Provider First Line Business Practice Location Address:
270 PHILADELPHIA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-2052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-349-5070
Provider Business Practice Location Address Fax Number:
724-349-8368
Provider Enumeration Date:
06/13/2006