Provider First Line Business Practice Location Address:
416 LINCOLN WAY E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC CONNELLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17233-1406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-987-4007
Provider Business Practice Location Address Fax Number:
717-487-4009
Provider Enumeration Date:
08/09/2006