Provider First Line Business Practice Location Address:
10000 MOLLY PITCHER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIPPENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17257-8502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-532-6678
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2009