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1275531261
GRACE HEALTHCARE LABORATORY, INC.
GULFPORT, MS
NPI
1275531261
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Entity Type
Organization
Authorized Contact
DAVID WOLF
President
228-863-3331
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2005-07-13
Last Update Date
2007-12-31
Business Address
GRACE HEALTHCARE LABORATORY, INC.
1120 BROAD AVE
GULFPORT, MS 39501-2414
Phone number: 228-863-3331
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Mailing Address
GRACE HEALTHCARE LABORATORY, INC.
1120 BROAD AVE
GULFPORT, MS 39501-2414
Phone number: 228-863-3331
Copy
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