Provider First Line Business Practice Location Address:
3502 UNIVERSITY DR S
Provider Second Line Business Practice Location Address:
EAGLES EDUCATION CENTER
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58104-6228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-446-3914
Provider Business Practice Location Address Fax Number:
701-446-3999
Provider Enumeration Date:
12/10/2008