Provider First Line Business Practice Location Address:
131 1/2 S FRONT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17922-8930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-754-7919
Provider Business Practice Location Address Fax Number:
570-754-7919
Provider Enumeration Date:
10/31/2005