Provider First Line Business Practice Location Address:
1200 6TH AVE N
Provider Second Line Business Practice Location Address:
CENTRA CARE CLINIC
Provider Business Practice Location Address City Name:
SAINT CLOUD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56303-2735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-284-2511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2012