Provider First Line Business Practice Location Address:
491 ALLEGHENY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16323-2975
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-437-7626
Provider Business Practice Location Address Fax Number:
814-437-5645
Provider Enumeration Date:
03/07/2010