Provider First Line Business Practice Location Address: 
6709 S. MINNESOTA AVENUE, SUITE 100
    Provider Second Line Business Practice Location Address: 
HYPNOS MEDICAL EQUIPMENT, INC
    Provider Business Practice Location Address City Name: 
SIOUX FALLS
    Provider Business Practice Location Address State Name: 
SD
    Provider Business Practice Location Address Postal Code: 
57108-2593
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
800-888-1469
    Provider Business Practice Location Address Fax Number: 
605-271-2277
    Provider Enumeration Date: 
10/01/2009