Provider First Line Business Practice Location Address:
765 5TH AVE
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-4228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-2818
Provider Business Practice Location Address Fax Number:
717-263-6787
Provider Enumeration Date:
06/12/2005