Provider First Line Business Practice Location Address:
527 MIDLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15059-1312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-643-5923
Provider Business Practice Location Address Fax Number:
239-337-1400
Provider Enumeration Date:
11/12/2006