Provider First Line Business Practice Location Address:
OLD RTE 66 & HILL STREET
Provider Second Line Business Practice Location Address:
# 200
Provider Business Practice Location Address City Name:
MC GRANN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16236-0200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-763-8000
Provider Business Practice Location Address Fax Number:
724-763-8007
Provider Enumeration Date:
07/08/2005