Provider First Line Business Practice Location Address:
835 5TH AVE
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:
17201-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-217-4312
Provider Business Practice Location Address Fax Number:
717-217-4314
Provider Enumeration Date:
06/03/2013