Provider First Line Business Practice Location Address:
730 E PITTSBURGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-2637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-853-3254
Provider Business Practice Location Address Fax Number:
724-853-3258
Provider Enumeration Date:
09/30/2005