Provider First Line Business Practice Location Address:
399 LIBERTY ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRYOPOLIS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-736-2550
Provider Business Practice Location Address Fax Number:
724-785-2184
Provider Enumeration Date:
10/31/2006