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Individual

MICHAEL RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
1900 E HISTORIC HIGHWAY 66 STE 1, GALLUP, NM 87301-4883
(505) 324-6300
Mailing address
3436 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-5837
(505) 462-7777

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03028
NM

Other

Enumeration date
08/22/2016
Last updated
12/12/2023
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