Provider First Line Business Practice Location Address:
202 JACOB MURPHY LN STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-437-8880
Provider Business Practice Location Address Fax Number:
724-437-0112
Provider Enumeration Date:
11/18/2009