Provider First Line Business Practice Location Address: 
MOBILE DIVING AND SALVAGE UNIT ONE
    Provider Second Line Business Practice Location Address: 
BUILDING 17 BISHOP POINT
    Provider Business Practice Location Address City Name: 
APO
    Provider Business Practice Location Address State Name: 
AE
    Provider Business Practice Location Address Postal Code: 
96660-7005
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
808-471-0755
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/16/2013