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Showing codes 1598871246 — 1194831958
1598871246 -
DIANE
E
STILES
LCSW
Other Name
:
Mailing Address
:
3201 E CENTER STREET EXT
WARSAW
IN
46582-3907
Phone
: 574-267-1700;
Fax
: 574-267-0017;
Practice Location Address
:
3201 E CENTER STREET EXT
,
, WARSAW
, IN
, 46582-3907
Practice Phone
: 574-267-1700;
Practice Fax
: 574-267-0017
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1407962152 -
MARTHA
E
BURK
CNM
Other Name
:
Mailing Address
:
1706 TREASURE HILLS BLVD
HARLINGEN
TX
78550-8911
Phone
: 956-365-6750;
Fax
: 956-365-6779;
Practice Location Address
:
1706 TREASURE HILLS BLVD
,
, HARLINGEN
, TX
, 78550-8911
Practice Phone
: 956-365-6750;
Practice Fax
: 956-365-6779
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1316053069 -
LISA
BETH
SEGAR
D.C
Other Name
:
Mailing Address
:
6341 E BRAINERD RD
CHATTANOOGA
TN
37421-3957
Phone
: 423-355-5437;
Fax
: 423-803-1542;
Practice Location Address
:
6341 E BRAINERD RD
,
, CHATTANOOGA
, TN
, 37421-3957
Practice Phone
: 423-355-5437;
Practice Fax
: 423-803-1542
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1225144975 -
DEAN
C.
GUTE
MD
Other Name
:
Mailing Address
:
MCFARLAND CLINKC, PC
1215 DUFF AVE, PO BOX 3014
AMES
IA
50010-3014
Phone
: 515-239-4456;
Fax
: 515-239-4761;
Practice Location Address
:
MCFARLAND CLINKC, PC
, 1215 DUFF AVE
, AMES
, IA
, 50010-3014
Practice Phone
: 515-239-4456;
Practice Fax
: 515-239-4761
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1134235880 -
HARBORSIDE OF OHIO LIMITED PARTNERSHIP
Other Name
:
Mailing Address
:
101 SUN AVE NE
COMPLIANCE DEPARTMENT
ALBUQUERQUE
NM
87109-4373
Phone
: 505-468-5604;
Fax
: 505-468-4681;
Practice Location Address
:
1104 WESLEY AVE
,
, BRYAN
, OH
, 43506-2579
Practice Phone
: 419-636-5071;
Practice Fax
: 419-636-3894
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1417063173 -
KRISTIN
K.
CARR
PA-C
Other Name
:
Mailing Address
:
4057 ASBURY AVE
TINTON FALLS
NJ
07753-7700
Phone
: 732-922-1222;
Fax
: 732-922-7708;
Practice Location Address
:
4057 ASBURY AVE
,
, TINTON FALLS
, NJ
, 07753-7700
Practice Phone
: 732-922-1222;
Practice Fax
: 732-922-7708
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1326154089 -
MS.
MS.
ABIGAIL
SUSANNAH
HOLBROOK
LCSW
Other Name
:
Mailing Address
:
PO BOX 7742
ATHENS
GA
30604-7742
Phone
: 706-424-4814;
Fax
: 706-424-4814;
Practice Location Address
:
1551 JENNINGS MILL RD
, SUITE 3200 A
, WATKINSVILLE
, GA
, 30677-7244
Practice Phone
: 706-424-4814;
Practice Fax
: 706-424-4814
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1235245994 -
BILLIE
W.
BRUNER
M.D.
Other Name
:
Mailing Address
:
PO BOX 321360
FLOWOOD
MS
39232-1360
Phone
: 601-936-0681;
Fax
: 601-936-0686;
Practice Location Address
:
1026 N FLOWOOD DR
,
, FLOWOOD
, MS
, 39232-9532
Practice Phone
: 601-936-0681;
Practice Fax
: 601-936-0686
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1144336801 -
STACY
INMAN
PHARMD, CDE
Other Name
:
Mailing Address
:
771 BROADWAY
FALL RIVER
MA
02724-2700
Phone
: ;
Fax
: ;
Practice Location Address
:
1 CVS DR
,
, WOONSOCKET
, RI
, 02895-6146
Practice Phone
: 401-770-3764;
Practice Fax
: 401-652-1889
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1053427716 -
DR.
DR.
CHARLEEN
L.
ISE
MD
Other Name
:
Mailing Address
:
PO BOX 530968
ST PETERSBURG
FL
33747-0968
Phone
: 727-823-2188;
Fax
: 727-828-0723;
Practice Location Address
:
1120 PINELLAS BAYWAY
, STE 200
, TIERRA VERDE
, FL
, 33715-1505
Practice Phone
: 727-867-5480;
Practice Fax
: 727-867-5470
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1962518621 -
MAUREEN
ELIZABETH
ONEILL
PAC
Other Name
:
Mailing Address
:
#1 JEFFERSON BARRACKS DRIVE
VA HEARTLAND-EAST, VISN15
SAINT LOUIS
MO
63125-1621
Phone
: 314-652-4100;
Fax
: ;
Practice Location Address
:
#1 JEFFERSON BARRACKS DRIVE
, VA HEARTLAND-EAST, VISN 15
, SAINT LOUIS
, MO
, 63125
Practice Phone
: 314-652-4100;
Practice Fax
:
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1871609537 -
RICARDO TDD CARTER MD LLC
Other Name
:
Mailing Address
:
310 ELECTRIC AVE
SUITE 231
LEWISTOWN
PA
17044-1369
Phone
: 717-242-3760;
Fax
: 717-242-6230;
Practice Location Address
:
310 ELECTRIC AVE
, SUITE 231
, LEWISTOWN
, PA
, 17044-1369
Practice Phone
: 717-242-3760;
Practice Fax
: 717-242-6230
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1780790444 -
RICHARD
A
STONE
M.D.
Other Name
:
Mailing Address
:
2200 JEFFERSON AVE
5TH FLOOR MERCY PHO/CVO
TOLEDO
OH
43604-7101
Phone
: 419-251-9830;
Fax
: 419-251-1826;
Practice Location Address
:
60 MERCY CT
,
, IRVINE
, KY
, 40336-1331
Practice Phone
: 606-726-6540;
Practice Fax
: 606-723-4364
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1740396423 -
DARIELA
ANNE
RODRIGUEZ
COUNSELOR
Other Name
:
Mailing Address
:
1445 ROOKLIDGE ST
DUPONT
WA
98327-9745
Phone
: 253-583-1720;
Fax
: ;
Practice Location Address
:
9600 VETERANS DR SW
,
, TACOMA
, WA
, 98493-0003
Practice Phone
: 253-583-1720;
Practice Fax
:
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1659487338 -
MS.
MS.
DEBORAH
LYNN
HALLQUIST
RN, MSN, CRNP, RNFA
Other Name
:
Mailing Address
:
308 CLEMENTS BRIDGE RD
BARRINGTON
NJ
08007-1808
Phone
: 215-823-5800;
Fax
: 215-823-4309;
Practice Location Address
:
1 UNIVERSITY MEWS
,
, PHILADELPHIA
, PA
, 19104-4756
Practice Phone
: 215-823-5800;
Practice Fax
: 215-823-4309
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1568578243 -
TRICIA
T
ROCHAT
FNP
Other Name
:
Mailing Address
:
1800 GARNER FIELD RD
UVALDE
TX
78801-6210
Phone
: 830-278-4453;
Fax
: 830-278-3427;
Practice Location Address
:
1800 GARNER FIELD RD
,
, UVALDE
, TX
, 78801-6210
Practice Phone
: 830-278-4453;
Practice Fax
: 830-278-3427
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1477669158 -
JAMES
S.
HENSON
JR.
D.D.S.
Other Name
:
Mailing Address
:
115 N DIXIE DR
SUITE 430
LAKE JACKSON
TX
77566-5903
Phone
: 979-297-0000;
Fax
: 979-297-2012;
Practice Location Address
:
115 N DIXIE DR
, SUITE 430
, LAKE JACKSON
, TX
, 77566-5903
Practice Phone
: 979-297-0000;
Practice Fax
: 979-297-2012
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1386750065 -
ERIC
BRYSON
THOMSON
MD
Other Name
:
Mailing Address
:
515 N SUMMIT ST
ARKANSAS CITY
KS
67005-2227
Phone
: 620-660-2292;
Fax
: ;
Practice Location Address
:
515 N SUMMIT ST
,
, ARKANSAS CITY
, KS
, 67005-2227
Practice Phone
: 620-660-2292;
Practice Fax
:
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1194831875 -
MS.
MS.
MARY
D
MOSTER
CPNP
Other Name
:
Mailing Address
:
3302 ALBERT LONG DR
HARRISONBURG
VA
22801-2473
Phone
: 540-434-0898;
Fax
: 540-433-9268;
Practice Location Address
:
3302 ALBERT LONG DR
,
, HARRISONBURG
, VA
, 22801-2473
Practice Phone
: 540-434-0898;
Practice Fax
: 540-433-9268
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1003922782 -
JULIAN
VASSAY
M.D.
Other Name
:
Mailing Address
:
1005 HEALTH CENTER DR STE 201
MATTOON
IL
61938-4693
Phone
: 217-238-6055;
Fax
: 217-258-2216;
Practice Location Address
:
101 PROFESSIONAL PLAZA
,
, MATTOON
, IL
, 61938
Practice Phone
: 217-258-2110;
Practice Fax
: 217-238-3434
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1912013699 -
JOSE
A
ALVAREZ
MD
Other Name
:
Mailing Address
:
3300 S FISKE BLVD
ROCKLEDGE
FL
32955-4306
Phone
: 321-361-5618;
Fax
: 321-951-7408;
Practice Location Address
:
205 E NASA BLVD STE 200
,
, MELBOURNE
, FL
, 32901-1954
Practice Phone
: 321-723-9175;
Practice Fax
: 321-723-9176
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1821104506 -
JONATHAN
W
BRUMMOND
P.A.
Other Name
:
Mailing Address
:
2100 POWELL ST
SUITE 900
EMERYVILLE
CA
94608-1826
Phone
: 510-350-2600;
Fax
: 510-879-9100;
Practice Location Address
:
800 S MAIN ST
,
, CORONA
, CA
, 92882-3420
Practice Phone
: 909-736-6241;
Practice Fax
:
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1730295411 -
WILLIAM
JOSEPH
LEUSCHKE
MD
Other Name
:
Mailing Address
:
301 BROWN SPRINGS RD
MONTGOMERY
AL
36117-7005
Phone
: 334-747-4159;
Fax
: ;
Practice Location Address
:
2065 E SOUTH BLVD STE 201
,
, MONTGOMERY
, AL
, 36116-2460
Practice Phone
: 334-747-7250;
Practice Fax
: 334-747-7270
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1316053002 -
ROBERT
L
MILNE
MD
Other Name
:
Mailing Address
:
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
201 CEDAR SE SUITE 306
, PMG GENERAL SURGERY CEDAR
, ALBUQUERQUE
, NM
, 87106
Practice Phone
: 505-563-1000;
Practice Fax
: 505-563-1010
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1225144918 -
LOUIS
T
CHAU
M.D.
Other Name
:
Mailing Address
:
2100 POWELL ST
SUITE 900
EMERYVILLE
CA
94608-1826
Phone
: 510-350-2600;
Fax
: 510-879-9100;
Practice Location Address
:
800 S MAIN ST
,
, CORONA
, CA
, 92882-3420
Practice Phone
: 909-736-6241;
Practice Fax
: 909-736-6283
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1194831883 -
NANCY
J
GERMER
MD
Other Name
:
Mailing Address
:
701 E HAMPDEN AVE
SUITE 120
ENGLEWOOD
CO
80113-2736
Phone
: 303-788-5483;
Fax
: ;
Practice Location Address
:
701 E HAMPDEN AVE
, SUITE 120
, ENGLEWOOD
, CO
, 80113-2736
Practice Phone
: 303-788-5483;
Practice Fax
:
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1003922790 -
CLINTON
S
ANDERSON
PA-C
Other Name
:
Mailing Address
:
269 MORGAN'S ROAD
ANIAK
AK
99557-0269
Phone
: 907-675-4556;
Fax
: 907-675-4687;
Practice Location Address
:
269 MORGAN'S ROAD
,
, ANIAK
, AK
, 99557-0269
Practice Phone
: 907-675-4556;
Practice Fax
: 907-675-4687
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1912013608 -
CARE REHABILITATION PHYSICAL THERAPY SERVICES, INC.
Other Name
:
Mailing Address
:
686 S 8TH ST
GRIFFIN
GA
30224-4214
Phone
: 770-229-5068;
Fax
: 770-228-8353;
Practice Location Address
:
686 S 8TH ST
,
, GRIFFIN
, GA
, 30224-4214
Practice Phone
: 770-229-5068;
Practice Fax
: 770-228-8353
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1821104514 -
HAMP
HUNTER
GREENE
III
M.D.
Other Name
:
Mailing Address
:
301 BROWN SPRINGS RD
MONTGOMERY
AL
36117-7005
Phone
: 334-273-4159;
Fax
: 334-273-4290;
Practice Location Address
:
2065 E SOUTH BLVD
, SUITE 201
, MONTGOMERY
, AL
, 36116-2458
Practice Phone
: 334-747-7250;
Practice Fax
: 334-747-7270
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1366558058 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1275649964 -
MRS.
MRS.
MARION
DAVIES
PT
Other Name
:
Mailing Address
:
3161 CAHABA HEIGHTS RD
SUITE 101
BIRMINGHAM
AL
35243-5222
Phone
: 205-969-3555;
Fax
: 205-969-3573;
Practice Location Address
:
3161 CAHABA HEIGHTS RD
, SUITE 101
, BIRMINGHAM
, AL
, 35243-5222
Practice Phone
: 205-969-3555;
Practice Fax
: 205-969-3573
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1184730871 -
ARUN
LALL
M.D.
Other Name
:
Mailing Address
:
5227 IVYSTONE CT
SUGAR LAND
TX
77479-4105
Phone
: ;
Fax
: ;
Practice Location Address
:
4120 SOUTHWEST FWY
, SUITE 100
, HOUSTON
, TX
, 77027-7339
Practice Phone
: 713-626-8500;
Practice Fax
: 713-626-8560
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1992811681 -
JAMES
HARTMAN
SUHRER
JR.
MD
Other Name
:
Mailing Address
:
300 E MCBEE AVE FL 4
GREENVILLE
SC
29601-2842
Phone
: 864-522-8603;
Fax
: ;
Practice Location Address
:
701 GROVE RD
, 5TH FLOOR
, GREENVILLE
, SC
, 29605-5611
Practice Phone
: 864-455-4411;
Practice Fax
: 864-455-4480
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1972619674 -
ROBERT
E
SCHRAM
M.A., T.L.L.P
Other Name
:
Mailing Address
:
2030 WAITE AVE
KALAMAZOO
MI
49008-1716
Phone
: 269-760-6746;
Fax
: ;
Practice Location Address
:
5340 HOLIDAY TER
,
, KALAMAZOO
, MI
, 49009-2196
Practice Phone
: 269-372-4140;
Practice Fax
:
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1881700581 -
SAMUEL
J
PIERCE
MD
Other Name
:
Mailing Address
:
8601 VILLAGE DRIVE
SUITE 224
SAN ANTONIO
TX
78217-5509
Phone
: 210-656-3533;
Fax
: 210-656-4493;
Practice Location Address
:
1503 SW LOOP 410
, SUITE 113
, SAN ANTONIO
, TX
, 78227-1681
Practice Phone
: 210-656-3533;
Practice Fax
: 210-656-4493
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1699881391 -
DR.
DR.
WILLIAM
W.
BABINGTON
DDS
Other Name
:
Mailing Address
:
3910 CENTREVILLE RD
SUITE 200
CHANTILLY
VA
20151-3279
Phone
: 703-378-5600;
Fax
: 703-378-1724;
Practice Location Address
:
3910 CENTREVILLE RD
, SUITE 200
, CHANTILLY
, VA
, 20151-3279
Practice Phone
: 703-378-5600;
Practice Fax
: 703-378-1724
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1508972209 -
DR.
DR.
KRISTINA
DEETER
M.D.
Other Name
:
Mailing Address
:
1117 E HALLANDALE BEACH BLVD
HALLANDALE
FL
33009
Phone
: 954-457-8771;
Fax
: 954-266-4006;
Practice Location Address
:
3501 JOHNSON ST
, DIVISION OF PEDIATRIC CRITICAL CARE
, HOLLYWOOD
, FL
, 33021-5421
Practice Phone
: 954-265-6301;
Practice Fax
: 954-985-1434
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1417063116 -
VILLAGE OF BROOKFIELD
Other Name
:
Mailing Address
:
395 W LAKE ST
ELMHURST
IL
60126-1508
Phone
: 630-903-2372;
Fax
: 630-903-2830;
Practice Location Address
:
9001 SHIELDS AVE
,
, BROOKFIELD
, IL
, 60513-2009
Practice Phone
: 708-485-0076;
Practice Fax
: 708-387-2733
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1326154022 -
DR.
DR.
FRAN
E.
STORCH
N.D.
Other Name
:
Mailing Address
:
203 STORRS RD
P.O. BOX 406
MANSFIELD CENTER
CT
06250-1638
Phone
: 860-423-2759;
Fax
: 860-423-9676;
Practice Location Address
:
203 STORRS RD
,
, MANSFIELD CENTER
, CT
, 06250-1638
Practice Phone
: 860-423-2759;
Practice Fax
: 860-423-9676
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1235245937 -
MR.
MR.
NICOLAS
PAVOURIS
MD
Other Name
:
Mailing Address
:
10051 5TH STREET NORTH #200
JSA HEALTHCARE CORPORATION
ST. PETERSBURG
FL
33702-2211
Phone
: 727-828-2376;
Fax
: 727-568-6011;
Practice Location Address
:
1200 S. PINELLAS AVE # 11
, JSA TARPON SOUTH PRIMARY CARE CENTER
, TARPON SPRINGS
, FL
, 34689-3716
Practice Phone
: 727-942-8900;
Practice Fax
:
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1083720981 -
DR.
DR.
MICHAEL
J.
TOBIN
M.D.
Other Name
:
Mailing Address
:
34121 EAGLE WAY
CHICAGO
IL
60678-1341
Phone
: 224-231-4363;
Fax
: ;
Practice Location Address
:
660 N WESTMORELAND RD
,
, LAKE FOREST
, IL
, 60045-1659
Practice Phone
: 847-535-6100;
Practice Fax
:
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1891801791 -
MEDICAL NUTRITIONAL THERAPISTS, INC.
Other Name
:
Mailing Address
:
4210 FLAGSTAFF CV
FORT WAYNE
IN
46815-4417
Phone
: 260-489-9009;
Fax
: 260-489-5057;
Practice Location Address
:
410 FINZER STREET #302
,
, LOUISVILLE
, KY
, 40203
Practice Phone
: 800-245-9009;
Practice Fax
: 260-489-5057
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1700992609 -
LISA
H
ROSELLI
MACCCA
Other Name
:
Mailing Address
:
115 LINCOLN RD
MEDFORD
NY
11763-1655
Phone
: 516-617-1599;
Fax
: ;
Practice Location Address
:
450 WILLIAM FLOYD PKWY STE B
,
, SHIRLEY
, NY
, 11967-3480
Practice Phone
: 516-617-1599;
Practice Fax
:
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1619083516 -
UNITED MOBILE IMAGING INC
Other Name
:
Mailing Address
:
2554 LEWISVILLE CLEMMONS RD
SUITE 201 BOX 11
CLEMMONS
NC
27012-8110
Phone
: 800-983-9840;
Fax
: 800-983-9841;
Practice Location Address
:
2554 LEWISVILLE CLEMMONS RD
, SUITE 201 BOX 11
, CLEMMONS
, NC
, 27012-8110
Practice Phone
: 800-983-9840;
Practice Fax
: 800-983-9841
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1053427963 -
DR.
DR.
DONNA
M
MARINO
PSYD
Other Name
:
Mailing Address
:
1101 LAKE ST
STE 310
OAK PARK
IL
60301-1085
Phone
: 773-882-0373;
Fax
: 708-524-8758;
Practice Location Address
:
1101 LAKE ST
, STE 310
, OAK PARK
, IL
, 60301-1085
Practice Phone
: 773-882-0373;
Practice Fax
: 708-524-8758
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1962518878 -
CHRISTIAN HOSPITAL NORTHEAST NORTHWEST
Other Name
:
Mailing Address
:
11125 DUNN RD
SAINT LOUIS
MO
63136-6132
Phone
: 314-653-5200;
Fax
: 314-653-4115;
Practice Location Address
:
11125 DUNN RD
,
, SAINT LOUIS
, MO
, 63136-6132
Practice Phone
: 314-653-5200;
Practice Fax
: 314-653-4115
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1326154246 -
PROFESSIONAL PHARMACY SERVICES, INC.
Other Name
:
Mailing Address
:
201 E 4TH ST
900 OMNICARE CENTER
CINCINNATI
OH
45202-4248
Phone
: ;
Fax
: ;
Practice Location Address
:
7505 OSLER DR
,
, TOWSON
, MD
, 21204-7736
Practice Phone
: 410-337-0557;
Practice Fax
: 410-337-8975
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1598871410 -
DR.
DR.
CARMEN
MANUELA
KLASS
MD, PHD
Other Name
:
Mailing Address
:
531 ROSELANE ST NW STE 710
MARIETTA
GA
30060-6975
Phone
: 678-331-3297;
Fax
: 678-581-7187;
Practice Location Address
:
340 KENNESTONE HOSPITAL BLVD STE 100
,
, MARIETTA
, GA
, 30060-1158
Practice Phone
: 770-281-5100;
Practice Fax
: 678-581-7100
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1407962327 -
KAREN
M
WYSS
P.T.
Other Name
:
Mailing Address
:
521 E 86TH AVE
SUITE J
MERRILLVILLE
IN
46410-6173
Phone
: 219-756-2722;
Fax
: 219-736-2901;
Practice Location Address
:
521 E 86TH AVE
, SUITE J
, MERRILLVILLE
, IN
, 46410-6173
Practice Phone
: 219-756-2722;
Practice Fax
: 219-736-2901
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1316053234 -
DR.
DR.
JOSEPH
MATHEW
DUNN
D.C.
Other Name
:
JOSEPH
MATHEW
DUNN
Mailing Address
:
8879 DALLAS ACWORTH HWY
SUITE # 120
DALLAS
GA
30132-7905
Phone
: 678-574-3502;
Fax
: 678-574-3586;
Practice Location Address
:
8879 DALLAS ACWORTH HWY
, SUITE # 120
, DALLAS
, GA
, 30132
Practice Phone
: 678-574-3502;
Practice Fax
: 678-574-3586
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1225144140 -
DR.
DR.
ROHIT
MOHAN
KHANNA
M.D.
Other Name
:
Mailing Address
:
1640 POWERS FERRY RD SE
BLDG 17, STE 100
MARIETTA
GA
30067-5491
Phone
: 770-426-9929;
Fax
: 770-426-8293;
Practice Location Address
:
1640 POWERS FERRY RD SE
, BLDG 17, STE 100
, MARIETTA
, GA
, 30067-5491
Practice Phone
: 770-426-9929;
Practice Fax
: 770-426-8293
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1043326960 -
DR.
DR.
JERRY
LEE
SESSIONS
M.D.
Other Name
:
Mailing Address
:
19111 PUTTING GREEN DR
HUMBLE
TX
77346-6139
Phone
: 281-852-4253;
Fax
: 281-540-7393;
Practice Location Address
:
18951 N MEMORIAL DR
,
, HUMBLE
, TX
, 77338-4217
Practice Phone
: 281-540-6453;
Practice Fax
: 281-540-7393
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1952417875 -
JAIME
JOSE
ALLEYN
MD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
NEW ORLEANS
LA
70112-1221
Phone
: ;
Fax
: ;
Practice Location Address
:
2820 NAPOLEON AVE
, SUITE 700
, NEW ORLEANS
, LA
, 70115-6969
Practice Phone
: 504-412-1310;
Practice Fax
: 504-412-1520
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1841306768 -
DR.
DR.
MATTHEW
S
BARGAS
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
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-202-8332;
Practice Fax
: 904-390-3429
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1548376460 -
MS.
MS.
MARGARET
ASHLEY
HOUSTON
ARNP
Other Name
:
Mailing Address
:
807 CHILDRENS WAY
JACKSONVILLE
FL
32207-8426
Phone
: 904-390-3490;
Fax
: 904-390-3422;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3490;
Practice Fax
: 302-651-4945
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1457467375 -
DR.
DR.
BONNIE
B.
HUDAK
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
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3788;
Practice Fax
: 904-390-3429
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1366558280 -
MS.
MS.
KATHRYN
E.
KINYON-MUNCH
ARNP
Other Name
:
Mailing Address
:
NEMOURS CHILDREN&APOS S CLINIC
PO BOX 409992
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3788;
Practice Fax
: 904-390-3429
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1881700714 -
GAYLIN
LACK
M.D.
Other Name
:
Mailing Address
:
500 HEALTH CENTER DR
SUITE 101
MATTOON
IL
61938-9258
Phone
: 217-238-3435;
Fax
: ;
Practice Location Address
:
500 HEALTH CENTER DR
, SUITE 101
, MATTOON
, IL
, 61938-9258
Practice Phone
: 217-238-3435;
Practice Fax
:
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1699881524 -
BRYAN
H
LABUS
DC
Other Name
:
Mailing Address
:
4005 GATEWAY DR STE 200
COLLEYVILLE
TX
76034-5906
Phone
: 817-868-0252;
Fax
: 817-868-0245;
Practice Location Address
:
4005 GATEWAY DR STE 200
,
, COLLEYVILLE
, TX
, 76034-5906
Practice Phone
: 817-868-0252;
Practice Fax
: 817-868-0245
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1417063348 -
RACHAEL
MARTIN
PT
Other Name
:
RACHAEL
HARRISON
Mailing Address
:
3196 155TH ST
MUSCATINE
IA
52761-9736
Phone
: ;
Fax
: ;
Practice Location Address
:
400 OVESON DR
,
, WILTON
, IA
, 52778-9612
Practice Phone
: 563-732-4317;
Practice Fax
: 563-732-4318
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1326154253 -
DR.
DR.
AMOR
KHACHEMOUNE
MD
Other Name
:
Mailing Address
:
1117 BRENTFIELD DR
MC LEAN
VA
22101-2913
Phone
: 703-748-6965;
Fax
: ;
Practice Location Address
:
1117 BRENTFIELD DR
,
, MC LEAN
, VA
, 22101-2913
Practice Phone
: 703-748-6965;
Practice Fax
:
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1598871428 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1407962335 -
PIPESTONE COUNTY MEDICAL CENTER
Other Name
:
Mailing Address
:
916 4TH AVE SW
PIPESTONE
MN
56164-1890
Phone
: ;
Fax
: ;
Practice Location Address
:
916 4TH AVE SW
,
, PIPESTONE
, MN
, 56164-1890
Practice Phone
: 507-825-5811;
Practice Fax
:
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1316053242 -
NORTHWEST ARKANSAS HOSPITALS LLC
Other Name
:
Mailing Address
:
PO BOX 840448
DALLAS
TX
75284-0448
Phone
: 479-684-3064;
Fax
: ;
Practice Location Address
:
609 W MAPLE AVE
,
, SPRINGDALE
, AR
, 72764-5335
Practice Phone
: 479-751-5711;
Practice Fax
: 479-757-2908
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1225144157 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1134235062 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1043326978 -
AMBER
GUL
M.D.
Other Name
:
Mailing Address
:
333 SCHOOL ST
SUITE 210
PAWTUCKET
RI
02860-5334
Phone
: 401-726-9790;
Fax
: 401-728-8606;
Practice Location Address
:
333 SCHOOL ST
, SUITE 210
, PAWTUCKET
, RI
, 02860-5334
Practice Phone
: 401-726-9790;
Practice Fax
: 401-728-8606
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1013023951 -
PETER G. HOVLAND, M.D.,PHD.
Other Name
:
Mailing Address
:
850 E HARVARD AVE
SUITE 155
DENVER
CO
80210-5031
Phone
: 303-778-1910;
Fax
: 303-698-2694;
Practice Location Address
:
850 E HARVARD AVE
, SUITE 155
, DENVER
, CO
, 80210-5031
Practice Phone
: 303-778-1910;
Practice Fax
: 303-698-2694
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1922114867 -
MISS
MISS
PAMELA
RESENDEZ
CRNA
Other Name
:
Mailing Address
:
WJB DORN VA MEDICAL CENTER
6439 GARNERS FERRY ROAD
COLUMBIA
SC
29209
Phone
: 803-776-4000;
Fax
: ;
Practice Location Address
:
WJB DORN VA MEDICAL CENTER
, 6439 GARNERS FERRY ROAD
, COLUMBIA
, SC
, 29209
Practice Phone
: 803-776-4000;
Practice Fax
:
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1831205772 -
DR.
DR.
DAVID
R.
REAGAN
M.D.
Other Name
:
Mailing Address
:
1209 PLANTATION DR
JOHNSON CITY
TN
37604-6311
Phone
: 423-929-0403;
Fax
: ;
Practice Location Address
:
JAMES H. QUILLEN VA MEDICAL CENTER
, CORNER OF SIDNEY AND LAMONT
, MOUNTAIN HOME
, TN
, 37684-4000
Practice Phone
: 423-979-3449;
Practice Fax
: 423-979-3572
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1740396688 -
DR.
DR.
EMILIO
E.
ANTUNANO
M.D.
Other Name
:
Mailing Address
:
1724 AIRPORT RD
WATERFORD
MI
48327-1390
Phone
: 248-673-5520;
Fax
: 248-673-1145;
Practice Location Address
:
1724 AIRPORT RD
,
, WATERFORD
, MI
, 48327-1390
Practice Phone
: 248-673-5520;
Practice Fax
: 248-673-1145
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1447366398 -
MR.
MR.
GARY
WILLIAM
POLLITZ
LMSW
Other Name
:
Mailing Address
:
3493 WOODS EDGE DR
SUITE 103
OKEMOS
MI
48864-6030
Phone
: 517-886-3707;
Fax
: 517-349-1973;
Practice Location Address
:
3493 WOODS EDGE DR
, SUITE 103
, OKEMOS
, MI
, 48864-6030
Practice Phone
: 517-886-3707;
Practice Fax
: 517-349-1973
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1356457204 -
BENEFIS HEALTHCARE PRACTITIONERS
Other Name
:
Mailing Address
:
2519 13TH AVE S
GREAT FALLS
MT
59405-5178
Phone
: 406-455-4470;
Fax
: 406-268-0084;
Practice Location Address
:
1300 28TH ST S
, SUITE 4
, GREAT FALLS
, MT
, 59405-5296
Practice Phone
: 406-455-4300;
Practice Fax
: 406-455-4310
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1265548119 -
GREEN BROTHERS PHARMACY INC
Other Name
:
Mailing Address
:
1610 N EL DORADO ST STE 1
STOCKTON
CA
95204-5930
Phone
: ;
Fax
: ;
Practice Location Address
:
1610 N EL DORADO ST STE 1
,
, STOCKTON
, CA
, 95204-5930
Practice Phone
: 209-466-2381;
Practice Fax
: 209-465-1398
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1174639025 -
MARIO
S
GRASSO
M.D.
Other Name
:
Mailing Address
:
41 MALL RD
BURLINGTON
MA
01805-0001
Phone
: 781-744-8132;
Fax
: 781-744-2273;
Practice Location Address
:
41 MALL RD
,
, BURLINGTON
, MA
, 01805-0001
Practice Phone
: 781-744-8132;
Practice Fax
: 781-744-2273
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1083720932 -
MARIA
T
GUALTIERI
M.D.
Other Name
:
Mailing Address
:
MILFORD IMAGING/RADIOLOGY
14 PROSPECT STREET
MILFORD
MA
01757
Phone
: 508-422-2922;
Fax
: ;
Practice Location Address
:
MILFORD IMAGING/RADIOLOGY
, 14 PROSPECT STREET
, MILFORD
, MA
, 01757
Practice Phone
: 508-422-2922;
Practice Fax
:
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1891801742 -
DR.
DR.
SAMAR
S
HABL
M.D.
Other Name
:
Mailing Address
:
260 PITTSFIELD RD UNIT D4
LENOX
MA
01240-2137
Phone
: 413-931-5237;
Fax
: ;
Practice Location Address
:
AUSTEN RIGGS CENTER
, 25 MAIN STREET
, STOCKBRIDGE
, MA
, 01262
Practice Phone
: 413-931-5237;
Practice Fax
:
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1255447108 -
LONGS DRUG STORES CALIFORNIA LLC
Other Name
:
Mailing Address
:
1 CVS DR
P.O. BOX 1075
WOONSOCKET
RI
02895-6146
Phone
: 401-765-1500;
Fax
: 401-770-7108;
Practice Location Address
:
1299 E ONTARIO AVE
,
, CORONA
, CA
, 92881
Practice Phone
: 951-270-2073;
Practice Fax
: 951-270-2077
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1164538013 -
MR.
MR.
EUGENE
J
LEWIS
JR.
CRNP
Other Name
:
Mailing Address
:
353 N DUFFY RD
BUTLER
PA
16001-1138
Phone
: 878-271-6936;
Fax
: ;
Practice Location Address
:
1 UNIVERSITY AVE
, VA MEDICAL CENTER DELAFIELD ROAD
, PITTSBURGH
, PA
, 15214-3817
Practice Phone
: 412-784-3537;
Practice Fax
:
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1073629929 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1982710836 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1790891646 -
VICKI
A
OHLER
CRNP
Other Name
:
Mailing Address
:
118 WASHINGTON ST
HARRISBURG
PA
17104-1677
Phone
: ;
Fax
: ;
Practice Location Address
:
2645 N 3RD ST
,
, HARRISBURG
, PA
, 17110-2001
Practice Phone
: 717-782-4650;
Practice Fax
: 717-782-4665
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1609982552 -
SYDNEY EPSTEIN DMD & JOHN A GANNATTI DDS PC
Other Name
:
Mailing Address
:
836 FARMINGTON AVE
SUITE 120
WEST HARTFORD
CT
06119-1505
Phone
: 860-523-4239;
Fax
: 860-232-9752;
Practice Location Address
:
836 FARMINGTON AVE
, SUITE 120
, WEST HARTFORD
, CT
, 06119-1505
Practice Phone
: 860-523-4239;
Practice Fax
: 860-232-9752
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1659487510 -
STACEY
M
PEARSON
PHD
Other Name
:
Mailing Address
:
514 E WILLIAM ST STE A
ANN ARBOR
MI
48104-2446
Phone
: 734-657-2803;
Fax
: ;
Practice Location Address
:
514 E WILLIAM ST STE A
,
, ANN ARBOR
, MI
, 48104-2446
Practice Phone
: 734-657-2803;
Practice Fax
:
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1568578425 -
CHANDRIKA
KAMBAM
M.D.
Other Name
:
Mailing Address
:
4234 AVALON DR
WEYMOUTH
MA
02188-4613
Phone
: 508-894-0400;
Fax
: ;
Practice Location Address
:
BRIDGEWATER GODDARD MEDICAL PARK ASSOC.
, 110 LIBERTY STREET
, BROCKTON
, MA
, 02301
Practice Phone
: 508-894-0400;
Practice Fax
:
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1477669331 -
ELIZABETH
A
KONIG
M.D.
Other Name
:
Mailing Address
:
2000 WASHINGTON ST STE 768
NEWTON
MA
02462-1645
Phone
: 617-332-2345;
Fax
: 617-332-0435;
Practice Location Address
:
NEWTON WELLESLEY OB/GYN
, 2000 WASHINGTON STREET
, NEWTON
, MA
, 02462
Practice Phone
: 617-332-2345;
Practice Fax
: 617-332-0435
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1386750248 -
LYNANNE BALLELLI
MORGANSTERN
M.D.
Other Name
:
Mailing Address
:
47 COTE RD
MONSON
MA
01057-9763
Phone
: 617-273-2966;
Fax
: ;
Practice Location Address
:
MCKESSON CORPORATION
, 275 GROVE STREET, SUITE 1 - 110
, NEWTON
, MA
, 02466
Practice Phone
: 617-273-2966;
Practice Fax
:
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1194831057 -
AARON
J
NOTESTINE
M.D.
Other Name
:
Mailing Address
:
2003 KOOTENAI HEALTH WAY
COEUR D ALENE
ID
83814-6051
Phone
: 208-625-5085;
Fax
: 208-625-5731;
Practice Location Address
:
700 W IRONWOOD DR
, 320
, COEUR D ALENE
, ID
, 83814-2656
Practice Phone
: 208-625-5250;
Practice Fax
: 208-625-5251
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1003922964 -
ENRIQUE
B
PENA
M.D.
Other Name
:
Mailing Address
:
1400 N IH 35
SUITE 300
AUSTIN
TX
78701-1926
Phone
: 512-324-8300;
Fax
: ;
Practice Location Address
:
1004 W 32ND ST STE 200
,
, AUSTIN
, TX
, 78705-1918
Practice Phone
: 512-324-3580;
Practice Fax
: 512-324-3581
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1639285596 -
MASAHIKO
SATO
EDD, LMFT, LPCC
Other Name
:
Mailing Address
:
1500 1ST AVE NE STE 201A
ROCHESTER
MN
55906-4311
Phone
: 507-218-8228;
Fax
: ;
Practice Location Address
:
1500 1ST AVE NE STE 201A
,
, ROCHESTER
, MN
, 55906-4311
Practice Phone
: 507-218-8228;
Practice Fax
:
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1548376403 -
DR.
DR.
JAMES
MONROE
ROBERSON
JR.
DDS
Other Name
:
Mailing Address
:
127 SOUTH KENTUCKY STREET
PO BOX 68
PENNINGTON GAP
VA
24277
Phone
: 276-546-3121;
Fax
: 276-546-3636;
Practice Location Address
:
127 SOUTH KENTUCKY STREET
,
, PENNINGTON GAP
, VA
, 24277
Practice Phone
: 276-546-3121;
Practice Fax
: 276-546-3636
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1457467318 -
EMILY
A
FITE
FNP
Other Name
:
Mailing Address
:
1300 SUNSET DR
SUITE Q
GRENADA
MS
38901-4086
Phone
: 662-294-9101;
Fax
: 662-294-9104;
Practice Location Address
:
1300 SUNSET DR
, SUITE Q
, GRENADA
, MS
, 38901-4086
Practice Phone
: 662-294-9101;
Practice Fax
: 662-294-9104
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1235245192 -
DR.
DR.
BENJAMIN
SCOTT
FOY
DDS
Other Name
:
Mailing Address
:
2201 TAYLOR RD
MONTGOMERY
AL
36117-3498
Phone
: 334-279-1050;
Fax
: ;
Practice Location Address
:
2201 TAYLOR RD
,
, MONTGOMERY
, AL
, 36117-3498
Practice Phone
: 334-279-1050;
Practice Fax
:
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1144336009 -
MANOJ
MATHEW
M.D.
Other Name
:
Mailing Address
:
7301 N LINCOLN AVE
STE 183
LINCOLNWOOD
IL
60712-1736
Phone
: 224-766-7669;
Fax
: 847-674-0892;
Practice Location Address
:
7301 N LINCOLN AVE
,
, LINCOLNWOOD
, IL
, 60712-1709
Practice Phone
: 224-766-7669;
Practice Fax
: 847-674-0892
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1053427914 -
MRS.
MRS.
MARIE
C
FARRELL
RN
Other Name
:
Mailing Address
:
245 BURGER ROAD
RHINEBECK
NY
12572
Phone
: 845-876-6641;
Fax
: ;
Practice Location Address
:
15 JOYS LANE
, WILLCARE
, KINGSTON
, NY
, 12401-3705
Practice Phone
: 845-331-5064;
Practice Fax
: 845-331-0492
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1962518829 -
DR.
DR.
ROGER
LEE
MYERS
D.M.D.
Other Name
:
Mailing Address
:
180 CAPULET DR STE 3
ST AUGUSTINE
FL
32092-4541
Phone
: 904-299-2942;
Fax
: 904-299-2943;
Practice Location Address
:
180 CAPULET DR STE 3
,
, ST AUGUSTINE
, FL
, 32092-4541
Practice Phone
: 904-299-2942;
Practice Fax
: 904-299-2943
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1871609735 -
THE COBB FOUNDATION, INC.
Other Name
:
Mailing Address
:
PO BOX 280
HARTWELL
GA
30643-0280
Phone
: 706-856-6100;
Fax
: 706-856-6117;
Practice Location Address
:
138 W GIBSON ST
,
, HARTWELL
, GA
, 30643-1847
Practice Phone
: 706-856-6100;
Practice Fax
: 706-856-6294
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1780790642 -
DR.
DR.
SAM
AKHRASS
D.D.S.
Other Name
:
Mailing Address
:
603 HIGHWAY 321 N
LENOIR CITY
TN
37771-6575
Phone
: 865-986-0842;
Fax
: 865-986-6459;
Practice Location Address
:
603 HIGHWAY 321 N
,
, LENOIR CITY
, TN
, 37771-6575
Practice Phone
: 865-986-0842;
Practice Fax
: 865-986-6459
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1386750149 -
DR.
DR.
PATRICIA
L
RICH
MD
Other Name
:
PATRICIA
THOMPSON
Mailing Address
:
600 CELEBRATE LIFE PKWY
NEWNAN
GA
30265-8001
Phone
: 312-519-8308;
Fax
: ;
Practice Location Address
:
1800 HOWELL MILL RD NW STE 130
,
, ATLANTA
, GA
, 30318-0916
Practice Phone
: 404-605-5000;
Practice Fax
:
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1194831958 -
JEAN LOUIS
MAX
DUPITON
MD
Other Name
:
Mailing Address
:
35 N TYSON AVE STE 100
FLORAL PARK
NY
11001-1469
Phone
: 718-276-7935;
Fax
: ;
Practice Location Address
:
35 N TYSON AVE STE 100
,
, FLORAL PARK
, NY
, 11001-1469
Practice Phone
: 718-276-7935;
Practice Fax
: 347-233-4330
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