Provider First Line Business Practice Location Address:
100 DUNMORE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THROOP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-1442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-383-9641
Provider Business Practice Location Address Fax Number:
570-383-0833
Provider Enumeration Date:
06/12/2006