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Individual

ASHLEY MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4431 68TH ST., FORT HOOD, TX 76544
(254) 287-0641
Mailing address
BLDG 4431 68TH ST., FORT HOOD, TX 76544
(254) 287-0641

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1365679696
DOD ID
Enumeration date
06/07/2016
Last updated
06/07/2016
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