Provider First Line Business Practice Location Address:
32 E MCGOVERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17602-1923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-392-1007
Provider Business Practice Location Address Fax Number:
717-392-0827
Provider Enumeration Date:
05/13/2006