Provider First Line Business Practice Location Address:
134 W MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEWISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17044-2129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-861-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2011