Provider First Line Business Practice Location Address:
USAHC BAMBERG
Provider Second Line Business Practice Location Address:
UNIT 27528
Provider Business Practice Location Address City Name:
APO AE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
09139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
95-130-0917
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006