Provider First Line Business Practice Location Address:
130 GREATER BUTLER MART
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-3282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-283-8208
Provider Business Practice Location Address Fax Number:
724-283-8209
Provider Enumeration Date:
04/26/2006