Provider First Line Business Practice Location Address:
INDIAN HEALTH SERVICE
Provider Second Line Business Practice Location Address:
N10 AGENCY STREET
Provider Business Practice Location Address City Name:
FORT YATES
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-854-8265
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2006