Provider First Line Business Practice Location Address:
BLUE EARTH COUNTY GOVERNMENT CENTER
Provider Second Line Business Practice Location Address:
410 SOUTH 5TH STREET
Provider Business Practice Location Address City Name:
MANKATO
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56002-3526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-304-4174
Provider Business Practice Location Address Fax Number:
507-304-4387
Provider Enumeration Date:
12/02/2005