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Organization
IMAGING CENTER OF CLOVIS, LLC
Active
Organization
IMAGING CENTER OF CLOVIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANANNE MAZZOLINI RT( R)( M) (OWNER)
(575) 693-3770
Entity
Organization
Contact information
Practice address
2105 W 21ST ST, CLOVIS, NM 88101-4017
(575) 935-9729
(575) 935-9731
Mailing address
2105 W 21ST ST, CLOVIS, NM 88101-4017
(575) 935-9729
(575) 935-9731
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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