Provider First Line Business Practice Location Address:
255 S SPRING GARDEN ST
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:
17013-2565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-249-8836
Provider Business Practice Location Address Fax Number:
717-249-1553
Provider Enumeration Date:
07/07/2006