Provider First Line Business Practice Location Address:
429 S EDWARDS 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:
17201-8404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-264-8389
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2006