Provider First Line Business Practice Location Address:
115 MAIN STREET NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNSEITH
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-244-5800
Provider Business Practice Location Address Fax Number:
701-244-5801
Provider Enumeration Date:
10/10/2013