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1245223957
CLAY C MAUPIN
PRESCOTT, AZ
NPI
1245223957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: AZ 1252)
Enumeration Date
2005-08-26
Last Update Date
2007-07-08
Business Address
Dr. CLAY C MAUPIN D.D.S.
931 FAIR ST
PRESCOTT, AZ 86305-1805
Phone number: 928-445-3854
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Mailing Address
Dr. CLAY C MAUPIN D.D.S.
PO BOX 1073 CHINO VALLEY
CHINO VALLEY, AZ 86323-1073
Phone number: 928-636-5308
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