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Organization

G & G DIAGNOSTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY D COFFELT (PRESIDENT)
(859) 806-4778
Entity
Organization

Contact information

Practice address
7410 NEW LAGRANGE RD, SUITE 202, LOUISVILLE, KY 40222
(859) 806-4778
Mailing address
373 HAYS BLVD, LEXINGTON, KY 40509-4495
(859) 806-4778

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
C01 508 809
KY

Other

Enumeration date
06/14/2010
Last updated
06/14/2010
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