Provider First Line Business Practice Location Address:
1259 UNIVERSITY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNBAR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15431-2305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-626-0620
Provider Business Practice Location Address Fax Number:
724-626-0621
Provider Enumeration Date:
02/02/2010