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Organization

THE WOMANS IMAGE

Active
Parent organization
GARRISON FAMILY MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
GARRISON FAMILY MEDICAL GROUP
Authorized official
MS. SOPHIA COOKE (ADMINISTRATOR)
(661) 947-7100
Entity
Organization

Contact information

Practice address
39409 10TH ST W, SUITE B, PALMDALE, CA 93551-3781
(661) 947-2229
(661) 947-3395
Mailing address
41210 11TH ST W, SUITE K, PALMDALE, CA 93551-1447
(661) 947-7100
(661) 947-7670

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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