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1134702301
GULFPORT 49 IMAGING, LLC
GULFPORT, MS
NPI
1134702301
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Entity Type
Organization
Authorized Contact
RONNIE ALI
Owner
228-223-1927
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center Radiology
Enumeration Date
2021-05-04
Last Update Date
2021-05-04
Business Address
GULFPORT 49 IMAGING, LLC
10556 HIGHWAY 49
GULFPORT, MS 39503-4109
Phone number: 228-223-1927
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Mailing Address
GULFPORT 49 IMAGING, LLC
PO BOX 1248
OCEAN SPRINGS, MS 39566-1248
Phone number: 228-223-1927
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