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1629109095
GRAND CANYON MEDICAL IMAGING LLC
KINGMAN, AZ
NPI
1629109095
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Entity Type
Organization
Authorized Contact
WILLIAM R BURGE
Managing Partner
714-754-5800
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-03-08
Last Update Date
2007-07-12
Business Address
GRAND CANYON MEDICAL IMAGING LLC
3269 STOCKTON HILL RD
KINGMAN, AZ 86401-3619
Phone number: 928-757-0620
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Mailing Address
GRAND CANYON MEDICAL IMAGING LLC
PO BOX 73878
SAN CLEMENTE, CA 92673-0130
Phone number: 714-754-5804
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