Provider First Line Business Practice Location Address:
124 W HARRISBURG ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DILLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17019-1268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-893-8605
Provider Business Practice Location Address Fax Number:
773-815-8605
Provider Enumeration Date:
01/14/2013