Provider First Line Business Practice Location Address:
106 6TH ST
Provider Second Line Business Practice Location Address:
SPEC ED BLDG
Provider Business Practice Location Address City Name:
PRINSBURG
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
320-978-8700
Provider Business Practice Location Address Fax Number:
320-978-6797
Provider Enumeration Date:
06/29/2011