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1003148263
SHALIENA K. GRAY
ALBUQUERQUE, NM
NPI
1003148263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH 2816)
Enumeration Date
2010-02-12
Last Update Date
2010-02-12
Business Address
-- SHALIENA K. GRAY RDH
2050 A SECOND ST SE KIRTLAND AIRFORCE BASE
ALBUQUERQUE, NM 87117-0001
Phone number: 505-846-3064
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Mailing Address
-- SHALIENA K. GRAY RDH
236 EL CERRO LOOP
LOS LUNAS, NM 87031-9505
Phone number: 505-410-5305
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