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1073969838
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
SANTA CRUZ, CA
NPI
1073969838
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Entity Type
Organization
Authorized Contact
MARK E MOORE
COO
209-342-5946
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2016-05-11
Last Update Date
2016-05-11
Business Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
148 BEACHVIEW AVE
SANTA CRUZ, CA 95060-3008
Phone number: 559-455-4009
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Mailing Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
1524 MCHENRY AVE STE 430
MODESTO, CA 95350-4500
Phone number: 559-455-4009
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