Provider First Line Business Practice Location Address: 
500 UNIVERSITY DR
    Provider Second Line Business Practice Location Address: 
MAIL CODE H041
    Provider Business Practice Location Address City Name: 
HERSHEY
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17033-2360
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-531-1306
    Provider Business Practice Location Address Fax Number: 
717-531-5785
    Provider Enumeration Date: 
08/10/2007