Provider First Line Business Practice Location Address:
372 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-5030
Provider Business Practice Location Address Fax Number:
724-547-8306
Provider Enumeration Date:
03/07/2007