Provider First Line Business Practice Location Address:
227 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEECHBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15656-1336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-845-8380
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2012