Provider First Line Business Practice Location Address:
22 S. MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARSHALL
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-862-2490
Provider Business Practice Location Address Fax Number:
701-862-4355
Provider Enumeration Date:
03/11/2022