Provider First Line Business Practice Location Address:
1/24 INFANTRY BATTALION
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-563-3085
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2009