Provider First Line Business Practice Location Address:
101 SOUTH WILBUR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAYRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-888-5000
Provider Business Practice Location Address Fax Number:
570-888-5001
Provider Enumeration Date:
08/09/2006