Provider First Line Business Practice Location Address:
1417 6TH ST S
Provider Second Line Business Practice Location Address:
CLARA BARTON ELEMENTARY
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103-4209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-446-4400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/10/2008