Provider First Line Business Practice Location Address:
1011 WATER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-1662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-349-6462
Provider Business Practice Location Address Fax Number:
724-349-2485
Provider Enumeration Date:
07/10/2006