Provider First Line Business Practice Location Address:
2 E MARKET ST STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16830-2428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-205-4043
Provider Business Practice Location Address Fax Number:
814-205-4055
Provider Enumeration Date:
01/27/2014