Provider First Line Business Practice Location Address:
HOPITAL DE BONGOLO
Provider Second Line Business Practice Location Address:
BP 49
Provider Business Practice Location Address City Name:
LEBAMBA
Provider Business Practice Location Address State Name:
NGOUNIE
Provider Business Practice Location Address Postal Code:
999
Provider Business Practice Location Address Country Code:
GA
Provider Business Practice Location Address Telephone Number:
585-643-5432
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006