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Individual

DR. JAMES G MCMAHAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
504 4TH ST, LA GRANDE, OR 97850-1906
(541) 963-5632
(541) 963-4584
Mailing address
504 4TH ST, LA GRANDE, OR 97850-1906
(541) 963-5632
(541) 963-4584

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5974
OR

Other

Enumeration date
07/28/2005
Last updated
07/08/2007
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