Provider First Line Business Practice Location Address:
SUITE 101 315 5TH AVE NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SASKATOON
Provider Business Practice Location Address State Name:
SASK
Provider Business Practice Location Address Postal Code:
S7K5Z8
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
306-651-3900
Provider Business Practice Location Address Fax Number:
306-978-5276
Provider Enumeration Date:
12/12/2006