Provider First Line Business Practice Location Address:
DYESS AIR FORCE BASE
Provider Second Line Business Practice Location Address:
317 MAINTENANCE SQ
Provider Business Practice Location Address City Name:
DYESS AFB
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-979-5985
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2009