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1467782052
BROAD PARK IMAGING, LLC
MANSFIELD, TX
NPI
1467782052
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Entity Type
Organization
Authorized Contact
JACKI BAILLEU
Administrator
817-690-8873
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center Radiology
Enumeration Date
2010-01-05
Last Update Date
2010-01-05
Business Address
BROAD PARK IMAGING, LLC
1750 BROAD PARK CIR S SUITE 300
MANSFIELD, TX 76063-7832
Phone number: 682-200-2517
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Mailing Address
BROAD PARK IMAGING, LLC
1750 BROAD PARK CIR S SUITE 300
MANSFIELD, TX 76063-7832
Phone number: 682-200-2517
Copy
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