Provider First Line Business Practice Location Address:
190 COLLEGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILROY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17063-8662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-667-2433
Provider Business Practice Location Address Fax Number:
717-667-9791
Provider Enumeration Date:
01/09/2006