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1740654912
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
SAN JOSE, CA
NPI
1740654912
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Entity Type
Organization
Authorized Contact
MARK MOORE
CFO/COO
209-342-5946
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2015-11-25
Last Update Date
2016-01-27
Business Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
6496 DEER HOLLOW DR
SAN JOSE, CA 95120-1634
Phone number: 559-455-4009
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Mailing Address
MODESTO RADIOLOGICAL MEDICAL GROUP, INC
1524 MCHENRY AVE SUITE 430
MODESTO, CA 95350-4500
Phone number: 559-455-4009
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