Provider First Line Business Practice Location Address:
511 SOUTH MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHEFFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16347-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-584-1130
Provider Business Practice Location Address Fax Number:
814-584-1133
Provider Enumeration Date:
04/19/2006