Provider First Line Business Practice Location Address:
420 SOUTH 7TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKES
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58474-2024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-742-3267
Provider Business Practice Location Address Fax Number:
701-742-3201
Provider Enumeration Date:
02/14/2006