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1184308496
BLUE RIDGE NEUROMONITORING LLC
FT WORTH, TX
NPI
1184308496
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Entity Type
Organization
Authorized Contact
GINA SULLIVAN
Practice Administrator
903-259-0550
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
BLUE RIDGE NEUROMONITORING LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8511
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Mailing Address
BLUE RIDGE NEUROMONITORING LLC
111 BOLAND ST STE 211
FT WORTH, TX 76107-1265
Phone number: 817-529-8511
Copy
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