Provider First Line Business Practice Location Address:
535 SCHOOL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-465-4747
Provider Business Practice Location Address Fax Number:
724-465-8438
Provider Enumeration Date:
01/26/2007