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Individual

DR. GARY P CROWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19 S FRANKLIN ST, FARMINGTON, MO 63640-2503
(575) 756-1236
Mailing address
19 S FRANKLIN ST, FARMINGTON, MO 63640-2503
(575) 756-1236

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11505
MO

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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