Provider First Line Business Practice Location Address:
7890 HWY 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKES
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-742-3340
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2006