Provider First Line Business Practice Location Address:
8866 CLEARFIELD CURWENSVILLE HWY
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16830-3519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-765-2543
Provider Business Practice Location Address Fax Number:
814-768-3594
Provider Enumeration Date:
04/04/2006