Provider First Line Business Practice Location Address:
183 S COLDBROOK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-2759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-504-8459
Provider Business Practice Location Address Fax Number:
717-504-8596
Provider Enumeration Date:
05/11/2012