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1063492734
GARY KARL LUNDSTROM
LINCOLN, RI
NPI
1063492734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: RI 07171)
Enumeration Date
2006-01-19
Last Update Date
2007-10-19
Business Address
-- GARY KARL LUNDSTROM MD
2 WAKE ROBIN RD
LINCOLN, RI 02865-4241
Phone number: 401-333-8090
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Mailing Address
-- GARY KARL LUNDSTROM MD
2 WAKE ROBIN RD
LINCOLN, RI 02865-4241
Phone number: 401-333-8090
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