Provider First Line Business Practice Location Address:
430 OXFORD ST. STOP 9025
Provider Second Line Business Practice Location Address:
COLLEGE OF NURSING ROOM 349
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58202-9025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-777-4557
Provider Business Practice Location Address Fax Number:
701-777-4096
Provider Enumeration Date:
11/07/2006