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1952308694
MARY JANE GALLAHAN
FARMINGTON, NM
NPI
1952308694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA2003-0025)
Enumeration Date
2005-07-07
Last Update Date
2016-05-10
Business Address
Ms. MARY JANE GALLAHAN PA-C
622 W MAPLE SUITE B
FARMINGTON, NM 87401
Phone number: 505-327-4867
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Mailing Address
Ms. MARY JANE GALLAHAN PA-C
4901 LANG AVE NE SUITE 100
ALBUQUERQUE, NM 87109-4495
Phone number: 505-883-2574
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