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1225150014
SAMUEL SONG
GLENWOOD SPRINGS, CO
NPI
1225150014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301506090)
Enumeration Date
2007-04-04
Last Update Date
2022-10-28
Business Address
SAMUEL SONG
1906 BLAKE AVE
GLENWOOD SPRINGS, CO 81601-4227
Phone number: 970-447-4065
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Mailing Address
SAMUEL SONG
2625 SAN MARCO
NEWPORT BEACH, CA 92660-3268
Phone number: 248-390-5171
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