Provider First Line Business Practice Location Address:
1200 N 7TH ST
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:
58474-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-742-3291
Provider Business Practice Location Address Fax Number:
701-742-3639
Provider Enumeration Date:
07/11/2022