Provider First Line Business Practice Location Address: 
1945 QUEENSWOOD DRIVE
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
YORK
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17403-4254
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-846-6900
    Provider Business Practice Location Address Fax Number: 
717-854-9728
    Provider Enumeration Date: 
07/24/2007