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Individual

DR. MARY GAIL MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DD2210
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40831574
NM
05
50776223
CO
05
697500
AZ
Enumeration date
10/17/2005
Last updated
09/20/2007
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