Provider First Line Business Practice Location Address:
122 S WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-5752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-283-6668
Provider Business Practice Location Address Fax Number:
724-283-6625
Provider Enumeration Date:
05/27/2006