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1043470933
VASCULAR AND INTERVENTIONAL RADIOLOGY CLINIC OF JACKSON
JACKSON, TN
NPI
1043470933
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Entity Type
Organization
Authorized Contact
MATTHEW T GRAHAM
President
731-541-6174
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center Radiology
Enumeration Date
2008-06-13
Last Update Date
2008-06-13
Business Address
VASCULAR AND INTERVENTIONAL RADIOLOGY CLINIC OF JACKSON
300 COATSLAND DR
JACKSON, TN 38301-3908
Phone number: 731-541-8854
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Mailing Address
VASCULAR AND INTERVENTIONAL RADIOLOGY CLINIC OF JACKSON
PO BOX 3614
JACKSON, TN 38303-3614
Phone number: 731-541-8854
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