Provider First Line Business Practice Location Address: 
1 MELLON WAY
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
LATROBE
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15650-1197
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
724-539-3555
    Provider Business Practice Location Address Fax Number: 
724-539-1966
    Provider Enumeration Date: 
03/19/2007