Provider First Line Business Practice Location Address:
BLUE OCEAN MEDICAL GROUP (DBA: INTERNATIONAL HEALTH PRO
Provider Second Line Business Practice Location Address:
655 HARMON LOOP ROAD, SUITE 108
Provider Business Practice Location Address City Name:
DEDEDO
Provider Business Practice Location Address State Name:
GU
Provider Business Practice Location Address Postal Code:
96929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
671-477-5715
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2007