Provider First Line Business Practice Location Address:
1 GUTHRIE SQUARE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAYRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18840-9284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-887-2203
Provider Business Practice Location Address Fax Number:
570-887-2680
Provider Enumeration Date:
02/28/2007