Provider First Line Business Practice Location Address:
302 HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATGLEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19310-9446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-563-6745
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2007