Provider First Line Business Practice Location Address:
1110 W MAIN ST
Provider Second Line Business Practice Location Address:
STROUDSBURG HIGH SCHOOL
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-1397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-515-6477
Provider Business Practice Location Address Fax Number:
610-515-6457
Provider Enumeration Date:
04/06/2007