Provider First Line Business Practice Location Address:
20 INDUSTRIAL DR
Provider Second Line Business Practice Location Address:
ACUTE CARE CLINIC
Provider Business Practice Location Address City Name:
DU BOIS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15801-3842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-375-6071
Provider Business Practice Location Address Fax Number:
814-375-6073
Provider Enumeration Date:
10/02/2008