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1942214358
SEAN STACY PHELAN
ALBUQUERQUE, NM
NPI
1942214358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD2712)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- SEAN STACY PHELAN D.D.S.
2010 JUAN TABO BLVD NE
ALBUQUERQUE, NM 87112-3306
Phone number: 505-237-2273
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Mailing Address
-- SEAN STACY PHELAN D.D.S.
2010 JUAN TABO BLVD NE
ALBUQUERQUE, NM 87112-3306
Phone number: 505-237-2273
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