Provider First Line Business Practice Location Address:
118G SUDRO HALL
Provider Second Line Business Practice Location Address:
NORTH DAKOTA STATE UNIVERSITY
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58105-5055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-231-6528
Provider Business Practice Location Address Fax Number:
701-231-7606
Provider Enumeration Date:
08/19/2008