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Showing codes 1750308359 — 1003834326
1750308359 -
BRANDON
T.
THOMAS
D.O.
Other Name
:
Mailing Address
:
550 GAGE BLVD STE 101
RICHLAND
WA
99352-9532
Phone
: 509-942-3627;
Fax
: 509-627-2983;
Practice Location Address
:
4804 W CLEARWATER AVE
,
, KENNEWICK
, WA
, 99336-2119
Practice Phone
: 509-942-2355;
Practice Fax
: 509-222-1289
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1669499265 -
DAVID
THOMAS
M.D.
Other Name
:
Mailing Address
:
PO BOX 703
TRAVERSE CITY
MI
49685-0703
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
801 S MILWAUKEE AVE
,
, LIBERTYVILLE
, IL
, 60048-3204
Practice Phone
: 847-362-2900;
Practice Fax
:
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1578580171 -
JEFFREY
THOMPSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 849894
DALLAS
TX
75284-0001
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
2606 HOSPITAL BLVD
,
, CORPUS CHRISTI
, TX
, 78405-1804
Practice Phone
: 361-881-3000;
Practice Fax
:
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1487671087 -
TIMOTHY
DAVID
TONINI
DO
Other Name
:
Mailing Address
:
1111 EMERALD BAY RD
SOUTH LAKE TAHOE
CA
96150-6207
Phone
: 530-543-5659;
Fax
: 530-541-8723;
Practice Location Address
:
2170 SOUTH AVE
,
, SOUTH LAKE TAHOE
, CA
, 96150-7026
Practice Phone
: 530-541-3420;
Practice Fax
:
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1295752897 -
CHUONG
TRAN
M.D.
Other Name
:
Mailing Address
:
250 HOSPITAL PKWY
SAN JOSE
CA
95119-1103
Phone
: 408-972-7000;
Fax
: ;
Practice Location Address
:
250 HOSPITAL PKWY
,
, SAN JOSE
, CA
, 95119-1103
Practice Phone
: 408-972-7000;
Practice Fax
:
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1104843705 -
THOMAS
TRAN
M.D.
Other Name
:
Mailing Address
:
2203 W ENNIS AVE
SUITE 300
ENNIS
TX
75119-8050
Phone
: 972-875-2858;
Fax
: 972-875-2928;
Practice Location Address
:
2203 W ENNIS AVE
, SUITE 300
, ENNIS
, TX
, 75119-8050
Practice Phone
: 972-875-2858;
Practice Fax
: 972-875-2928
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1013934611 -
DR.
DR.
ERIC
TUCHSCHERER
M.D.
Other Name
:
Mailing Address
:
1907 W SYCAMORE ST
KOKOMO
IN
46901-5148
Phone
: ;
Fax
: ;
Practice Location Address
:
1907 W SYCAMORE ST
,
, KOKOMO
, IN
, 46901-5148
Practice Phone
: 765-456-5433;
Practice Fax
:
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1922025527 -
LANNY
TURNER
M.D.
Other Name
:
Mailing Address
:
110 S VISITING EAGLE ST
SANTEE HEALTH CLINIC
NIOBRARA
NE
68760-7201
Phone
: 402-857-2300;
Fax
: ;
Practice Location Address
:
110 S VISITING EAGLE ST
, SANTEE HEALTH CLINIC
, NIOBRARA
, NE
, 68760-7201
Practice Phone
: 402-857-2300;
Practice Fax
:
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1831116433 -
CALVIN
P
WADLEY
M.D., FACEP
Other Name
:
Mailing Address
:
109 N OAK PARK AVE APT 2
OAK PARK
IL
60301-1362
Phone
: 708-524-8904;
Fax
: 708-524-8907;
Practice Location Address
:
109 N OAK PARK AVE APT 2
,
, OAK PARK
, IL
, 60301-1362
Practice Phone
: 708-524-8904;
Practice Fax
: 708-524-8907
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1740207349 -
DR.
DR.
GENE
EDWARD
WALKER
JR.
M.D.
Other Name
:
Mailing Address
:
113 HYPOINT ST
GADSDEN
AL
35901-5423
Phone
: 806-236-8738;
Fax
: ;
Practice Location Address
:
1201 7TH ST SE
,
, DECATUR
, AL
, 35601-3337
Practice Phone
: 256-973-2000;
Practice Fax
:
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1659398253 -
CORINNA
WARREN
M.D.
Other Name
:
Mailing Address
:
224 S WOODS MILL RD STE 510S
CHESTERFIELD
MO
63017-3611
Phone
: 314-205-6605;
Fax
: 314-590-5928;
Practice Location Address
:
224 S WOODS MILL RD
, STE 620
, CHESTERFIELD
, MO
, 63017-3451
Practice Phone
: 314-205-6605;
Practice Fax
: 314-590-5928
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1568489169 -
JAOU-CHEN
HUANG
M.D.
Other Name
:
Mailing Address
:
PO BOX 5865
LUBBOCK
TX
79408-5865
Phone
: 806-743-2898;
Fax
: 806-743-2787;
Practice Location Address
:
3601 4TH ST
,
, LUBBOCK
, TX
, 79430-9410
Practice Phone
: 806-743-3150;
Practice Fax
: 806-743-3168
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1477570075 -
DR.
DR.
WAYNE
K
GERSOFF
M.D.
Other Name
:
Mailing Address
:
8101 E LOWRY BLVD
SUITE 230
DENVER
CO
80230-7196
Phone
: 303-344-9090;
Fax
: 303-344-1912;
Practice Location Address
:
8101 E LOWRY BLVD
, SUITE 230
, DENVER
, CO
, 80230-7196
Practice Phone
: 303-344-9090;
Practice Fax
: 303-344-1912
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1386661981 -
MRS.
MRS.
STARRLA
K
RODRIGUEZ
PT
Other Name
:
STARRLA
K
SIMMONS
Mailing Address
:
PO BOX 8150
CORPUS CHRISTI
TX
78468-8150
Phone
: 361-723-0079;
Fax
: 361-814-7009;
Practice Location Address
:
4918 HOLLY STE. B
,
, CORPUS CHRISTI
, TX
, 78411
Practice Phone
: 361-723-0079;
Practice Fax
: 361-814-7009
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1194742791 -
JESSE
E
SMITH
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-920-0068;
Practice Location Address
:
923 PENNSYLVANIA AVENUE
, SUITE 100
, FORT WORTH
, TX
, 76104-2254
Practice Phone
: 817-920-0484;
Practice Fax
: 817-920-0068
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1003833609 -
DR.
DR.
DAVID
A
BASS
PT, DPT
Other Name
:
Mailing Address
:
1565 OAKBRIDGE DR STE C
POWHATAN
VA
23139-8070
Phone
: 804-372-8000;
Fax
: 888-972-4875;
Practice Location Address
:
1565 OAKBRIDGE DR STE C
,
, POWHATAN
, VA
, 23139-8070
Practice Phone
: 804-372-8000;
Practice Fax
: 888-972-4875
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1912924515 -
MARK
H
BERNHARD
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-378-3699;
Practice Location Address
:
5612 EDWARDS RANCH RD
,
, FORT WORTH
, TX
, 76109-4145
Practice Phone
: 817-263-7200;
Practice Fax
: 817-263-7206
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1821015421 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1730106337 -
RICHARD
D
SCHUSTER
MD
Other Name
:
Mailing Address
:
PO BOX 733784
DALLAS
TX
75373-3784
Phone
: 682-885-1855;
Fax
: 682-885-1396;
Practice Location Address
:
1500 COOPER ST
,
, FORT WORTH
, TX
, 76104-2710
Practice Phone
: 682-885-4405;
Practice Fax
: 682-885-4407
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1649297243 -
ROBERT
K
WATSON
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-921-2701;
Practice Location Address
:
1250 8TH AVENUE
, SUITE 440
, FORT WORTH
, TX
, 76104-4144
Practice Phone
: 817-923-5558;
Practice Fax
: 817-921-2701
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1558388157 -
DR.
DR.
MICHAEL
J.
SPENCE
MD
Other Name
:
Mailing Address
:
1650 45TH AVE
SUITE 2C
MUNSTER
IN
46321-3962
Phone
: 219-513-2267;
Fax
: 219-836-1276;
Practice Location Address
:
1650 45TH AVE
, SUITE 2C
, MUNSTER
, IN
, 46321-3962
Practice Phone
: 219-513-2267;
Practice Fax
: 219-836-1276
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1467479063 -
HEATHER
SIMMONS
MSN, FNP, APRN
Other Name
:
Mailing Address
:
1478 JORDAN HILLS CT
CLEARWATER
FL
33756-2368
Phone
: 727-461-3896;
Fax
: 727-443-4085;
Practice Location Address
:
1478 JORDAN HILLS CT
,
, CLEARWATER
, FL
, 33756-2368
Practice Phone
: 727-461-3896;
Practice Fax
: 727-443-4085
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1376560979 -
MICHAEL
R
SIMMONS
M.D.
Other Name
:
Mailing Address
:
PO BOX 849897
DALLAS
TX
75284-0001
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
600 ELIZABETH ST
,
, CORPUS CHRISTI
, TX
, 78404-2235
Practice Phone
: 361-902-4000;
Practice Fax
:
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1285651885 -
ANANT
SINGH
M.D.
Other Name
:
Mailing Address
:
PO BOX 17572
BALTIMORE
MD
21297-1572
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
411 W RANDOLPH RD
,
, HOPEWELL
, VA
, 23860-2938
Practice Phone
: 804-330-2000;
Practice Fax
:
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1093732695 -
JULIE
SLICK
M.D.
Other Name
:
Mailing Address
:
6758 COLBERT ST
NEW ORLEANS
LA
70124-2241
Phone
: 504-342-2240;
Fax
: ;
Practice Location Address
:
2500 BELLE CHASSE HWY
,
, TERRYTOWN
, LA
, 70056-7127
Practice Phone
: 504-391-5454;
Practice Fax
:
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1902823503 -
ROBERT
SLIWA
D.O.
Other Name
:
Mailing Address
:
75 REMITT DRIVE
LOCKBOX 1374
CHICAGO
IL
60675-1374
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
800 E CARPENTER ST
,
, SPRINGFIELD
, IL
, 62769-0002
Practice Phone
: 217-544-6464;
Practice Fax
:
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1811914419 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1720005325 -
DR.
DR.
RAY
C
SMITH
III
M.D.
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: 317-547-5345;
Fax
: 317-962-4343;
Practice Location Address
:
1606 N 7TH ST
,
, TERRE HAUTE
, IN
, 47804-2706
Practice Phone
: 812-442-2500;
Practice Fax
:
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1639196231 -
TABATHIA
A
SMITH
M.D.
Other Name
:
Mailing Address
:
38935 ANN ARBOR RD
CREDENTIALING DEPT
LIVONIA
MI
48150-3397
Phone
: 888-861-8740;
Fax
: 866-250-6385;
Practice Location Address
:
1500 N 28TH ST
, EMERGENCY DEPT.
, RICHMOND
, VA
, 23223-5332
Practice Phone
: 804-225-1780;
Practice Fax
: 804-225-1705
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1548287147 -
LAURA
SNYDER
P.A.-C
Other Name
:
Mailing Address
:
PO BOX 2147
FORT MYERS
FL
33902-2147
Phone
: 239-343-9800;
Fax
: 239-343-9848;
Practice Location Address
:
4771 S CLEVELAND AVE
,
, FORT MYERS
, FL
, 33907-1317
Practice Phone
: 239-343-9800;
Practice Fax
: 239-343-9848
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1457378051 -
JEANNINE
WALLACE
P.A.-C
Other Name
:
Mailing Address
:
929 GESSNER RD STE 2450
HOUSTON
TX
77024-2593
Phone
: 713-464-9939;
Fax
: ;
Practice Location Address
:
929 GESSNER RD STE 2450
,
, HOUSTON
, TX
, 77024-2593
Practice Phone
: 713-464-9939;
Practice Fax
:
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1366469967 -
HEATHER
WEBB
M.D.
Other Name
:
Mailing Address
:
75 REMIT DRIVE
LOCKBOX 1940
CHICAGO
IL
60675-1940
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
10 HOSPITAL DR
,
, SAINT PETERS
, MO
, 63376-1659
Practice Phone
: 636-916-9000;
Practice Fax
:
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1275550873 -
JOSEPH
WEBER
M.D.
Other Name
:
Mailing Address
:
75 REMIT DR
LOCKBOX 6322
CHICAGO
IL
60675-6322
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
3 ERIE CT
,
, OAK PARK
, IL
, 60302-2519
Practice Phone
: 708-383-6200;
Practice Fax
:
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1184641789 -
DR.
DR.
JAMES
JOSEPH
LYNN
D.M.D.
Other Name
:
Mailing Address
:
PO BOX 1054
EASLEY
SC
29641
Phone
: 864-269-0600;
Fax
: 864-269-0619;
Practice Location Address
:
105 SHERINGHAM DRIVE
,
, EASLEY
, SC
, 29642-3334
Practice Phone
: 864-269-0600;
Practice Fax
: 864-269-0619
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1992722599 -
PASUI FAMILY DENTISTRY
Other Name
:
Mailing Address
:
PO BOX 1489
EASLEY
SC
29641
Phone
: 864-269-5290;
Fax
: 864-220-0409;
Practice Location Address
:
105 SHERINGHAM DRIVE
,
, EASLEY
, SC
, 29642-3334
Practice Phone
: 864-269-5290;
Practice Fax
: 864-220-0409
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1801813407 -
PAMELA
DAWN
RANDOLPH JACKSON
MD
Other Name
:
Mailing Address
:
12605 WILLOW MARSH LANE
BOWIE
MD
20720
Phone
: 301-262-1528;
Fax
: 804-355-6031;
Practice Location Address
:
110 IRVING ST NW
,
, WASHINGTON
, DC
, 20010
Practice Phone
: 800-353-0788;
Practice Fax
: 804-355-6031
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1710904313 -
MOBILE MED INC
Other Name
:
BREATHE MEDICAL
Mailing Address
:
200 WEST 5TH STREET NORTH
SUMMERVILLE
SC
29483
Phone
: 843-285-7903;
Fax
: ;
Practice Location Address
:
114 S CLIFTON AVE
,
, LOUISVILLE
, KY
, 40206-2406
Practice Phone
: 502-896-8335;
Practice Fax
:
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1629095229 -
JAMES
J
BOX
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-433-5110;
Practice Location Address
:
6100 HARRIS PARKWAY
, SUITE 320
, FORT WORTH
, TX
, 76132-4133
Practice Phone
: 817-433-5499;
Practice Fax
: 817-433-5110
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1538186135 -
DAVID
L
STROMAN
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-927-4323;
Practice Location Address
:
1250 8TH AVE., SUITE 240
,
, FORT WORTH
, TX
, 76104-4124
Practice Phone
: 817-927-0456;
Practice Fax
: 817-927-4323
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1447277041 -
MS.
MS.
DEBORAH
LYNNE
EDWARDS
RD, LD
Other Name
:
Mailing Address
:
702 PARK ST
DECORAH
IA
52101-2034
Phone
: 563-382-4676;
Fax
: ;
Practice Location Address
:
909 W 1ST ST
, COMMUNITY MEMORIAL HOSPITAL
, SUMNER
, IA
, 50674-1203
Practice Phone
: 563-578-3275;
Practice Fax
: 563-578-3279
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1356368955 -
BRITTON
R
WEST
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-924-9960;
Practice Location Address
:
1420 8TH AVENUE
, SUITE 103
, FORT WORTH
, TX
, 76104-4138
Practice Phone
: 817-924-9002;
Practice Fax
: 817-924-9960
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1265459861 -
MARK
A
SHAWNIK
D.O.
Other Name
:
Mailing Address
:
PO BOX 601783
CHARLOTTE
NC
28260-1783
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
500 J CLYDE MORRIS BLVD
,
, NEWPORT NEWS
, VA
, 23601-1929
Practice Phone
: 757-594-2000;
Practice Fax
:
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1174540777 -
WILLIAM
C
SHELBY
PA-C
Other Name
:
Mailing Address
:
PO BOX 385
BRONTE
TX
76933-0385
Phone
: 281-224-6220;
Fax
: ;
Practice Location Address
:
271 FORT RICHARDSON AVENUE
,
, GOODFELLOW AFB
, TX
, 76908
Practice Phone
: 325-654-3238;
Practice Fax
:
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1083631683 -
JOHN
M
SHERIDAN
D.O.
Other Name
:
Mailing Address
:
25 NORTHRIDGE LN
LEXINGTON
VA
24450-3399
Phone
: 540-464-8700;
Fax
: 540-464-1362;
Practice Location Address
:
25 NORTHRIDGE LN
,
, LEXINGTON
, VA
, 24450-3399
Practice Phone
: 540-464-8700;
Practice Fax
: 540-464-1362
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1992722508 -
SCOTT
SHERMAN
M.D.
Other Name
:
Mailing Address
:
75 REMIT DRIVE
LOCKBOX 6322
CHICAGO
IL
60675-6322
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
3 ERIE CT
,
, OAK PARK
, IL
, 60302-2519
Practice Phone
: 708-383-6200;
Practice Fax
:
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1801813415 -
CHARLES
P
SHIELDS
M.D.
Other Name
:
Mailing Address
:
PO BOX 17643
BALTIMORE
MD
21297-1643
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
1602 SKIPWITH RD
,
, RICHMOND
, VA
, 23229-5205
Practice Phone
: 804-289-4500;
Practice Fax
:
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1710904321 -
DR.
DR.
CAMERON
R.
GONGWER
MD
Other Name
:
Mailing Address
:
4440 NORTH PORTAGE AVENUE
SOUTH BEND
IN
46628-8579
Phone
: 574-204-6200;
Fax
: 574-288-1426;
Practice Location Address
:
4440 NORTH PORTAGE AVENUE
,
, SOUTH BEND
, IN
, 46628-8579
Practice Phone
: 574-204-6200;
Practice Fax
: 574-288-1426
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1629095237 -
THOMAS
NICHOLAS
M.D.
Other Name
:
Mailing Address
:
PO BOX 307
NEPTUNE
NJ
07754-0307
Phone
: 732-897-0200;
Fax
: 732-897-0263;
Practice Location Address
:
1945 STATE ROUTE 33
,
, NEPTUNE
, NJ
, 07753-4859
Practice Phone
: 732-897-0200;
Practice Fax
: 732-897-0263
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1538186143 -
NASSAU HEALTH CARE CORPORATION
Other Name
:
NASSAU UNIV MED CENTER-PSYCH
Mailing Address
:
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
11554-1859
Phone
: 516-572-6131;
Fax
: 516-572-5793;
Practice Location Address
:
2201 HEMPSTEAD TPKE
,
, EAST MEADOW
, NY
, 11554-1859
Practice Phone
: 516-572-6131;
Practice Fax
: 516-572-5793
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1447277058 -
DR.
DR.
WILLIAM
B.
BLANCHARD
MD
Other Name
:
Mailing Address
:
10140 CENTURION PKWY N
JACKSONVILLE
FL
32256-0532
Phone
: 904-697-4127;
Fax
: 904-697-5102;
Practice Location Address
:
5153 N 9TH AVE
,
, PENSACOLA
, FL
, 32504-8785
Practice Phone
: 850-505-4700;
Practice Fax
: 850-505-4711
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1356368963 -
DR.
DR.
JOSEPH
P.
DAVENPORT
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
5153 N 9TH AVE
,
, PENSACOLA
, FL
, 32504-8785
Practice Phone
: 850-505-4700;
Practice Fax
: 850-473-4515
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1265459879 -
MS.
MS.
SANDRA
G.
HUDSON
ARNP
Other Name
:
Mailing Address
:
PO BOX 2699
ATTN: SHMG/HPE
PENSACOLA
FL
32513-2699
Phone
: 850-416-7000;
Fax
: 850-475-4781;
Practice Location Address
:
5151 N 9TH AVE # ER
,
, PENSACOLA
, FL
, 32504-8721
Practice Phone
: 850-416-7000;
Practice Fax
: 850-475-4781
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1174540785 -
DR.
DR.
JENNIFER
T.
JENKINS
MD
Other Name
:
Mailing Address
:
6600 S YALE AVE
SUITE 1400
TULSA
OK
74136-3347
Phone
: 918-488-6001;
Fax
: 918-488-6010;
Practice Location Address
:
6151 S YALE AVE
,
, TULSA
, OK
, 74136-1907
Practice Phone
: 918-502-6135;
Practice Fax
: 918-502-6137
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1083631691 -
REX
L.
NORTHUP
MD
Other Name
:
Mailing Address
:
PO BOX 2699
SHMG/HPE
PENSACOLA
FL
32513-2699
Phone
: 850-475-4686;
Fax
: 850-475-4619;
Practice Location Address
:
1675 TRINITY DR
,
, PENSACOLA
, FL
, 32504-5708
Practice Phone
: 850-416-7000;
Practice Fax
: 850-475-4619
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1891712402 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1700803319 -
CAROLINE
M
RUDNICK
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
2325 DOUGHERTY FERRY RD
,
, ST LOUIS
, MO
, 63122
Practice Phone
: 314-977-9600;
Practice Fax
: 314-977-9627
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1619994225 -
MARK
B
MENGEL
MD
Other Name
:
Mailing Address
:
4010 S MULBERRY ST
PINE BLUFF
AR
71603-7000
Phone
: 870-541-6008;
Fax
: ;
Practice Location Address
:
4010 S MULBERRY ST
,
, PINE BLUFF
, AR
, 71603-7000
Practice Phone
: 870-541-6008;
Practice Fax
: 870-541-3198
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1528085131 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1437176047 -
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Other Name
:
DEPARTMENT OF MEDICINE
Mailing Address
:
630 W 168TH ST
BOX 4
NEW YORK
NY
10032-3725
Phone
: ;
Fax
: ;
Practice Location Address
:
622 W 168TH ST
,
, NEW YORK
, NY
, 10032-3720
Practice Phone
: 212-342-5155;
Practice Fax
:
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1346267952 -
MS.
MS.
ABIGAIL
B
JAFFE
MA CCC SLP
Other Name
:
ABIGAIL
BRESLOW
Mailing Address
:
15 BREWSTER CT
NORTHAMPTON
MA
01060-3801
Phone
: 413-586-1945;
Fax
: 413-586-1946;
Practice Location Address
:
15 BREWSTER CT
,
, NORTHAMPTON
, MA
, 01060-3801
Practice Phone
: 413-586-1945;
Practice Fax
: 413-586-1946
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1942228358 -
DR.
DR.
BARBARA
ANN
WUJCIAK
O.D.
Other Name
:
Mailing Address
:
3929 RED HAWK RD
HILLSBOROUGH
NC
27278
Phone
: 919-968-6300;
Fax
: 919-968-0403;
Practice Location Address
:
200 W WEAVER ST
, SUITE 1
, CARRBORO
, NC
, 27510-6009
Practice Phone
: 919-968-6300;
Practice Fax
: 919-968-0403
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1851319263 -
ANGIE
LYNN
LSCSW
Other Name
:
ANGIE
COOK
Mailing Address
:
123 N TYLER RD
WICHITA
KS
67212-3713
Phone
: 316-461-1686;
Fax
: ;
Practice Location Address
:
123 N TYLER RD
,
, WICHITA
, KS
, 67212-3713
Practice Phone
: 316-461-1686;
Practice Fax
:
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1760400170 -
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Name
:
UIH-MILE SQUARE HEALTH CENTER AT SOUTH SHORE
Mailing Address
:
1220 S. WOOD STREET
UIH-MILE SQUARE HEALTH CENTER
CHICAGO
IL
60608-1202
Phone
: 312-413-1261;
Fax
: 312-413-7815;
Practice Location Address
:
7131 S. JEFFREY BLVD
, UIH-MILE SQUARE HEALTH CENTER AT SOUTH SHORE
, CHICAGO
, IL
, 60649-2497
Practice Phone
: 773-256-0526;
Practice Fax
: 312-413-7812
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1679591085 -
DR.
DR.
JULIA
VIVIAN
ASHLEY
MD
Other Name
:
Mailing Address
:
1001 BLANDFORD AVE
COLUMBUS
GA
31906-3012
Phone
: 706-321-8040;
Fax
: ;
Practice Location Address
:
1001 BLANDFORD AVE
,
, COLUMBUS
, GA
, 31906-3012
Practice Phone
: 706-321-8040;
Practice Fax
: 706-321-8040
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1588682991 -
MS.
MS.
JOANNE
MARGARET
RODE
PA
Other Name
:
Mailing Address
:
PO BOX 1024
LUCERNE
CA
95458-1024
Phone
: 707-274-9101;
Fax
: 707-274-9192;
Practice Location Address
:
6302 13TH AVENUE
,
, LUCERNE
, CA
, 95458
Practice Phone
: 707-274-9101;
Practice Fax
: 707-274-9192
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1396763702 -
LARRY
BLEDSOE
MD
Other Name
:
Mailing Address
:
620 W BERRY ST
FORT WAYNE
IN
46802-2106
Phone
: 260-424-6311;
Fax
: 260-424-6311;
Practice Location Address
:
620 W BERRY ST
,
, FORT WAYNE
, IN
, 46802-2106
Practice Phone
: 260-424-6311;
Practice Fax
: 260-424-6311
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1205854619 -
THOMAS
ROBERTS
Other Name
:
Mailing Address
:
110 W 97TH ST
NEW YORK
NY
10025-6450
Phone
: 212-316-7923;
Fax
: 212-316-7945;
Practice Location Address
:
110 W 97TH ST
,
, NEW YORK
, NY
, 10025-6450
Practice Phone
: 212-316-7923;
Practice Fax
: 212-316-7945
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1114945524 -
DOUGLAS
K.
LOUK
MD
Other Name
:
Mailing Address
:
1701 WESTCHESTER DRIVE
SUITE 850
HIGH POINT
NC
27262-7254
Phone
: 336-802-2400;
Fax
: 336-802-2001;
Practice Location Address
:
400 N ELM ST
,
, HIGH POINT
, NC
, 27262-4939
Practice Phone
: 336-802-2120;
Practice Fax
: 336-802-2121
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1023036431 -
DR.
DR.
RICHARD
AMADEUS
KELLY
D.C.
Other Name
:
Mailing Address
:
730 PARKWOOD DR
CRANBERRY TWP
PA
16066-6312
Phone
: 724-779-4334;
Fax
: 724-779-4399;
Practice Location Address
:
730 PARKWOOD DR
,
, CRANBERRY TWP
, PA
, 16066-6312
Practice Phone
: 724-779-4334;
Practice Fax
: 724-779-4399
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1932127347 -
KELLE
ANN
HARRISON
MS
Other Name
:
Mailing Address
:
560 WHITE PLAINS ROAD
TARRYTOWN
NY
10591-5112
Phone
: 914-333-5801;
Fax
: 914-241-1176;
Practice Location Address
:
21 READE PLACE, SUITE 3200
,
, POUGHKEEPSIE
, NY
, 12601-4532
Practice Phone
: 845-471-4086;
Practice Fax
: 845-471-8296
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1841218252 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1750309167 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1669490074 -
DR.
DR.
LUIS
F
VILLAR
M.D.
Other Name
:
Mailing Address
:
309 SE OSCEOLA ST
SUITE 201
STUART
FL
34994-2251
Phone
: 772-286-3722;
Fax
: 772-286-7096;
Practice Location Address
:
309 SE OSCEOLA ST
, SUITE 201
, STUART
, FL
, 34994-2251
Practice Phone
: 772-286-3722;
Practice Fax
: 772-286-7096
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1578581989 -
DR.
DR.
JEFFREY
CHARLES
CONSTANTINE
MD
Other Name
:
Mailing Address
:
5960 FAIRVIEW RD STE 500
CHARLOTTE
NC
28210-3113
Phone
: 704-495-6334;
Fax
: 704-817-7219;
Practice Location Address
:
201 S COLLEGE ST FL 12
,
, CHARLOTTE
, NC
, 28244
Practice Phone
: 704-489-3010;
Practice Fax
:
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1487672895 -
DR.
DR.
MICHAEL
S
MIDDLETON
M.D.
Other Name
:
Mailing Address
:
PO BOX 232410
SAN DIEGO
CA
92193-2410
Phone
: ;
Fax
: ;
Practice Location Address
:
200 W ARBOR DR
,
, SAN DIEGO
, CA
, 92103-9001
Practice Phone
: 619-543-3405;
Practice Fax
:
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1396763603 -
MICHAEL
L.
MCKINNEY
M.D.
Other Name
:
Mailing Address
:
5200 COMMERCE CROSSINGS DR
3RD FLOOR
LOUISVILLE
KY
40229
Phone
: 502-253-4900;
Fax
: 502-489-5750;
Practice Location Address
:
100 PROVIDENCE WAY
,
, NICHOLASVILLE
, KY
, 40356-6031
Practice Phone
: 859-260-5370;
Practice Fax
: 859-260-5379
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1679591994 -
LISA
ANNE
JOHNSON
CRNP, DRNP
Other Name
:
Mailing Address
:
1600 E HIGH ST
POTTSTOWN
PA
19464-5008
Phone
: 610-327-7710;
Fax
: 610-705-5652;
Practice Location Address
:
1600 E HIGH ST
,
, POTTSTOWN
, PA
, 19464-5008
Practice Phone
: 610-327-7710;
Practice Fax
: 610-705-5652
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1588682801 -
DR.
DR.
SAMUEL
W
PEEBLES
MD
Other Name
:
Mailing Address
:
800 LESLIE ST
NASHVILLE
AR
71852-4015
Phone
: 870-845-4400;
Fax
: ;
Practice Location Address
:
800 LESLIE ST
,
, NASHVILLE
, AR
, 71852-4015
Practice Phone
: 870-845-4400;
Practice Fax
:
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1396763611 -
DR.
DR.
WILLIE
JAMES
HAWKINS
M.D
Other Name
:
Mailing Address
:
7457 HARWIN DR.
SUITE 115
HOUSTON
TX
77036
Phone
: 713-882-5926;
Fax
: 281-778-9862;
Practice Location Address
:
3815 N VIRKUS CT
,
, MISSOURI CITY
, TX
, 77459
Practice Phone
: 713-882-5926;
Practice Fax
: 281-778-9862
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1205854528 -
DR.
DR.
THOMAS
EDWARD
JAMART
D.D.S.
Other Name
:
Mailing Address
:
1844 SAN MIGUEL DR
WALNUT CREEK
CA
94596-4962
Phone
: 925-934-2066;
Fax
: 925-932-0124;
Practice Location Address
:
1844 SAN MIGUEL DR
,
, WALNUT CREEK
, CA
, 94596-4962
Practice Phone
: 925-934-2066;
Practice Fax
: 925-932-0124
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1114945433 -
JAMES
A
RACZEK
MD
Other Name
:
Mailing Address
:
1000 N OAK AVE
MARSHFIELD
WI
54449-5703
Phone
: 715-387-5511;
Fax
: ;
Practice Location Address
:
3400 MINISTRY PKWY
,
, WESTON
, WI
, 54476-5220
Practice Phone
: 715-393-1000;
Practice Fax
:
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1023036340 -
DR.
DR.
DEBORAH
I
FRIEDMAN
M.D.
Other Name
:
Mailing Address
:
P.O. BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-0624;
Fax
: 214-645-0078;
Practice Location Address
:
5323 HARRY HINES BOULEVARD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-0624;
Practice Fax
: 214-645-0078
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1932127255 -
MRS.
MRS.
CHRISTINA
MICHELE
KASSABIAN
PA
Other Name
:
Mailing Address
:
2000 N ALAFAYA TRL
ORLANDO
FL
32826-4739
Phone
: 407-894-0005;
Fax
: 407-894-7759;
Practice Location Address
:
2000 N ALAFAYA TRL
,
, ORLANDO
, FL
, 32826-4739
Practice Phone
: 407-635-5740;
Practice Fax
:
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1841218161 -
ROBERT
MACON
PHILLIPS
JR.
MD
Other Name
:
Mailing Address
:
720 GALLATIN STREET
SUITE 500
HUNTSVILLE
AL
35801-4414
Phone
: 256-551-6510;
Fax
: 256-551-6507;
Practice Location Address
:
720 GALLATIN STREET
, SUITE 500
, HUNTSVILLE
, AL
, 35801-4414
Practice Phone
: 256-551-6510;
Practice Fax
: 256-551-6507
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1750309076 -
BELA
PATEL
M.D.
Other Name
:
Mailing Address
:
PO BOX 201088
HOUSTON
TX
77216-1088
Phone
: 713-500-3500;
Fax
: ;
Practice Location Address
:
6410 FANNIN ST
, 600
, HOUSTON
, TX
, 77030-3000
Practice Phone
: 832-325-7222;
Practice Fax
: 713-512-2247
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1669490983 -
TERRY
ALLEN
PHD
Other Name
:
Mailing Address
:
PO BOX 9520
EL PASO
TX
79995-9520
Phone
: 915-545-9795;
Fax
: 915-545-9799;
Practice Location Address
:
4801 ALBERTA AVE.
,
, EL PASO
, TX
, 79905-2702
Practice Phone
: 915-545-6830;
Practice Fax
: 915-545-9799
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1578581898 -
DR.
DR.
FRANCIS
MICHAEL
ADAMS
MD
Other Name
:
Mailing Address
:
74 PLEASANT ST
STE 204
NEW LONDON
NH
03257-5881
Phone
: ;
Fax
: ;
Practice Location Address
:
18 OLD ETNA RD
, DHMC DEPT OF FAMILY MED
, LEBANON
, NH
, 03766
Practice Phone
: 603-650-4000;
Practice Fax
: 603-650-4198
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1487672705 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1295753515 -
CRAIG
A
ALTER
M.D.
Other Name
:
Mailing Address
:
100 E PENN SQ
9TH FLOOR
PHILADELPHIA
PA
19107-3323
Phone
: 267-425-9234;
Fax
: 267-425-9299;
Practice Location Address
:
3401 CIVIC CENTER BLVD
, CHILDREN'S HOSPITAL OF PHILADELPHIA - ENDOCRINOLOGY
, PHILADELPHIA
, PA
, 19104-4319
Practice Phone
: 215-590-3174;
Practice Fax
: 215-590-3053
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1104844422 -
DR.
DR.
RAYMOND
J
OTIS
SR.
M.D.
Other Name
:
Mailing Address
:
PO BOX 348
24 NORTH ELLIS STREET
CAMILLA
GA
31730-0348
Phone
: 229-336-7343;
Fax
: 229-336-7400;
Practice Location Address
:
24 N ELLIS ST
,
, CAMILLA
, GA
, 31730-1502
Practice Phone
: 229-336-7343;
Practice Fax
: 229-336-7400
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1013935337 -
DR.
DR.
ARMEN
VARTANY
M.D.
Other Name
:
Mailing Address
:
116 S BUENA VISTA ST
300
BURBANK
CA
91505-4503
Phone
: 818-500-0823;
Fax
: 818-239-4507;
Practice Location Address
:
116 S BUENA VISTA ST
, 300
, BURBANK
, CA
, 91505-4503
Practice Phone
: 818-500-0823;
Practice Fax
: 818-239-4507
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1922026244 -
DR.
DR.
HANNA
O
SANDERS
M.D.
Other Name
:
Mailing Address
:
1087 E PASEO EL MIRADOR
PALM SPRINGS
CA
92262-4852
Phone
: 760-322-9834;
Fax
: 760-320-2834;
Practice Location Address
:
1100 N PALM CANYON DR
, SUITE 211
, PALM SPRINGS
, CA
, 92262-4414
Practice Phone
: 760-320-9019;
Practice Fax
: 760-320-2834
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1831117159 -
LAURA
MARIE
STOIBER
DO
Other Name
:
Mailing Address
:
3605 MAYFAIR AVE
HIBBING
MN
55746-2935
Phone
: 218-262-3441;
Fax
: ;
Practice Location Address
:
3605 MAYFAIR AVE
,
, HIBBING
, MN
, 55746-2935
Practice Phone
: 218-262-3441;
Practice Fax
:
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1740208065 -
CLAUDIA
LYNN
RHODES
LCSW
Other Name
:
Mailing Address
:
1545 HOTEL CIR S
SUITE 250
SAN DIEGO
CA
92108-3412
Phone
: 619-248-2630;
Fax
: ;
Practice Location Address
:
1545 HOTEL CIR S
, SUITE 250
, SAN DIEGO
, CA
, 92108-3412
Practice Phone
: 619-248-2630;
Practice Fax
:
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1659399970 -
DR.
DR.
DAVID
RAMINSKI
D.O.
Other Name
:
Mailing Address
:
16632 S 107TH CT
ORLAND PARK
IL
60467
Phone
: 708-349-6350;
Fax
: 708-349-9153;
Practice Location Address
:
16632 S 107TH CT
,
, ORLAND PARK
, IL
, 60467
Practice Phone
: 708-349-6350;
Practice Fax
: 708-349-9153
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1568480887 -
DR.
DR.
MICHAEL
GARRISON
HINDMAN
M.D.
Other Name
:
Mailing Address
:
774 LANDA ST
NEW BRAUNFELS
TX
78130-6114
Phone
: 830-625-0305;
Fax
: 830-625-2693;
Practice Location Address
:
774 LANDA ST
,
, NEW BRAUNFELS
, TX
, 78130-6114
Practice Phone
: 830-625-0305;
Practice Fax
: 830-625-2693
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1477571792 -
WENDY
HOLDERFIELD
RPT
Other Name
:
Mailing Address
:
1514 OWENS ST
GADSDEN
AL
35904-4938
Phone
: 256-543-1030;
Fax
: 256-439-2830;
Practice Location Address
:
1514 OWENS ST
,
, GADSDEN
, AL
, 35904-4938
Practice Phone
: 256-543-1030;
Practice Fax
: 256-439-2830
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1386662609 -
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Mailing Address
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Phone
: ;
Fax
: ;
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,
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: ;
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:
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1194743419 -
THEODORE
C
FOX
MD
Other Name
:
Mailing Address
:
3000 WESTHILL DR
SUITE 303
WAUSAU
WI
54401-3795
Phone
: ;
Fax
: ;
Practice Location Address
:
110 E 5TH AVE
,
, ANTIGO
, WI
, 54409-2710
Practice Phone
: 715-623-2351;
Practice Fax
:
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1003834326 -
MARK
E
JACOBS
D.C.
Other Name
:
Mailing Address
:
405 W MAIN ST
GENOA
IL
60135-1164
Phone
: 815-784-4455;
Fax
: 815-784-4454;
Practice Location Address
:
405 W MAIN ST
,
, GENOA
, IL
, 60135-1164
Practice Phone
: 815-784-4455;
Practice Fax
: 815-784-4454
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