Provider First Line Business Practice Location Address:
216 S 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC CONNELLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17233-1310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-264-5125
Provider Business Practice Location Address Fax Number:
717-261-9695
Provider Enumeration Date:
01/05/2009