Provider First Line Business Practice Location Address:
799 CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILLERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17061-1420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-692-2108
Provider Business Practice Location Address Fax Number:
717-692-2895
Provider Enumeration Date:
05/03/2007