COREY SHORT

WAITE PARK, MN
NPI1871153148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
Enumeration Date2019-06-18
Last Update Date2019-06-18
Business Address
COREY SHORT
423 GREAT OAK DR
WAITE PARK, MN 56387-2507
Phone number: 218-287-4338
Mailing Address
COREY SHORT
891 BELSLY BLVD
MOORHEAD, MN 56560-5055
Phone number: