Provider First Line Business Practice Location Address:
MCCANNEL HALL, ROOM 100
Provider Second Line Business Practice Location Address:
2891 2ND AVENUE N., STOP 9038
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58202-9038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-777-4500
Provider Business Practice Location Address Fax Number:
701-777-4835
Provider Enumeration Date:
09/06/2006