Provider First Line Business Practice Location Address:
AUGUSTANA COLLEGE ATHLETIC TRAINING
Provider Second Line Business Practice Location Address:
2501 S. GRANGE AVE.
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57197-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-274-5543
Provider Business Practice Location Address Fax Number:
605-274-5298
Provider Enumeration Date:
01/17/2007