Provider First Line Business Practice Location Address:
9255 OLDE SCOTLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-9392
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-532-2226
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2007