Provider First Line Business Practice Location Address:
DECKER GYMANSIUM-STADIUM DR.
Provider Second Line Business Practice Location Address:
MANSFIELD UNIVERSITY
Provider Business Practice Location Address City Name:
MANSFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-662-4467
Provider Business Practice Location Address Fax Number:
570-662-4465
Provider Enumeration Date:
02/07/2006