Provider First Line Business Practice Location Address:
701 S WEST ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLISLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17013-4125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-243-9020
Provider Business Practice Location Address Fax Number:
717-243-8556
Provider Enumeration Date:
07/21/2006