Provider First Line Business Practice Location Address:
214 4TH ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEELE
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58482-7329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-202-3280
Provider Business Practice Location Address Fax Number:
701-475-2022
Provider Enumeration Date:
01/21/2009