Provider First Line Business Practice Location Address:
121 GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
69205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-737-5545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2009