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1174501191
SEAN FAHERTY
FARMINGTON, NM
NPI
1174501191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 98-47)
Enumeration Date
2006-01-09
Last Update Date
2019-08-20
Business Address
SEAN FAHERTY MD
2300 E 30TH ST BLDG B, STE 102
FARMINGTON, NM 87401-8990
Phone number: 505-324-1000
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Mailing Address
SEAN FAHERTY MD
2300 E 30TH ST STE C2
FARMINGTON, NM 87401-8991
Phone number: 505-324-1000
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