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1174947634
MAC HENRY
GALLUP, NM
NPI
1174947634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A152358)
Enumeration Date
2014-02-04
Last Update Date
2021-07-19
Business Address
MAC HENRY MD
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
MAC HENRY MD
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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