Provider First Line Business Practice Location Address:
CHERRY & LOUTHER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-2896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-245-1835
Provider Business Practice Location Address Fax Number:
717-245-1938
Provider Enumeration Date:
06/30/2008