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1104991918
SOUTHTOWNE IMAGING CENTER LLC
POTOSI, MO
NPI
1104991918
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Entity Type
Organization
Authorized Contact
HENRY BOOTS
Owner/Manager
573-315-9109
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2006-11-21
Last Update Date
2015-02-17
Business Address
SOUTHTOWNE IMAGING CENTER LLC
20 SOUTHTOWNE DR
POTOSI, MO 63664-5729
Phone number: 573-436-6736
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Mailing Address
SOUTHTOWNE IMAGING CENTER LLC
20 SOUTHTOWNE DR
POTOSI, MO 63664-5729
Phone number: 573-436-6736
Copy
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