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Organization

GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOREN EARNEST LAYBOURN M.D. (MEMBER)
(360) 533-6447
Entity
Organization

Contact information

Practice address
1020 ANDERSON DR STE 205, ABERDEEN, WA 98520-1055
(360) 533-6447
(360) 538-0807
Mailing address
1020 ANDERSON DR STE 205, ABERDEEN, WA 98520-1055

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
10/29/2009
Last updated
03/09/2010
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