Provider First Line Business Practice Location Address:
409 N. DUNLAP ST.
Provider Second Line Business Practice Location Address:
OPEN CITIES HEALTH CENTER
Provider Business Practice Location Address City Name:
ST. PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-290-9200
Provider Business Practice Location Address Fax Number:
651-290-9201
Provider Enumeration Date:
03/14/2006