Provider First Line Business Practice Location Address:
1700 CLEARFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-9217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-532-3538
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2019