Provider First Line Business Practice Location Address:
1331 S 7TH ST BLDG 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-364-2161
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2006