Provider First Line Business Practice Location Address:
1201 MINNESOTA AVE
Provider Second Line Business Practice Location Address:
USCGC ALDER (WLB-216)
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55802-2492
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-529-3131
Provider Business Practice Location Address Fax Number:
218-529-3135
Provider Enumeration Date:
10/12/2006