Provider First Line Business Practice Location Address:
48TH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
RAF LAKENHEATH
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09461-5115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-255-7040
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2005