Provider First Line Business Practice Location Address:
800 W HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EBENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15931-1804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-472-6700
Provider Business Practice Location Address Fax Number:
814-472-9583
Provider Enumeration Date:
01/04/2006