Provider First Line Business Practice Location Address:
23 W HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW BLOOMFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17068-0313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-582-7471
Provider Business Practice Location Address Fax Number:
717-582-7352
Provider Enumeration Date:
12/15/2006