Provider First Line Business Practice Location Address:
40 N 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-272-5881
Provider Business Practice Location Address Fax Number:
717-272-3866
Provider Enumeration Date:
11/17/2006