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1326761925
GULF COAST RADIOLOGY LLC
LAKE CHARLES, LA
NPI
1326761925
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Entity Type
Organization
Authorized Contact
DAVID RICHARD WALLACE
Owner
337-802-2802
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
GULF COAST RADIOLOGY LLC
3000 BAYOU BEND RD
LAKE CHARLES, LA 70605-3935
Phone number: 337-802-2802
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Mailing Address
GULF COAST RADIOLOGY LLC
3000 BAYOU BEND RD
LAKE CHARLES, LA 70605-3935
Phone number: 337-802-2802
Copy
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