Provider First Line Business Practice Location Address:
501 20TH ST APCE MCKEE # 248
Provider Second Line Business Practice Location Address:
UNIVERSITY OF NORTHERN COLORADO
Provider Business Practice Location Address City Name:
GREELEY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80639-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-351-1631
Provider Business Practice Location Address Fax Number:
970-351-2625
Provider Enumeration Date:
05/14/2007