Provider First Line Business Practice Location Address:
349 FRANKLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLYMER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15728-1173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-254-4314
Provider Business Practice Location Address Fax Number:
724-254-2350
Provider Enumeration Date:
02/14/2006