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1255872552
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
SIMI VALLEY, CA
NPI
1255872552
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Entity Type
Organization
Authorized Contact
MARK E MOORE
CFO/COO
559-455-4009
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2017-03-20
Last Update Date
2017-03-20
Business Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
3421 DEEP WATERS CT
SIMI VALLEY, CA 93065-0587
Phone number: 559-455-4009
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Mailing Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
PO BOX 7326
SAN FRANCISCO, CA 94120-7326
Phone number: 559-455-4009
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