Provider First Line Business Practice Location Address:
60 CONNELLSVILLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-3848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-2050
Provider Business Practice Location Address Fax Number:
724-439-0793
Provider Enumeration Date:
11/20/2006