Provider First Line Business Practice Location Address:
ILLESHEIM HEALTH CLINIC
Provider Second Line Business Practice Location Address:
BOX C
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
BAVARIA
Provider Business Practice Location Address Postal Code:
09140
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
4674512
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2006