Provider First Line Business Practice Location Address:
603 EAST ST NORTH
Provider Second Line Business Practice Location Address:
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Provider Business Practice Location Address City Name:
ELGIN
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-584-3338
Provider Business Practice Location Address Fax Number:
701-584-3048
Provider Enumeration Date:
03/16/2007