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Organization
CITRAN XRAY LLC
Active
Organization
CITRAN XRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN DEAN R.N. (OWNER)
(937) 864-7363
Entity
Organization
Contact information
Practice address
7774 DAYTON SPRINGFIELD ROAD, FAIRBORN, OH 45324-1996
(937) 340-6488
(937) 340-6512
Mailing address
PO BOX 339, ENON, OH 45323-0339
(937) 340-6488
(937) 340-6512
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
10-C-18902-001
OH
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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