Provider First Line Business Practice Location Address:
20 S 3RD 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:
17042-5337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-272-3081
Provider Business Practice Location Address Fax Number:
717-272-0573
Provider Enumeration Date:
03/19/2007