Provider First Line Business Practice Location Address:
UNIVERSITY OF NORTH DAKOTA
Provider Second Line Business Practice Location Address:
1301 N COLUMBIA RD
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58202-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-610-1060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2010