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1063657955
LAKE WALES MEDICAL IMAGING CENTER ONE, INC
LAKE WALES, FL
NPI
1063657955
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Entity Type
Organization
Authorized Contact
KOLLAGUNTA CHANDRASEKHAR
President
863-232-5111
Organization Subpart ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2008-12-08
Last Update Date
2008-12-08
Business Address
LAKE WALES MEDICAL IMAGING CENTER ONE, INC
1255 HIGHWAY 60 EAST 110
LAKE WALES, FL 33853
Phone number: 863-232-5111
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Mailing Address
LAKE WALES MEDICAL IMAGING CENTER ONE, INC
2301 LONGLEAF BLVD SUITE 200
LAKE WALES, FL 33859
Phone number:
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