Provider First Line Business Practice Location Address:
512 MARKET ST STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17061-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-692-0355
Provider Business Practice Location Address Fax Number:
717-692-0540
Provider Enumeration Date:
05/26/2009