Provider First Line Business Practice Location Address:
U.S. ARMY HEALTH CLINIC ANSBACH
Provider Second Line Business Practice Location Address:
BLDG 5186 CHEYENNE AVENUE
Provider Business Practice Location Address City Name:
ANSBACH
Provider Business Practice Location Address State Name:
GERMANY
Provider Business Practice Location Address Postal Code:
09623
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
111-111-1111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2005