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Showing codes 1063443836 — 1811928641
1063443836 -
MICHAEL
G
PINETTE
MD
Other Name
:
Mailing Address
:
301C US ROUTE 1
SCARBOROUGH
ME
04074-9701
Phone
: 207-396-8600;
Fax
: 207-396-8632;
Practice Location Address
:
307 SW 14TH ST # 307
,
, OCALA
, FL
, 34471-6523
Practice Phone
: 352-877-2658;
Practice Fax
: 352-877-2659
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1972534741 -
DANIEL
WOOD
DMD
Other Name
:
Mailing Address
:
PO BOX 266
GLENNS FERRY
ID
83623-0266
Phone
: 208-587-3988;
Fax
: 208-587-3324;
Practice Location Address
:
1411 FILLMORE ST STE 602
,
, TWIN FALLS
, ID
, 83301-3343
Practice Phone
: 208-733-0494;
Practice Fax
: 208-733-2713
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1881625655 -
DR.
DR.
DENNIS
B
DAUGHTERS
MD
Other Name
:
Mailing Address
:
6620 COYLE AVE
# 210
CARMICHAEL
CA
95608-6333
Phone
: 916-967-4200;
Fax
: 916-967-4229;
Practice Location Address
:
6620 COYLE AVE
, # 210
, CARMICHAEL
, CA
, 95608-6333
Practice Phone
: 916-967-4200;
Practice Fax
: 916-967-4229
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1790716579 -
SAM
SHAHEM
MD
Other Name
:
SAMER
SHAHEM
Mailing Address
:
10031 4TH AVE
STE E1
BROOKLYN
NY
11209
Phone
: 718-921-5370;
Fax
: 718-921-9136;
Practice Location Address
:
10031 4TH AVE
, STE E1
, BROOKLYN
, NY
, 11209
Practice Phone
: 718-921-5370;
Practice Fax
: 718-921-9136
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1609807486 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518998392 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1427089200 -
VIPIN
KHETARPAL
MD
Other Name
:
Mailing Address
:
1015 S. WASHINGTON AVE.
SAGINAW
MI
48601
Phone
: 989-754-3000;
Fax
: 989-755-1365;
Practice Location Address
:
1015 S WASHINGTON AVE
,
, SAGINAW
, MI
, 48601-2556
Practice Phone
: 989-754-3000;
Practice Fax
: 989-755-1365
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1336170117 -
MS.
MS.
KRISTEN
MARIE
WHITTED
FNP-C
Other Name
:
KRISTEN
MARIE
CROWER
Mailing Address
:
15 W DRY CREEK CIR
LITTLETON
CO
80120-4427
Phone
: 303-952-1100;
Fax
: 720-287-3183;
Practice Location Address
:
15 W DRY CREEK CIR
,
, LITTLETON
, CO
, 80120
Practice Phone
: 303-952-1100;
Practice Fax
: 720-287-3183
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1245261023 -
R RUIZ M D A PROFESSIONAL CORPORATION
Other Name
:
CLINICA MEDICA FAMILIAR Y DENTAL
Mailing Address
:
833 W WHITTIER BLVD
MONTEBELLO
CA
90640-4735
Phone
: 323-712-4811;
Fax
: 844-302-8678;
Practice Location Address
:
833 W WHITTIER BLVD
,
, MONTEBELLO
, CA
, 90640-4735
Practice Phone
: 213-276-6776;
Practice Fax
:
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1154352938 -
RIVERBEND FAMILY PHYSICIANS
Other Name
:
RIVERBEND FAMILY PHYSICIANS
Mailing Address
:
PO BOX 19305
CHARLOTTE
NC
28219-9305
Phone
: 704-631-0002;
Fax
: ;
Practice Location Address
:
215 S MAIN ST
,
, MOUNT HOLLY
, NC
, 28120-1620
Practice Phone
: 704-587-2400;
Practice Fax
:
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1063443844 -
DR.
DR.
LAWRENCE
JOEL
GRILL
M.D.
Other Name
:
Mailing Address
:
1 ROUTE 70 STE 1
LAKEWOOD
NJ
08701-5895
Phone
: 732-367-8272;
Fax
: 732-367-3693;
Practice Location Address
:
1 ROUTE 70 STE 1
,
, LAKEWOOD
, NJ
, 08701-5895
Practice Phone
: 732-367-8272;
Practice Fax
: 732-367-3693
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1972534758 -
SANDRA
L
WERNER
MD, MA
Other Name
:
Mailing Address
:
2500 METROHEALTH DR
CLEVELAND
OH
44109-1900
Phone
: 216-778-3577;
Fax
: ;
Practice Location Address
:
2500 METROHEALTH DR
,
, CLEVELAND
, OH
, 44109-1900
Practice Phone
: 216-778-7800;
Practice Fax
:
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1881625663 -
DR.
DR.
GARY
L
BURNS
DC
Other Name
:
Mailing Address
:
4331 N FEDERAL HWY
BOCA RATON
FL
33431-5127
Phone
: 561-391-2221;
Fax
: 561-750-8017;
Practice Location Address
:
4331 N FEDERAL HWY
,
, BOCA RATON
, FL
, 33431-5127
Practice Phone
: 561-391-2221;
Practice Fax
: 561-750-8017
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1699706473 -
BAYADA HOME HEALTH CARE, INC.
Other Name
:
Mailing Address
:
4300 HADDONFIELD RD
PENNSAUKEN
NJ
08109-3376
Phone
: 973-909-5159;
Fax
: ;
Practice Location Address
:
30 SILVERLINE DR
, SUITE 2
, NORTH BRUNSWICK
, NJ
, 08902-3399
Practice Phone
: 732-418-9546;
Practice Fax
: 732-418-9547
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1508897380 -
DAVID
LAWRENCE
ROTH
MD
Other Name
:
Mailing Address
:
4560 LANDER RD
CHAGRIN FALLS
OH
44022-1702
Phone
: 440-498-1699;
Fax
: ;
Practice Location Address
:
13951 TERRACE RD
,
, CLEVELAND
, OH
, 44112-4308
Practice Phone
: 216-761-3300;
Practice Fax
:
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1417988296 -
DR.
DR.
GLENN
HOBERG
DO
Other Name
:
Mailing Address
:
504 S MAIN STREET
RIVER FALLS
WI
54022
Phone
: 715-425-5381;
Fax
: 715-425-6327;
Practice Location Address
:
504 S MAIN STREET
,
, RIVER FALLS
, WI
, 54022
Practice Phone
: 715-425-5381;
Practice Fax
: 715-425-6327
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1326079104 -
THE CHILDREN'S CLINIC; P.A.
Other Name
:
Mailing Address
:
800 S CHURCH ST
STE 400
JONESBORO
AR
72401-4176
Phone
: 870-935-6012;
Fax
: 870-934-3157;
Practice Location Address
:
800 S CHURCH ST
, STE 400
, JONESBORO
, AR
, 72401-4176
Practice Phone
: 870-935-6012;
Practice Fax
: 870-934-3157
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1235160011 -
ADDA
GRIMBERG
M.D.
Other Name
:
Mailing Address
:
100 E PENN SQ
9TH FLOOR, CHCA
PHILADELPHIA
PA
19107-3323
Phone
: 267-425-9200;
Fax
: 267-425-9298;
Practice Location Address
:
3401 CIVIC CENTER BLVD
, CHILDREN'S HOSPITAL OF PHILADELPHIA
, PHILADELPHIA
, PA
, 19104-4319
Practice Phone
: 215-590-3174;
Practice Fax
: 215-590-3053
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1144251927 -
SHEILA
A
FLANAGAN
LPC
Other Name
:
Mailing Address
:
1304 TROUT BROOK DR
WEST HARTFORD
CT
06119-1157
Phone
: 203-605-6471;
Fax
: ;
Practice Location Address
:
187 HALF MILE RD
,
, NORTH HAVEN
, CT
, 06473-4121
Practice Phone
: 203-599-7704;
Practice Fax
:
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1053342832 -
MS.
MS.
DONNA
M
ABBOTT
C.N.P.
Other Name
:
Mailing Address
:
1 PERKINS SQ
AKRON
OH
44308-1063
Phone
: 330-543-8453;
Fax
: 330-543-3023;
Practice Location Address
:
1 PERKINS SQ
,
, AKRON
, OH
, 44308-1063
Practice Phone
: 330-543-8453;
Practice Fax
: 330-543-3023
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1962433748 -
DR.
DR.
CHARLES
WAYNE
DICKERSON
MD
Other Name
:
Mailing Address
:
1601 BROOKWOOD AVE
DUNCAN
OK
73533-1360
Phone
: 580-252-3232;
Fax
: 580-252-4893;
Practice Location Address
:
1601 BROOKWOOD AVE
,
, DUNCAN
, OK
, 73533-1360
Practice Phone
: 580-252-3232;
Practice Fax
: 580-252-4893
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1871524652 -
ALYNE
R
MCCANN
FNP
Other Name
:
ALYNE
R
HAGGARD
Mailing Address
:
501 LAPEER AVE
SAGINAW
MI
48607-1208
Phone
: 989-759-6464;
Fax
: 989-399-8233;
Practice Location Address
:
3884 MONITOR ROAD
, BAYSIDE COMMUNITY HEALTH CENTER
, BAY CITY
, MI
, 48706-9298
Practice Phone
: 989-671-2000;
Practice Fax
: 989-671-4000
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1780615567 -
DR.
DR.
AMY
MAY
KIRKLAND
AU.D.
Other Name
:
Mailing Address
:
4315 OAKTON DR
HIGH POINT
NC
27265-9220
Phone
: 336-812-8002;
Fax
: ;
Practice Location Address
:
4315 OAKTON DR
,
, HIGH POINT
, NC
, 27265-9220
Practice Phone
: 336-812-8002;
Practice Fax
:
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1598796377 -
DR.
DR.
PATRICIA
K.
JACKLEY
PH.D.
Other Name
:
Mailing Address
:
2013 KIDWELL ST
DALLAS
TX
75214-3965
Phone
: 214-857-0799;
Fax
: 214-857-0902;
Practice Location Address
:
4500 S LANCASTER RD
,
, DALLAS
, TX
, 75216-7167
Practice Phone
: 214-857-0799;
Practice Fax
: 214-857-0902
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1407887284 -
FRANK
HAMMER-TOMIZUKA
MYOTHERAPOST
Other Name
:
Mailing Address
:
3100 N CAMPBELL AVE
SUITE 101
TUCSON
AZ
85719-2315
Phone
: 520-321-2476;
Fax
: 520-321-0495;
Practice Location Address
:
3100 N CAMPBELL AVE
, SUITE 101
, TUCSON
, AZ
, 85719-2315
Practice Phone
: 520-321-2476;
Practice Fax
: 520-321-0495
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1316978190 -
MS.
MS.
SARAH
A.
TILLY
PA-C
Other Name
:
Mailing Address
:
8101 E LOWRY BLVD
SUITE 230
DENVER
CO
80230-7196
Phone
: 303-344-9090;
Fax
: 303-344-1922;
Practice Location Address
:
8101 E LOWRY BLVD
, SUITE 230
, DENVER
, CO
, 80230-7196
Practice Phone
: 303-344-9090;
Practice Fax
: 303-344-1922
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1225069008 -
JULIA
B
LOWE
PA-C
Other Name
:
Mailing Address
:
3400 DATA DR
ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA
CA
95670-7956
Phone
: ;
Fax
: ;
Practice Location Address
:
632 W GIBSON RD
,
, WOODLAND
, CA
, 95695-5169
Practice Phone
: 530-668-2600;
Practice Fax
:
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1134150915 -
DR.
DR.
ANDY
Y.
HUANG
MD
Other Name
:
Mailing Address
:
506 6TH ST
BROOKLYN
NY
11215-3609
Phone
: 718-780-5246;
Fax
: ;
Practice Location Address
:
506 6TH ST
,
, BROOKLYN
, NY
, 11215-3609
Practice Phone
: 718-780-5246;
Practice Fax
:
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1043241821 -
RUBEN RUIZ M D A MEDICAL CORPORATION
Other Name
:
ONTARIO CLINICA MEDICA FAMILIAR
Mailing Address
:
403 W F ST
ONTARIO
CA
91762-3207
Phone
: 909-988-3288;
Fax
: 909-988-6767;
Practice Location Address
:
403 W F ST
,
, ONTARIO
, CA
, 91762-3207
Practice Phone
: 909-988-3288;
Practice Fax
: 909-988-6767
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1952332736 -
AVALLON INTERESTS, LP
Other Name
:
ANGEL HEALTHCARE
Mailing Address
:
5828 BALCONES DR
SUITE 105
AUSTIN
TX
78731-4256
Phone
: 512-453-6449;
Fax
: 512-453-6490;
Practice Location Address
:
115 E TRAVIS ST
, SUITE 445
, SAN ANTONIO
, TX
, 78205-1611
Practice Phone
: 512-453-6449;
Practice Fax
: 512-453-6490
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1861423642 -
MR.
MR.
DAVID
A
HUISH
PA-C
Other Name
:
Mailing Address
:
111 FRANKLIN HEALTH CMNS
FARMINGTON
ME
04938-6144
Phone
: 207-778-3326;
Fax
: 207-778-3102;
Practice Location Address
:
181 FRANKLIN HEALTH COMMONS
,
, FARMINGTON
, ME
, 04938-6144
Practice Phone
: 207-778-3326;
Practice Fax
: 207-778-3102
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1578594354 -
DR.
DR.
ANNA
J
ROSS
OD
Other Name
:
Mailing Address
:
2241 ESPLANADE AVE
BRONX
NY
10469-5405
Phone
: 718-654-7122;
Fax
: ;
Practice Location Address
:
2241 ESPLANADE AVE
,
, BRONX
, NY
, 10469-5405
Practice Phone
: 718-654-7122;
Practice Fax
:
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1487685269 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1255362042 -
JARED
WAYNE
BARKER
L.O.T.
Other Name
:
Mailing Address
:
420 CENTURY WAY,
SUITE 300
RED OAK
TX
75154
Phone
: 972-576-1005;
Fax
: 972-576-1950;
Practice Location Address
:
420 CENTURY WAY,
, SUITE 300
, RED OAK
, TX
, 75154
Practice Phone
: 972-576-1005;
Practice Fax
: 972-576-1950
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1164453957 -
DR.
DR.
JACOB
B
WEBSTER
M.D.
Other Name
:
Mailing Address
:
1700 SPRING HILL AVE
SUITE 100
MOBILE
AL
36604-1407
Phone
: 251-435-1200;
Fax
: 251-435-6357;
Practice Location Address
:
1700 SPRING HILL AVE
, SUITE 100
, MOBILE
, AL
, 36604-1407
Practice Phone
: 251-435-1200;
Practice Fax
: 251-435-6357
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1588695373 -
BERNICE
MARCOPULOS
PHD
Other Name
:
Mailing Address
:
PO BOX 2500
STAUNTON
VA
24402-2500
Phone
: ;
Fax
: ;
Practice Location Address
:
1301 RICHMOND ROAD
,
, STAUNTON
, VA
, 24401
Practice Phone
: 540-332-8200;
Practice Fax
: 540-332-8197
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1396776183 -
DR.
DR.
THOMAS
B
WEIGLE
M.D.
Other Name
:
Mailing Address
:
111 FRANKLIN HEALTH COMMONS
FARMINGTON
ME
04938-6144
Phone
: 207-778-6394;
Fax
: 207-778-2866;
Practice Location Address
:
181 FRANKLIN HEALTH COMMONS
,
, FARMINGTON
, ME
, 04938-6144
Practice Phone
: 207-779-6394;
Practice Fax
: 207-778-2886
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1205867090 -
QUALITY CARE-USA, INC.
Other Name
:
KINDRED AT HOME
Mailing Address
:
12900 FOSTER ST STE 400
OVERLAND PARK
KS
66213-2696
Phone
: ;
Fax
: ;
Practice Location Address
:
100 SARATOGA VILLAGE BLVD.
, SUITE 5
, BALLSTON SPA
, NY
, 12020-3703
Practice Phone
: 518-452-3524;
Practice Fax
:
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1114958907 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1023049814 -
PRAVEEN
K
SUCHDEV
MD
Other Name
:
Mailing Address
:
280 MAIN ST
STE 330
NASHUA
NH
03060
Phone
: 603-577-3003;
Fax
: 603-577-3331;
Practice Location Address
:
280 MAIN ST
, STE 330
, NASHUA
, NH
, 03060
Practice Phone
: 603-577-3003;
Practice Fax
: 603-577-3331
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1164453965 -
MRS.
MRS.
REBECCA
LYNN
GICEWICZ
PA C
Other Name
:
Mailing Address
:
402 W 19TH ST
PANAMA CITY
FL
32405-4602
Phone
: 850-763-6179;
Fax
: 850-763-0412;
Practice Location Address
:
402 W 19TH ST
,
, PANAMA CITY
, FL
, 32405-4602
Practice Phone
: 850-763-6179;
Practice Fax
: 850-763-0412
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1073544870 -
JOHN
D
FAICHNEY
MD
Other Name
:
Mailing Address
:
224 CIRCLE DR
SUITE A
TRAVERSE CITY
MI
49684-2342
Phone
: 231-935-0545;
Fax
: 231-935-0857;
Practice Location Address
:
224 CIRCLE DR
, SUITE A
, TRAVERSE CITY
, MI
, 49684-2342
Practice Phone
: 231-935-0545;
Practice Fax
: 231-935-0857
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1982635785 -
WEST BRANCH NEPHROLOGY ASSOCIATES LTD
Other Name
:
Mailing Address
:
1660 SYCAMORE RD STE C
MONTOURSVILLE
PA
17754-9314
Phone
: 570-326-8080;
Fax
: 570-326-2733;
Practice Location Address
:
1660 SYCAMORE RD STE C
,
, MONTOURSVILLE
, PA
, 17754-9314
Practice Phone
: 570-326-8080;
Practice Fax
: 570-326-2733
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1598796393 -
ERICKA
KOCH
OD
Other Name
:
Mailing Address
:
1021 BANDANA BLVD E
SUITE 200
SAINT PAUL
MN
55108-5113
Phone
: 651-642-2700;
Fax
: ;
Practice Location Address
:
3024 SNELLING AVE
,
, MINNEAPOLIS
, MN
, 55406-1911
Practice Phone
: 612-775-4900;
Practice Fax
: 612-721-1621
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1407887201 -
DR.
DR.
ROBERT
J
BLACKWELL
M.D.
Other Name
:
Mailing Address
:
9263 MEDICAL PLAZA DR
SUITE B
NORTH CHARLESTON
SC
29406-7109
Phone
: 843-414-1224;
Fax
: 843-414-1226;
Practice Location Address
:
9263 MEDICAL PLAZA DR
, SUITE B
, NORTH CHARLESTON
, SC
, 29406-7109
Practice Phone
: 843-414-1224;
Practice Fax
: 843-414-1226
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1316978117 -
RIMMA
POLOTSKAYA
MD
Other Name
:
Mailing Address
:
2590 CRESTWOOD LN
RIVERWOODS
IL
60015
Phone
: 847-657-7963;
Fax
: 847-657-8124;
Practice Location Address
:
1803 GLENNVIEW RD
,
, GLENVIEW
, IL
, 60025
Practice Phone
: 847-657-7963;
Practice Fax
: 847-657-8124
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1225069024 -
FIRSTAT HOME HEALTH SERVICES, LLC
Other Name
:
Mailing Address
:
7310 N 16TH ST
STE 135
PHOENIX
AZ
85020-5258
Phone
: 602-279-0000;
Fax
: 602-279-6666;
Practice Location Address
:
7310 N 16TH ST
, STE 135
, PHOENIX
, AZ
, 85020-5258
Practice Phone
: 602-279-0000;
Practice Fax
: 602-279-6666
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1134150931 -
SOUTHERNCARE INC
Other Name
:
SOUTHERNCARE FT WORTH
Mailing Address
:
2204 LAKESHORE DR
SUITE 475
BIRMINGHAM
AL
35209-6705
Phone
: 205-868-4400;
Fax
: 205-868-4401;
Practice Location Address
:
68853550 HULEN STREET
, STE B
, FORT WORTH
, TX
, 76107-6885
Practice Phone
: 817-763-8688;
Practice Fax
: 817-763-8603
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1043241847 -
BRETT
HUDSON
PT
Other Name
:
Mailing Address
:
3401 W 49TH ST
SIOUX FALLS
SD
57106-2322
Phone
: 605-328-1626;
Fax
: 605-328-1640;
Practice Location Address
:
3401 W 49TH ST
,
, SIOUX FALLS
, SD
, 57106-2322
Practice Phone
: 605-328-1626;
Practice Fax
: 605-328-1640
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1952332751 -
DR.
DR.
TAMARA
R
HUGHES
MD
Other Name
:
Mailing Address
:
14050 NW 14TH ST
SUITE 190
SUNRISE
FL
33323-2865
Phone
: 800-424-3672;
Fax
: 954-377-3042;
Practice Location Address
:
400 NORTHWOOD DR
,
, CENTRE
, AL
, 35960-1023
Practice Phone
: 256-927-5531;
Practice Fax
:
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1861423667 -
DR.
DR.
THOMAS
AUGUST
SAMES
M.D.
Other Name
:
Mailing Address
:
PO BOX 847692
DALLAS
TX
75284-7692
Phone
: 806-331-7905;
Fax
: 806-731-1516;
Practice Location Address
:
1000 CRAIG DR
,
, AMARILLO
, TX
, 79106-4015
Practice Phone
: 806-331-7905;
Practice Fax
: 806-731-1516
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1770514572 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1689605487 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1497786297 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1306877105 -
DR.
DR.
ANTHONY
F
SAMPINO
D.O.
Other Name
:
Mailing Address
:
556 MONTAUK HWY
WEST ISLIP
NY
11795-4407
Phone
: 631-321-4811;
Fax
: 631-321-4814;
Practice Location Address
:
556 MONTAUK HWY
,
, WEST ISLIP
, NY
, 11795-4407
Practice Phone
: 631-321-4811;
Practice Fax
: 631-321-4814
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1215968011 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #0526
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: 208-395-3963;
Fax
: 623-336-6896;
Practice Location Address
:
14444 124TH AVE NE
,
, KIRKLAND
, WA
, 98034-4801
Practice Phone
: 425-821-7455;
Practice Fax
: 425-820-6384
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1124059928 -
NAI SATURN EASTERN LLC
Other Name
:
SAFEWAY PHARMACY #2629
Mailing Address
:
250 E PARKCENTER BLVD
MAILSTOP SEC2-B
BOISE
ID
83706-3940
Phone
: 847-916-4463;
Fax
: 847-916-4736;
Practice Location Address
:
2635 HOUSLEY RD
,
, ANNAPOLIS
, MD
, 21401-7030
Practice Phone
: 410-571-9490;
Practice Fax
: 410-571-9482
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1033140835 -
NAI SATURN EASTERN LLC
Other Name
:
SAFEWAY PHARMACY #1956
Mailing Address
:
250 E PARKCENTER BLVD
MAILSTOP SEC2-B
BOISE
ID
83706-3940
Phone
: 847-916-4463;
Fax
: 847-916-4736;
Practice Location Address
:
14939 SHADY GROVE RD
,
, ROCKVILLE
, MD
, 20850-7719
Practice Phone
: 301-944-1585;
Practice Fax
: 301-944-1589
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1942231741 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #1514
Mailing Address
:
5918 STONERIDGE MALL RD
PLEASANTON
CA
94588-3229
Phone
: ;
Fax
: 925-467-2802;
Practice Location Address
:
13314 BOTHELL EVERETT HWY
,
, MILL CREEK
, WA
, 98012-5509
Practice Phone
: 425-337-4805;
Practice Fax
: 425-337-0372
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1851322655 -
KAREN
MCCLOSKEY
LCSW-C
Other Name
:
Mailing Address
:
4623 FALLS RD
BALTIMORE
MD
21209-4914
Phone
: 410-366-1980;
Fax
: 410-366-8530;
Practice Location Address
:
4623 FALLS RD
,
, BALTIMORE
, MD
, 21209-4914
Practice Phone
: 410-366-1980;
Practice Fax
: 410-366-8530
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1760413561 -
MRS.
MRS.
CARRIE
LYNN
GALYON
PT
Other Name
:
Mailing Address
:
440 MERCHANT DR
NORMAN
OK
73069-6470
Phone
: 405-809-8713;
Fax
: 405-702-6675;
Practice Location Address
:
440 MERCHANT DR
,
, NORMAN
, OK
, 73069-6470
Practice Phone
: 405-809-8713;
Practice Fax
:
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1679504476 -
DR.
DR.
MICHAEL
HOGIN
LOVELACE
M.D.
Other Name
:
Mailing Address
:
2169 S LAMAR BLVD
OXFORD
MS
38655-5223
Phone
: 662-234-1530;
Fax
: 662-236-0028;
Practice Location Address
:
2169 S LAMAR BLVD
,
, OXFORD
, MS
, 38655-5223
Practice Phone
: 662-234-1530;
Practice Fax
: 662-236-0028
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1588695381 -
MRS.
MRS.
PAULA
DIANE
HUNTER
PA-C
Other Name
:
Mailing Address
:
PO BOX 1869
FLETCHER
NC
28732-1869
Phone
: 828-687-5616;
Fax
: ;
Practice Location Address
:
15 SKYLAND INN DR
,
, ARDEN
, NC
, 28704-7714
Practice Phone
: 828-681-5327;
Practice Fax
:
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1396776191 -
JOHN
TRAVIS
GOSSEY
MD
Other Name
:
Mailing Address
:
575 LEXINGTON AVE
3RD FLOOR
NEW YORK
NY
10022
Phone
: 212-746-0417;
Fax
: 646-962-0454;
Practice Location Address
:
505 EAST 70TH STREET
, HT4
, NEW YORK
, NY
, 10021
Practice Phone
: 212-746-3587;
Practice Fax
:
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1205867009 -
HUNTINGDON HEALTHCARE, INC
Other Name
:
JUNIATA VALLEY MEDICAL CENTER
Mailing Address
:
PO BOX 355
846 MEDICAL CENTER DR
ALEXANDRIA
PA
16611-0355
Phone
: 814-669-4444;
Fax
: 814-669-1971;
Practice Location Address
:
846 MEDICAL CENTER DR
,
, ALEXANDRIA
, PA
, 16611-0355
Practice Phone
: 814-669-4444;
Practice Fax
: 814-669-1971
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1114958915 -
MRS.
MRS.
SARAH
JUDITH
BLAKE
LCSW-C
Other Name
:
Mailing Address
:
10630 LITTLE PATUXENT PKWY STE 313
COLUMBIA
MD
21044-6216
Phone
: 410-988-4002;
Fax
: 410-988-2024;
Practice Location Address
:
10630 LITTLE PATUXENT PKWY STE 313
,
, COLUMBIA
, MD
, 21044-6216
Practice Phone
: 410-988-4002;
Practice Fax
: 410-988-2024
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1023049822 -
DARIO
C
PERME
PT
Other Name
:
Mailing Address
:
10703 HILLCROFT
HOUSTON
TX
77096
Phone
: 713-728-2319;
Fax
: ;
Practice Location Address
:
1500 WEST LOOP SOUTH SUITE 137
,
, HOUSTON
, TX
, 77008
Practice Phone
: 713-880-9800;
Practice Fax
: 713-880-3330
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1932130739 -
CLAUDE
DAVID
HEARN
MD
Other Name
:
Mailing Address
:
200 MEDICAL CENTER BLVD
#101
WEBSTER
TX
77598
Phone
: 281-332-4596;
Fax
: 281-332-9610;
Practice Location Address
:
200 MEDICAL CENTER BLVD
, #101
, WEBSTER
, TX
, 77598
Practice Phone
: 281-332-4596;
Practice Fax
: 281-332-9610
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1841221645 -
JAMES
P
KILLEEN
MD
Other Name
:
Mailing Address
:
PO BOX 232410
SAN DIEGO
CA
92193-2410
Phone
: 800-926-8273;
Fax
: ;
Practice Location Address
:
200 W ARBOR DR
,
, SAN DIEGO
, CA
, 92103-9000
Practice Phone
: 800-926-8273;
Practice Fax
:
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1750312559 -
DESIREE
REW
LCSW
Other Name
:
Mailing Address
:
4508 ATLANTIC AVE # 458
LONG BEACH
CA
90807-1520
Phone
: 562-560-4889;
Fax
: ;
Practice Location Address
:
4508 ATLANTIC AVE # 458
,
, LONG BEACH
, CA
, 90807-1520
Practice Phone
: 562-560-4889;
Practice Fax
:
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1669403465 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1578594370 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1487685285 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #3248
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: 208-395-3963;
Fax
: 623-336-6896;
Practice Location Address
:
902 W FRANCIS AVE
,
, SPOKANE
, WA
, 99205-6513
Practice Phone
: 509-327-6114;
Practice Fax
: 509-327-4879
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1295766095 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #1551
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
1410 E JOHN ST
,
, SEATTLE
, WA
, 98112-5218
Practice Phone
: 206-323-4935;
Practice Fax
: 206-323-6029
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1104857903 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #1484
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
4128 RUCKER AVE
,
, EVERETT
, WA
, 98203-2211
Practice Phone
: 425-252-1911;
Practice Fax
: 425-252-2648
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1013948819 -
SAFEWAY INC
Other Name
:
SAFEWAY PHARMACY #1611
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
6711 NE 63RD ST
,
, VANCOUVER
, WA
, 98661-1997
Practice Phone
: 360-992-5686;
Practice Fax
: 360-992-5688
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1922039726 -
HY-VEE INC
Other Name
:
HY-VEE PHARMACY #2 (1381)
Mailing Address
:
PO BOX 850442
MINNEAPOLIS
MN
55485-0442
Phone
: 515-267-2800;
Fax
: 515-559-2593;
Practice Location Address
:
310 SW WARD RD
,
, LEES SUMMIT
, MO
, 64081-2445
Practice Phone
: 816-554-2211;
Practice Fax
: 816-554-2086
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1831120633 -
THE RADIATION MEDICAL GROUP INC
Other Name
:
RADIOSURGERY MEDICAL GROUP INC
Mailing Address
:
PO BOX 33865
SAN DIEGO
CA
92163-3865
Phone
: 858-888-7700;
Fax
: 858-888-7721;
Practice Location Address
:
5395 RUFFIN RD
, STE 103
, SAN DIEGO
, CA
, 92123-1338
Practice Phone
: 858-505-4100;
Practice Fax
: 858-751-0601
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1740211549 -
DR.
DR.
ELIZABETH
S
RANASINGHE
M.D.
Other Name
:
Mailing Address
:
23250 MERCANTILE RD STE 130
BEACHWOOD
OH
44122-5928
Phone
: 216-464-7878;
Fax
: 216-464-7879;
Practice Location Address
:
23250 MERCANTILE RD STE 130
,
, BEACHWOOD
, OH
, 44122-5928
Practice Phone
: 216-464-7878;
Practice Fax
: 216-464-7879
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1659302453 -
SURESH
RAINA
M.D.
Other Name
:
Mailing Address
:
30 BERGEN ST
ADMC 12 1205
NEWARK
NJ
07107-3000
Phone
: ;
Fax
: ;
Practice Location Address
:
30 BERGEN ST
, ADMC 12 1205
, NEWARK
, NJ
, 07107-3000
Practice Phone
: 973-972-0037;
Practice Fax
:
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1568493369 -
JUAN
SANCHEZ-HUMALA
M.D.
Other Name
:
Mailing Address
:
4520 COMMERCIAL WAY
SPRING HILL
FL
34606-1957
Phone
: 352-597-2222;
Fax
: 352-596-6924;
Practice Location Address
:
4520 COMMERCIAL WAY
,
, SPRING HILL
, FL
, 34606-1957
Practice Phone
: 352-597-2222;
Practice Fax
: 352-596-6924
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1477584274 -
DR.
DR.
JAMES
C
COLE
M.D.
Other Name
:
Mailing Address
:
601 UNIVERSITY BLVD
SUITE 205
JUPITER
FL
33458-2788
Phone
: 561-624-0702;
Fax
: 561-624-0773;
Practice Location Address
:
601 UNIVERSITY BLVD
, SUITE 205
, JUPITER
, FL
, 33458-3539
Practice Phone
: 561-624-0702;
Practice Fax
: 561-624-0773
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1386675189 -
THOMAS
EDWARD
MCCORMICK
M.D.
Other Name
:
Mailing Address
:
57 CHESTNUT AVE
RUTLAND
VT
05701-3409
Phone
: 802-775-4000;
Fax
: 802-775-5472;
Practice Location Address
:
57 CHESTNUT AVE
,
, RUTLAND
, VT
, 05701-3409
Practice Phone
: 802-775-4000;
Practice Fax
: 802-775-5472
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1194756999 -
JACK
CHRISTIAN
WINTERS
M.D.
Other Name
:
Mailing Address
:
1542 TULANE AVE
ROOM 547
NEW ORLEANS
LA
70112-2865
Phone
: 504-568-2207;
Fax
: 504-568-2307;
Practice Location Address
:
4228 HOUMA BLVD
, SUITE 600A
, METAIRIE
, LA
, 70006-3000
Practice Phone
: 504-412-1600;
Practice Fax
: 504-780-8922
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1679504492 -
MS.
MS.
KAREN
KELLEY
MATHIS
PAC
Other Name
:
KAREN
KAY
MATHIS
Mailing Address
:
1354 STATE ROAD 60 E
LAKE WALES
FL
33853-4322
Phone
: 863-679-8888;
Fax
: 863-676-2851;
Practice Location Address
:
1354 STATE ROAD 60 E
,
, LAKE WALES
, FL
, 33853-4322
Practice Phone
: 863-679-8888;
Practice Fax
: 863-676-2851
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1588695308 -
DR.
DR.
IVAN
CAZORT
M.D.
Other Name
:
Mailing Address
:
14050 NW 14TH ST
SUITE 190
SUNRISE
FL
33323-2865
Phone
: 800-424-3672;
Fax
: 954-377-3042;
Practice Location Address
:
303 PARKWAY DR NE
,
, ATLANTA
, GA
, 30312-1212
Practice Phone
: 404-265-4000;
Practice Fax
:
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1396776118 -
GEISINGER CLINIC
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: ;
Fax
: ;
Practice Location Address
:
200 SCENERY DRIVE
,
, STATE COLLEGE
, PA
, 16801
Practice Phone
: 814-231-4560;
Practice Fax
:
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1205867025 -
MR.
MR.
JAMES
DEAN
EVANS
RPH
Other Name
:
Mailing Address
:
903 NW REGENT DR
GRANTS PASS
OR
97526-3390
Phone
: 541-479-3952;
Fax
: ;
Practice Location Address
:
500 RAMSEY AVE
,
, GRANTS PASS
, OR
, 97527-5554
Practice Phone
: 541-472-7000;
Practice Fax
:
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1114958931 -
MICHAEL
A
HETRICK
MD
Other Name
:
Mailing Address
:
612 SUNSET DR
LA GRANDE
OR
97850-1248
Phone
: 541-663-3150;
Fax
: 541-975-5111;
Practice Location Address
:
612 SUNSET DR
,
, LA GRANDE
, OR
, 97850-1248
Practice Phone
: 541-663-3150;
Practice Fax
: 541-975-5111
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1023049848 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1932130754 -
MRS.
MRS.
ANITA
G.
HARRAND
C.N.P.
Other Name
:
Mailing Address
:
1 HURLEY PLZ
5TH FLOOR S.O.N.
FLINT
MI
48503-5902
Phone
: 810-262-7038;
Fax
: 810-760-0440;
Practice Location Address
:
1 HURLEY PLZ
,
, FLINT
, MI
, 48503-5902
Practice Phone
: 810-262-9000;
Practice Fax
:
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1841221660 -
DR.
DR.
JAMES
W.
WAGNER
M.D.
Other Name
:
Mailing Address
:
18101 OAKWOOD BLVD
TRAUMA SERVICES DEPT
DEARBORN
MI
48123-2500
Phone
: 313-982-5440;
Fax
: 313-982-5445;
Practice Location Address
:
1 HURLEY PLZ
, 7B WEST BLDG
, FLINT
, MI
, 48503-5902
Practice Phone
: 810-262-9355;
Practice Fax
: 810-760-9954
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1104857937 -
THOMAS
MICHAEL
DUGGAN
MD
Other Name
:
Mailing Address
:
PO BOX 19305
CHARLOTTE
NC
28219-9305
Phone
: ;
Fax
: ;
Practice Location Address
:
500 JEFFERSON ST
,
, WHITEVILLE
, NC
, 28472-3634
Practice Phone
: 910-642-1776;
Practice Fax
:
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1558392381 -
JOHN
THOMAS
ACREE
DPM
Other Name
:
Mailing Address
:
411 SOUTH RALEIGH ST
MARTINSBURG
WV
25401-2640
Phone
: 304-264-9525;
Fax
: 304-264-9524;
Practice Location Address
:
411 SOUTH RALEIGH ST
,
, MARTINSBURG
, WV
, 25401-2640
Practice Phone
: 304-264-9525;
Practice Fax
: 304-264-9524
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1467483297 -
MANET COMMUNITY HEALTH CENTER, INC.
Other Name
:
MANET COMMUNITY HEALTH CENTER, INC. AT NORTH QUINCY
Mailing Address
:
110 W SQUANTUM ST
NORTH QUINCY
MA
02171-2122
Phone
: 617-376-3030;
Fax
: 617-774-1906;
Practice Location Address
:
110 W SQUANTUM ST
,
, NORTH QUINCY
, MA
, 02171-2122
Practice Phone
: 617-376-3000;
Practice Fax
: 617-774-1905
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1376574103 -
MANET COMMUNITY HEALTH CENTER, INC.
Other Name
:
MANET COMMUNITY HEALTH CENTER, INC. AT HOUGHS NECK
Mailing Address
:
110 W SQUANTUM ST
NORTH QUINCY
MA
02171-2122
Phone
: 617-376-3030;
Fax
: 617-774-1906;
Practice Location Address
:
1193 SEA ST
,
, QUINCY
, MA
, 02169-3544
Practice Phone
: 617-471-8683;
Practice Fax
: 617-773-1625
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1285665018 -
MANET COMMUNITY HEALTH CENTER, INC.
Other Name
:
MANET COMMUNITY HEALTH CENTER, INC. AT HULL
Mailing Address
:
110 W SQUANTUM ST
NORTH QUINCY
MA
02171-2122
Phone
: 617-376-3030;
Fax
: 617-774-1906;
Practice Location Address
:
180 GEORGE WASHINGTON BLVD
,
, HULL
, MA
, 02045-3069
Practice Phone
: 781-925-4550;
Practice Fax
: 781-925-5052
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1093746828 -
MANET COMMUNITY HEALTH CENTER, INC.
Other Name
:
MANET COMMUNITY HEALTH CENTER, INC. AT QUINCY MEDICAL CENTER
Mailing Address
:
110 W SQUANTUM ST
NORTH QUINCY
MA
02171-2122
Phone
: 617-376-3030;
Fax
: 617-774-1906;
Practice Location Address
:
114 WHITWELL ST
, 2ND FLOOR
, QUINCY
, MA
, 02169-1870
Practice Phone
: 617-376-2088;
Practice Fax
: 617-376-2089
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1902837735 -
MD SOLUTIONS MEDICAL CORP
Other Name
:
Mailing Address
:
28049 SMYTH DR
VALENCIA
CA
91355-4023
Phone
: 818-906-6900;
Fax
: 818-906-6903;
Practice Location Address
:
15477 VENTURA BLVD.
, SUITE 100
, SHERMAN OAKS
, CA
, 91403
Practice Phone
: 818-906-6900;
Practice Fax
: 818-906-6903
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1811928641 -
REGENTS OF THE UNIVERSITY OF MICHIGAN
Other Name
:
Mailing Address
:
3621 S STATE ST
PROVIDER ENROLLMENT
ANN ARBOR
MI
48108-1633
Phone
: 734-647-5299;
Fax
: ;
Practice Location Address
:
1500 E MEDICAL CENTER DR
,
, ANN ARBOR
, MI
, 48109-5000
Practice Phone
: 734-936-4000;
Practice Fax
:
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