Provider First Line Business Practice Location Address:
MINNESOTA STATE UNIVERSITY MOORHEAD
Provider Second Line Business Practice Location Address:
NEMZEK HALL ROOM 125
Provider Business Practice Location Address City Name:
MOORHEAD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-477-2626
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2014