Provider First Line Business Practice Location Address:
L 2120 9TH ST. S. LINCOLN ELEMENTARY SCHOOL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-446-1269
Provider Business Practice Location Address Fax Number:
701-446-1200
Provider Enumeration Date:
10/01/2006