Provider First Line Business Practice Location Address:
971 WAYNE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-3895
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-2583
Provider Business Practice Location Address Fax Number:
717-267-1357
Provider Enumeration Date:
04/18/2007