Provider First Line Business Practice Location Address: 
5108 E TRINDLE RD
    Provider Second Line Business Practice Location Address: 
SUITE 200
    Provider Business Practice Location Address City Name: 
MECHANICSBURG
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17050-3300
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-790-9920
    Provider Business Practice Location Address Fax Number: 
717-790-9923
    Provider Enumeration Date: 
04/25/2014