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1184684011
GRAND LAKE IMAGING PC
GROVE, OK
NPI
1184684011
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Entity Type
Organization
Authorized Contact
KEVIN JAMES YUNT
President
918-221-7506
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-03-24
Last Update Date
2023-03-30
Business Address
GRAND LAKE IMAGING PC
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-221-7506
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Mailing Address
GRAND LAKE IMAGING PC
PO BOX 2264
INDIANAPOLIS, IN 46206-2264
Phone number: 918-221-7506
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