Provider First Line Business Practice Location Address:
SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
Provider Second Line Business Practice Location Address:
2400 32ND AVE. S.
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-234-3640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2019