Provider First Line Business Practice Location Address:
COMBAT LOGISTICS REGIMENT 27
Provider Second Line Business Practice Location Address:
2D MARINE LOGISTICS GROUP, PSC BOX 20125
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28542-0125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-450-6673
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2006