Provider First Line Business Practice Location Address:
PENN STATE ALTOONA ATHLETICS
Provider Second Line Business Practice Location Address:
3000 IVYSIDE PARK
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-949-5325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2006