Provider First Line Business Practice Location Address: 
DUNHAM ARMY HEALTH CLINIC OPTOMETRY
    Provider Second Line Business Practice Location Address: 
450 GIBNER ROAD
    Provider Business Practice Location Address City Name: 
CARLISLE BARRACKS
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17013-5086
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-245-3056
    Provider Business Practice Location Address Fax Number: 
717-245-4095
    Provider Enumeration Date: 
07/11/2009