Provider First Line Business Practice Location Address:
71 BRUMBAUGH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-264-7225
Provider Business Practice Location Address Fax Number:
717-264-8637
Provider Enumeration Date:
08/15/2006