Provider First Line Business Practice Location Address:
301 ANDREWS AVE.
Provider Second Line Business Practice Location Address:
LYSTER ARMY HEALTH CLINIC, CHIROPRACTIC CLINIC
Provider Business Practice Location Address City Name:
FT. RUCKER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-225-7706
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2006