Provider First Line Business Practice Location Address:
312 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK SPRINGS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-528-4728
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2007