Provider First Line Business Practice Location Address:
2836 HORSESHOE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMPBELLTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17010-0105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-838-5944
Provider Business Practice Location Address Fax Number:
717-838-5944
Provider Enumeration Date:
04/17/2007