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Showing codes 1821061169 — 1144294562
1821061169 -
DR.
DR.
FRANCISCO
SILVEIRA
ESCOBAR
MD
Other Name
:
Mailing Address
:
640 W WASHINGTON ST
PITTSFIELD
IL
62363-1350
Phone
: 217-285-2113;
Fax
: ;
Practice Location Address
:
640 W WASHINGTON ST
,
, PITTSFIELD
, IL
, 62363-1350
Practice Phone
: 217-285-2113;
Practice Fax
:
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1346213394 -
STEPHEN
KEITH
BROCKWAY
MD
Other Name
:
Mailing Address
:
2340 CLAY ST FL 7
CALIFORNIA PACIFIC MEDICAL CENTER
SAN FRANCISCO
CA
94115-1932
Phone
: 415-600-5739;
Fax
: ;
Practice Location Address
:
2340 CLAY ST FL 7
, CALIFORNIA PACIFIC MEDICAL CENTER
, SAN FRANCISCO
, CA
, 94115-1932
Practice Phone
: 415-600-5739;
Practice Fax
:
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1063485019 -
CONNIE
C
STEHMAN
CRNP
Other Name
:
CONSTANCE
EMILY
CURTIS STEHMAN
Mailing Address
:
PO BOX 134
134 FAIRVIEW AVE
BAUSMAN
PA
17504-0134
Phone
: 717-394-6488;
Fax
: ;
Practice Location Address
:
31 S LIME ST
, PLANNED PARENTHOOD OF SUSQUEHANNA VALLEY
, LANCASTER
, PA
, 17602
Practice Phone
: 717-299-2891;
Practice Fax
: 717-299-2004
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1043283096 -
RONALD
WILLIAM
SIMONSEN
MD
Other Name
:
Mailing Address
:
341 BIRD AVE
WARREN
PA
16365
Phone
: 814-723-6858;
Fax
: ;
Practice Location Address
:
341 BIRD AVE
,
, WARREN
, PA
, 16365
Practice Phone
: 814-723-6858;
Practice Fax
:
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1295708261 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1326011495 -
NANCY
JOACHIM
M.D.
Other Name
:
Mailing Address
:
262 CENTRAL PARK W
APT # 1-D
NEW YORK
NY
10024-3512
Phone
: 212-877-1600;
Fax
: ;
Practice Location Address
:
262 CENTRAL PARK W
, # 1-D
, NEW YORK
, NY
, 10024-3512
Practice Phone
: 212-877-1600;
Practice Fax
:
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1437122512 -
DR.
DR.
PATRICIA
KILROY
DONAHOE
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST
, WRN 11
, BOSTON
, MA
, 02114-2621
Practice Phone
: 617-726-8839;
Practice Fax
: 617-726-2167
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1508839689 -
DR.
DR.
STEPHEN
JAMES
HATCH
MD
Other Name
:
Mailing Address
:
10228 DUPONT CIRCLE DR E
FORT WAYNE
IN
46825-1611
Phone
: 260-490-2525;
Fax
: 260-490-7254;
Practice Location Address
:
10228 DUPONT CIRCLE DR E
,
, FORT WAYNE
, IN
, 46825-1611
Practice Phone
: 260-490-2525;
Practice Fax
: 260-490-7254
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1316910888 -
DR.
DR.
SYLVIA
ILONA
NAGY
DMD
Other Name
:
Mailing Address
:
RTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRS
NAVAL HEALTH CARE NEW ENGLAND, GROTON
GROTON
CT
06349-5600
Phone
: 860-694-2377;
Fax
: 860-694-2590;
Practice Location Address
:
1173 WHIPPLE RD
, BRANCH DENTAL CLINIC NEWPORT
, NEWPORT
, RI
, 02841
Practice Phone
: 860-694-2377;
Practice Fax
: 860-694-3590
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1528031002 -
HECTOR
A
LINARES-MAGANA
MD
Other Name
:
HECTOR
A
LINARES
Mailing Address
:
PO BOX 6037
HOUMA
LA
70361-6037
Phone
: 985-873-4235;
Fax
: 985-851-4307;
Practice Location Address
:
8166 MAIN ST
,
, HOUMA
, LA
, 70360
Practice Phone
: 985-873-4141;
Practice Fax
: 985-851-4307
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1639142995 -
STEPHEN
LOCKARD
SNYDER
M.D.
Other Name
:
Mailing Address
:
1781 SUGAR FLAT RD
LEBANON
TN
37087-5223
Phone
: 615-449-0111;
Fax
: 615-449-8250;
Practice Location Address
:
1100 BROOKHAVEN RD
,
, FRANKLIN
, KY
, 42134-2746
Practice Phone
: 270-598-4832;
Practice Fax
: 270-586-0270
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1396718680 -
DR.
DR.
MICHAEL
R
DROULETTE
D.P.M.
Other Name
:
Mailing Address
:
11304 ODELL FARMS CT
BELTSVILLE
MD
20705-4106
Phone
: 301-595-7327;
Fax
: 202-833-5762;
Practice Location Address
:
1145 19TH ST NW
, SUITE #203
, WASHINGTON
, DC
, 20036-3701
Practice Phone
: 202-347-3296;
Practice Fax
: 202-833-5762
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1154394120 -
RANDALL
CRAIG
DUNCAN
DDS
Other Name
:
Mailing Address
:
559 VINCENT ST
21ST MEDICAL GROUP SGHQ
PETERSON AFB
CO
80914-1540
Phone
: 719-556-1060;
Fax
: 719-556-9677;
Practice Location Address
:
559 VINCENT ST
,
, PETERSON AIR FORCE BASE
, CO
, 80914-1540
Practice Phone
: 719-556-1060;
Practice Fax
: 719-556-9677
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1679546642 -
MR.
MR.
JOSEPH
ERVIN
HAWKINS
MA LPC LCDC
Other Name
:
Mailing Address
:
4319 HIGHPOINT LANE
HOUSTON
TX
77053
Phone
: 713-434-9355;
Fax
: ;
Practice Location Address
:
4319 HIGHPOINT LANE
,
, HOUSTON
, TX
, 77053
Practice Phone
: 713-434-9355;
Practice Fax
:
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1417920430 -
RICHARD
D
ANDERSEN
MD
Other Name
:
Mailing Address
:
2910 CENTRE POINTE DR
35-121A CHILDRENS HEALTH CARE
ROSEVILLE
MN
55113
Phone
: 651-855-2327;
Fax
: 651-855-2310;
Practice Location Address
:
347 N SMITH AVE
, CHILDRENS SPECIALTY CLINIC INFECTIOUS DISEASES STPL
, ST PAUL
, MN
, 55102
Practice Phone
: 651-220-6444;
Practice Fax
: 651-220-7233
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1225001738 -
ANGEL
KAREN
LUND
M.ED., VRC
Other Name
:
Mailing Address
:
PO BOX 1415
BREWSTER
WA
98812-1415
Phone
: 509-689-0737;
Fax
: ;
Practice Location Address
:
767B PARADISE HILL RD
,
, BREWSTER
, WA
, 98812-9517
Practice Phone
: 509-689-0737;
Practice Fax
:
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1831162353 -
JAMES
A
LOVETT
MD
Other Name
:
Mailing Address
:
80 HIGHLAND ST
LACONIA
NH
03246-3235
Phone
: 603-524-3211;
Fax
: 603-527-7038;
Practice Location Address
:
80 HIGHLAND ST
,
, LACONIA
, NH
, 03246-3235
Practice Phone
: 603-527-2819;
Practice Fax
: 603-527-2984
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1275506578 -
JOHN
WARREN
SULLIVAN
MD
Other Name
:
Mailing Address
:
175 DWIGHT RD
STE 301
LONGMEADOW
MA
01106
Phone
: 413-737-4746;
Fax
: 413-565-2297;
Practice Location Address
:
175 DWIGHT RD
, STE 301
, LONGMEADOW
, MA
, 01106
Practice Phone
: 413-737-4746;
Practice Fax
: 413-565-2297
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1023081320 -
DR.
DR.
FRANCINE
M
HENNESSEY
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
74 LOOMIS STREET
, PATRIOT PEDIATRICS
, BEDFORD
, MA
, 01730-2248
Practice Phone
: 781-674-2900;
Practice Fax
: 781-860-6226
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1427021633 -
CRAIG
WINDERMAN
M.D.
Other Name
:
Mailing Address
:
28 CRESCENT ST
MIDDLETOWN
CT
06457-3654
Phone
: 860-344-6394;
Fax
: 860-344-6748;
Practice Location Address
:
28 CRESCENT ST
,
, MIDDLETOWN
, CT
, 06457-3654
Practice Phone
: 860-344-6394;
Practice Fax
: 860-344-6748
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1376516591 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1558334441 -
DR.
DR.
JUDITH
NADINE
GRACIA
MD
Other Name
:
Mailing Address
:
100 N 20TH ST
CHCA
PHILADELPHIA
PA
19103-1443
Phone
: 215-567-2422;
Fax
: 215-561-0959;
Practice Location Address
:
34TH & CIVIC CENTER BLVD
, CHILDREN'S HOSPITAL OF PHILADELPHIA
, PHILADELPHIA
, PA
, 19104
Practice Phone
: 215-590-1000;
Practice Fax
: 215-561-0959
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1710950605 -
DR.
DR.
ROCCO
JOSEPH
ODDO
DDS
Other Name
:
Mailing Address
:
225 HOPKINS RD
WILLIAMSVILLE
NY
14221-3437
Phone
: 716-633-8108;
Fax
: ;
Practice Location Address
:
2887 ELMWOOD AVE
,
, KENMORE
, NY
, 14217-1326
Practice Phone
: 716-877-2275;
Practice Fax
:
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1245203132 -
PATRICK
ARTHUR
DREIS
PA
Other Name
:
Mailing Address
:
451 MAIN ST
BIG STONE CITY
SD
57216
Phone
: 605-862-7999;
Fax
: 605-862-7998;
Practice Location Address
:
451 MAIN ST
,
, BIG STONE CITY
, SD
, 57216
Practice Phone
: 605-862-7999;
Practice Fax
: 605-862-7998
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1487628491 -
MRS.
MRS.
JEWELL
PATRICIA
HICKMAN
LPC
Other Name
:
Mailing Address
:
9800 EDGEFIELD DR
SAINT LOUIS
MO
63136-5419
Phone
: 314-503-2696;
Fax
: 314-344-0983;
Practice Location Address
:
11138 OLD SAINT CHARLES RD
,
, SAINT ANN
, MO
, 63074-2113
Practice Phone
: 314-344-0983;
Practice Fax
: 314-344-0983
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1710951751 -
DR.
DR.
JEFFREY
WILLIAM
CLARK
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST
, HEMATOLOGY ONCOLOGY YAW 7
, BOSTON
, MA
, 02114
Practice Phone
: 617-724-4000;
Practice Fax
: 617-726-0452
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1831163799 -
DR.
DR.
EDUARDO
RAGOLTA
JR.
M.D.
Other Name
:
Mailing Address
:
7500 SW 8TH ST
SUITE 204
MIAMI
FL
33144-4400
Phone
: 305-262-0003;
Fax
: 305-262-5353;
Practice Location Address
:
7500 SW 8TH ST
, SUITE 204
, MIAMI
, FL
, 33144-4400
Practice Phone
: 305-262-0003;
Practice Fax
: 305-262-5353
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1902870058 -
MR.
MR.
THOMAS
CLINTON
BROACH
CRNA
Other Name
:
Mailing Address
:
834 E CATALINA CIR
FRESNO
CA
93720-0856
Phone
: 559-434-0521;
Fax
: ;
Practice Location Address
:
834 E CATALINA CIR
,
, FRESNO
, CA
, 93720-0856
Practice Phone
: 559-434-0521;
Practice Fax
:
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1992779045 -
DR.
DR.
NATAN
NOVISKI
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: ;
Fax
: ;
Practice Location Address
:
55 FRUIT ST
, PEDIATRIC CRITICAL CARE UNIT
, BOSTON
, MA
, 02114-2621
Practice Phone
: 617-724-4380;
Practice Fax
: 617-724-4391
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1629042775 -
DR.
DR.
DAVID
F M
BROWN
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST
, MGH - FOUNDERS 114
, BOSTON
, MA
, 02114-2621
Practice Phone
: 617-726-5273;
Practice Fax
: 617-726-0311
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1073587135 -
DR.
DR.
MAJID
SADIGH
MD
Other Name
:
Mailing Address
:
1625 STRAITS TPKE
SUITE #201
MIDDLEBURY
CT
06762-1805
Phone
: 203-573-9512;
Fax
: 203-568-2904;
Practice Location Address
:
140 GRANDVIEW AVE
, SUITE #101
, WATERBURY
, CT
, 06708-2505
Practice Phone
: 203-573-7284;
Practice Fax
: 203-568-2904
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1942274121 -
DORIS
HANNA
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
230 WORCESTER ST
,
, WELLESLEY
, MA
, 02481-5420
Practice Phone
: 781-431-5200;
Practice Fax
: 781-431-5298
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1285608000 -
HARINDER
P
GILL
MD
Other Name
:
Mailing Address
:
55 OLD TURNPIKE RD
SUITE 607
NANUET
NY
10954-2461
Phone
: 845-623-6661;
Fax
: 845-623-6698;
Practice Location Address
:
55 OLD TURNPIKE RD
, SUITE 607
, NANUET
, NY
, 10954-2461
Practice Phone
: 845-623-6661;
Practice Fax
: 845-623-6698
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1245204072 -
DR.
DR.
MARY
BRADLEY
Other Name
:
Mailing Address
:
220 RIVERSIDE BLVD
NEW YORK
NY
10069-1001
Phone
: 212-873-7146;
Fax
: ;
Practice Location Address
:
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
, 3959 BROADWAY
, NEW YORK
, NC
, 10032
Practice Phone
: 212-304-7297;
Practice Fax
: 212-544-1974
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1487628129 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1669446662 -
DR.
DR.
AMY
CHOI
D.C
Other Name
:
UNYOUNG
CHOI
Mailing Address
:
1442 IRVINE BLVD
STE 125
TUSTIN
CA
92780-3801
Phone
: 714-505-1901;
Fax
: 714-505-4850;
Practice Location Address
:
1442 IRVINE BLVD
, STE 125
, TUSTIN
, CA
, 92780-3801
Practice Phone
: 714-505-1901;
Practice Fax
: 714-505-4850
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1245204387 -
RICHARD
B
PERKINS
M.D.
Other Name
:
Mailing Address
:
740 E LAUREL RD
LONDON
KY
40741-8601
Phone
: 606-877-3931;
Fax
: 606-877-3978;
Practice Location Address
:
310 E 9TH ST
,
, LONDON
, KY
, 40741-1204
Practice Phone
: 606-878-6520;
Practice Fax
: 606-877-3978
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1023082773 -
DR.
DR.
CLINTON
FORREST
FAISON
III
M.D.
Other Name
:
Mailing Address
:
208 WEXFORD CT
CHESAPEAKE
VA
23322-4286
Phone
: 757-953-7424;
Fax
: 757-953-5104;
Practice Location Address
:
620 JOHN PAUL JONES CIRCLE
, NAVAL MEDICAL CENTER PORTSMOUTH
, PORTSMOUTH
, VA
, 23708-2197
Practice Phone
: 757-953-7424;
Practice Fax
: 757-953-5104
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1669446555 -
BARBARA
HEALEY WILSON
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
111 GROSSMAN DR
,
, BRAINTREE
, MA
, 02184-4997
Practice Phone
: 781-849-1000;
Practice Fax
: 781-849-0081
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1437123379 -
RANDALL
CURTIS
BARBER
ATC, PTA
Other Name
:
Mailing Address
:
894 VANDERBILT CT
MERCED
CA
95348-2150
Phone
: 209-383-1214;
Fax
: 209-356-2487;
Practice Location Address
:
1685 SHAFFER RD
,
, ATWATER
, CA
, 95301-4456
Practice Phone
: 209-357-5121;
Practice Fax
: 209-356-2487
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1932173721 -
DR.
DR.
F
TOWNE
ALLEN
LCSW DC
Other Name
:
Mailing Address
:
157 TAFT CRESCENT
CENTERFRONT
NY
11721-1241
Phone
: 531-673-9789;
Fax
: 631-673-9789;
Practice Location Address
:
157 TAFT CRESCENT
,
, CENTERFRONT
, NY
, 11721-1241
Practice Phone
: 531-673-9789;
Practice Fax
: 631-673-9789
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1619941622 -
MR.
MR.
HECTOR
E.
CAMACHO
ATC/L, EMT-B
Other Name
:
Mailing Address
:
851 ASPENWOOD CIR
KISSIMMEE
FL
34743-8801
Phone
: 407-348-2131;
Fax
: ;
Practice Location Address
:
311 W BASS ST
,
, KISSIMMEE
, FL
, 34741-5011
Practice Phone
: 407-870-5959;
Practice Fax
: 407-933-6468
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1386618304 -
PIERRE
AUBERT
ESPENAN
MD
Other Name
:
Mailing Address
:
2675 E SLAUSON AVE
ALL CARE MEDICAL GROUP INC
HUNTINGTON PARK
CA
90255
Phone
: 323-589-6681;
Fax
: 323-584-2505;
Practice Location Address
:
2675 E SLAUSON AVE
, ALL CARE MEDICAL GROUP INC
, HUNTINGTON PARK
, CA
, 90255
Practice Phone
: 323-589-6681;
Practice Fax
: 323-584-2505
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1699749580 -
SHAHZAD
QURESHI
MD
Other Name
:
Mailing Address
:
2160 S 1ST AVE
101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD
IL
60153
Phone
: 708-216-9000;
Fax
: 708-216-9033;
Practice Location Address
:
2160 S 1ST AVE
, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
, MAYWOOD
, IL
, 60153
Practice Phone
: 708-216-9000;
Practice Fax
: 708-216-9033
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1861466831 -
DAVID
WARD
LCSW
Other Name
:
Mailing Address
:
261 MAIN ST
YARMOUTH
ME
04096-6755
Phone
: 207-846-3422;
Fax
: 207-846-3438;
Practice Location Address
:
261 MAIN ST
,
, YARMOUTH
, ME
, 04096-6755
Practice Phone
: 207-846-3422;
Practice Fax
: 207-846-3438
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1306810114 -
DR.
DR.
JOHN
A.
BAXTER
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-9800
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-9800
Practice Phone
: 570-271-6301;
Practice Fax
:
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1982677704 -
JOSEPH
A
RUGGIERI
LMHC, LADC
Other Name
:
Mailing Address
:
565 TURNPIKE ST
SUITE #84
NO ANDOVER
MA
01845
Phone
: 978-686-5013;
Fax
: 978-685-6556;
Practice Location Address
:
565 TURNPIKE ST
, SUITE #84
, NO ANDOVER
, MA
, 01845
Practice Phone
: 978-686-5013;
Practice Fax
: 978-685-6556
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1902879729 -
ERIC
SCOTT
FROST
M.D.
Other Name
:
Mailing Address
:
140 HOSPITAL DR
SUITE 200
BENNINGTON
VT
05201-5009
Phone
: 802-442-2997;
Fax
: ;
Practice Location Address
:
140 HOSPITAL DR
, SUITE 200
, BENNINGTON
, VT
, 05201-5009
Practice Phone
: 802-442-2997;
Practice Fax
:
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1699749697 -
DR.
DR.
DENNIS
L.
OLSON
O.D.
Other Name
:
Mailing Address
:
5710 CAHALAN AVE
BLDG 2
SAN JOSE
CA
95123-3010
Phone
: 408-229-2020;
Fax
: 408-227-5056;
Practice Location Address
:
5710 CAHALAN AVE
, BLDG 2
, SAN JOSE
, CA
, 95123-3010
Practice Phone
: 408-229-2020;
Practice Fax
: 408-227-5056
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1902870900 -
MR.
MR.
SEYMOUR
KLEIN
MDW, LCSW
Other Name
:
Mailing Address
:
68 N MITCHELL AVE
LIVINGSTON
NJ
07039-2144
Phone
: 973-994-2450;
Fax
: 973-994-7949;
Practice Location Address
:
68 N MITCHELL AVE
,
, LIVINGSTON
, NJ
, 07039-2144
Practice Phone
: 973-994-2450;
Practice Fax
: 973-994-7949
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1437123460 -
MRS.
MRS.
LORETTA
CIRAULO
NP
Other Name
:
Mailing Address
:
47 NEW SCOTLAND AVE
ALBANY
NY
12208-3412
Phone
: 518-262-5226;
Fax
: 518-262-6261;
Practice Location Address
:
47 NEW SCOTLAND AVE
,
, ALBANY
, NY
, 12208-3412
Practice Phone
: 518-262-5226;
Practice Fax
: 518-262-6261
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1609849314 -
MS.
MS.
DONNA
S.
DENT
LPC; LSATP
Other Name
:
Mailing Address
:
301 ELM AVE SW
ROANOKE
VA
24016-4001
Phone
: 540-345-9841;
Fax
: 540-527-2900;
Practice Location Address
:
2702 LIBERTY RD NW
,
, ROANOKE
, VA
, 24012-4745
Practice Phone
: 540-981-1102;
Practice Fax
: 540-344-4169
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1780657494 -
DR.
DR.
REZA
RAHBAR
DMD, MD
Other Name
:
Mailing Address
:
25 BALDPATE HILL RD
NEWTON
MA
02459-2826
Phone
: 617-527-7086;
Fax
: ;
Practice Location Address
:
333 LONGWOOD AVE
, FLOOR 3
, BOSTON
, MA
, 02115-5711
Practice Phone
: 617-355-6417;
Practice Fax
:
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1730152463 -
DR.
DR.
MARCUS
FAVERO
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT STREET
, BLK 11 PSYCHIATRY ASSOCIATES INPATIENT CONSULT
, BOSTON
, MA
, 02114-2696
Practice Phone
: 617-724-9144;
Practice Fax
:
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1780657361 -
MRS.
MRS.
TERRY
HANSEN
MATZ
LCSW, LMSW
Other Name
:
Mailing Address
:
108 W PROSPECT AVE
RAEFORD
NC
28376-2632
Phone
: 910-907-6246;
Fax
: 910-907-6571;
Practice Location Address
:
2917 REILLY RD
, MCXC-DSW
, FORT BRAGG
, NC
, 28310-0001
Practice Phone
: 910-907-6246;
Practice Fax
: 910-907-6571
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1376516070 -
DR.
DR.
RONALD
J.
LEHANE
DDS
Other Name
:
Mailing Address
:
26029 UNION TPKE
GLEN OAKS
NY
11004-1345
Phone
: 718-343-7900;
Fax
: 718-343-5123;
Practice Location Address
:
26029 UNION TPKE
,
, GLEN OAKS
, NY
, 11004-1345
Practice Phone
: 718-343-7900;
Practice Fax
: 718-343-5123
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1811961709 -
DR.
DR.
LAWRENCE
M
SIMONS
SR.
MD
Other Name
:
Mailing Address
:
7030 S BROADWAY ST
HAYSVILLE
KS
67060-1471
Phone
: 316-469-1099;
Fax
: 316-469-1098;
Practice Location Address
:
7030 S BROADWAY ST
,
, HAYSVILLE
, KS
, 67060-1471
Practice Phone
: 316-469-1099;
Practice Fax
: 316-469-1098
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1558334292 -
MICHAEL
K
KING
LPC LSW
Other Name
:
Mailing Address
:
PO BOX 817
WEST LIBERTY
OH
43357-0817
Phone
: 937-465-8065;
Fax
: 937-465-3505;
Practice Location Address
:
1521 N DETROIT ST
,
, WEST LIBERTY
, OH
, 43357-0817
Practice Phone
: 937-465-8065;
Practice Fax
: 937-465-3505
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1033182670 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1225001878 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1447224092 -
DR.
DR.
SHARAT
K.
JAIN
PH.D.
Other Name
:
Mailing Address
:
10705 RIVER RD
POTOMAC
MD
20854-4113
Phone
: 301-765-3344;
Fax
: 301-765-3355;
Practice Location Address
:
10705 RIVER RD
,
, POTOMAC
, MD
, 20854-4113
Practice Phone
: 301-765-3344;
Practice Fax
: 301-765-3355
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1760456339 -
PAM
L
DIFFLEY
CRNA
Other Name
:
Mailing Address
:
PO BOX 2757
RESTON
VA
20195
Phone
: 703-471-0919;
Fax
: 703-742-9081;
Practice Location Address
:
1850 TOWN CENTER PARKWAY
, RESTON HOSPITAL CENTER
, RESTON
, VA
, 20190
Practice Phone
: 703-471-0919;
Practice Fax
: 703-742-9081
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1174597645 -
AUGUST
M
MANTIA
MD
Other Name
:
Mailing Address
:
1699 WASHINGTON RD
STE 307
PITTSBURGH
PA
15228-1629
Phone
: 412-831-3744;
Fax
: 412-831-5663;
Practice Location Address
:
4721 MCKNIGHT RD
,
, PITTSBURGH
, PA
, 15237-3415
Practice Phone
: 412-966-8502;
Practice Fax
:
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1740254697 -
MS.
MS.
BRENDA
S
STRINGER
MD
Other Name
:
Mailing Address
:
5187 MAYFIELD ROAD
SUITE 105
LYNDHURST
OH
44124
Phone
: 440-461-0220;
Fax
: 440-646-2703;
Practice Location Address
:
5187 MAYFIELD ROAD
, SUITE 105
, LYNDHURST
, OH
, 44124
Practice Phone
: 440-461-0220;
Practice Fax
: 440-646-2703
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1356315105 -
JAMES
R
STOVALL
PT,ATC,CSCS
Other Name
:
Mailing Address
:
7519 HIGHWAY 17
HOUSTON
MO
65483-2602
Phone
: 417-967-3318;
Fax
: ;
Practice Location Address
:
1200 N MAIN ST
, SUITE 1
, MOUNTAIN GROVE
, MO
, 65711-1025
Practice Phone
: 417-926-5699;
Practice Fax
: 417-926-5703
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1619940236 -
ELAINE
DORS
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
291 INDEPENDENCE DR
,
, CHESTNUT HILL
, MA
, 02467-3628
Practice Phone
: 617-325-2800;
Practice Fax
: 617-541-7500
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1831162452 -
DR.
DR.
STEVEN
BAILEY
ALLEN
MD
Other Name
:
Mailing Address
:
113 HUNTERS GREENE CIR
AGAWAM
MA
01001-3684
Phone
: 416-786-3803;
Fax
: ;
Practice Location Address
:
271 CAREW ST
,
, SPRINGFIELD
, MA
, 01104-2377
Practice Phone
: 413-748-9000;
Practice Fax
:
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1497729701 -
MR.
MR.
JOHN
TYLER
OVERSTREET
LSPE, LPC
Other Name
:
Mailing Address
:
PO BOX 966
KINGSTON
TN
37763-0966
Phone
: 865-376-9879;
Fax
: 865-717-2777;
Practice Location Address
:
111 CENTER PARK DR
, SUITE 1300
, KNOXVILLE
, TN
, 37922-2103
Practice Phone
: 865-693-9997;
Practice Fax
:
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1619940293 -
DR.
DR.
CARTER
DAVIS
DDS
Other Name
:
Mailing Address
:
5600 W. 95TH ST.,
#207
OVERLAND PARK
KS
66207
Phone
: 913-381-3033;
Fax
: ;
Practice Location Address
:
5600 W. 95TH ST.,
, #207
, OVERLAND PARK
, KS
, 66207
Practice Phone
: 913-381-3033;
Practice Fax
:
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1063485654 -
DR.
DR.
JAY
ALLAN
NESVOLD
DDS
Other Name
:
Mailing Address
:
278 LAFAYETTE ROAD
BLDG E
PORTSMOUTH
NH
03801-5455
Phone
: 603-430-9009;
Fax
: ;
Practice Location Address
:
278 LAFAYETTE ROAD
, BLDG E
, PORTSMOUTH
, NH
, 03801-5455
Practice Phone
: 603-430-9009;
Practice Fax
:
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1073586723 -
DR.
DR.
SCOTT
WILLIAM
COLBURN
DMD
Other Name
:
Mailing Address
:
34800 BOB WILSON DR
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO
CA
92134-1098
Phone
: 619-532-6460;
Fax
: 619-532-6299;
Practice Location Address
:
34800 BOB WILSON DR
, NMCSD, ATTN: MEDICAL STAFF SERVICES
, SAN DIEGO
, CA
, 92134-1098
Practice Phone
: 619-532-6460;
Practice Fax
: 619-532-6299
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1346213006 -
DIANNE
M
POWERS
MSN APRN
Other Name
:
Mailing Address
:
21 GRAND STREET
HARTFORD
CT
06106
Phone
: 860-550-7500;
Fax
: 860-550-7501;
Practice Location Address
:
282 WASHINGTON STREET
,
, HARTFORD
, CT
, 06106
Practice Phone
: 860-545-9300;
Practice Fax
: 860-545-9301
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1184698011 -
EVELYN
URQUHART
M.A.ED., LPC, LMFT
Other Name
:
Mailing Address
:
301 ELM AVE SW
ROANOKE
VA
24016-4001
Phone
: 540-345-9841;
Fax
: 540-527-2900;
Practice Location Address
:
611 MCDOWELL AVE NW
,
, ROANOKE
, VA
, 24016-1225
Practice Phone
: 540-342-2915;
Practice Fax
: 540-343-9543
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1679546493 -
DR.
DR.
JOHN
F
FACINOLI
D.O.
Other Name
:
Mailing Address
:
5905 MARBRISAS LN
LAS VEGAS
NV
89130-5151
Phone
: 702-655-9022;
Fax
: ;
Practice Location Address
:
5905 MARBRISAS LN
,
, LAS VEGAS
, NV
, 89130-5151
Practice Phone
: 702-655-9022;
Practice Fax
:
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1376516112 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1639142441 -
DR.
DR.
JAMES
HENRY
GHERARDINI
JR.
DDS
Other Name
:
Mailing Address
:
1819 QUIVERS KEEP
CHESAPEAKE
VA
23321
Phone
: 757-405-9548;
Fax
: ;
Practice Location Address
:
1647 TAUSSIG BLVD
,
, NORFOLK
, VA
, 23511
Practice Phone
: 757-314-6516;
Practice Fax
:
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1053384669 -
CAROLYN
M
DOBIES
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
485 ARSENAL ST
,
, WATERTOWN
, MA
, 02472-5091
Practice Phone
: 617-972-5100;
Practice Fax
: 617-972-5439
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1952374696 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1053384693 -
THOMAS
EUGENE
ROHRER
M.D.
Other Name
:
Mailing Address
:
1244 BOYLSTON ST
SUITE 302
CHESTNUT HILL
MA
02467-2116
Phone
: 617-731-1600;
Fax
: 617-731-1601;
Practice Location Address
:
1244 BOYLSTON ST
, SUITE 302
, CHESTNUT HILL
, MA
, 02467-2116
Practice Phone
: 617-731-1600;
Practice Fax
: 617-731-1601
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1952374621 -
MS.
MS.
ROSEMARIE
GERDA
HALL-HEYDUK
LMFT, CAC III
Other Name
:
Mailing Address
:
4090 AUTUMN HEIGHTS DR
COLORADO SPRINGS
CO
80906-5909
Phone
: 719-527-9196;
Fax
: ;
Practice Location Address
:
1650 COCHRANE CIR
, DBH-ASAP
, FT CARSON
, CO
, 80913-4603
Practice Phone
: 719-526-8414;
Practice Fax
: 719-526-0608
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1114990884 -
DR.
DR.
ANITA
S
GRANA
PSY.D.
Other Name
:
Mailing Address
:
804 COUNTY ROAD 16
GUNNISON
CO
81230-9303
Phone
: 970-641-1774;
Fax
: 970-641-1425;
Practice Location Address
:
804 COUNTY ROAD 16
,
, GUNNISON
, CO
, 81230-9303
Practice Phone
: 970-641-1774;
Practice Fax
: 970-641-1425
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1639143266 -
JOANNE
GOLBURGH
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
20 WALL ST
,
, BURLINGTON
, MA
, 01803-4758
Practice Phone
: 781-221-2500;
Practice Fax
: 781-221-2510
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1982678512 -
DR.
DR.
CHRISTOPHER
ROBERT
ARMSTRONG
MD, MPH, FACPM
Other Name
:
Mailing Address
:
2205 CALIFORNIA ST NW
APARTMENT 101
WASHINGTON
DC
20008-3909
Phone
: 202-332-4466;
Fax
: ;
Practice Location Address
:
NATIONAL NAVAL MEDICAL CENTER
, 8901 WISCONSIN AVE
, BETHESDA
, MD
, 20889-0001
Practice Phone
: 301-295-9562;
Practice Fax
: 301-295-6773
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1528032182 -
ANN
M
BRAGAN
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1000;
Practice Fax
: 617-421-6084
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1790759363 -
MR.
MR.
MARK
LYNN
HOHSTADT
PHARMD
Other Name
:
Mailing Address
:
6213 254TH ST E
GRAHAM
WA
98338-9566
Phone
: 253-875-1754;
Fax
: ;
Practice Location Address
:
MADIGAN ARMY MEDICAL CENTER
, 9040A REID STREET
, TACOMA
, WA
, 98431-0001
Practice Phone
: 253-968-3234;
Practice Fax
:
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1386618965 -
MR.
MR.
DAVID
L
STEVENS
PA-C
Other Name
:
Mailing Address
:
3499 W 20TH LN
YUMA
AZ
85364-5907
Phone
: 928-343-1832;
Fax
: ;
Practice Location Address
:
3499 W 20TH LN
,
, YUMA
, AZ
, 85364-5907
Practice Phone
: 928-343-1832;
Practice Fax
:
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1538133145 -
DOUGLAS
DAVIS
CRNA
Other Name
:
Mailing Address
:
555 N DUKE ST
LANCASTER
PA
17602-2250
Phone
: 717-544-5511;
Fax
: ;
Practice Location Address
:
555 N DUKE ST
,
, LANCASTER
, PA
, 17602-2250
Practice Phone
: 717-544-5511;
Practice Fax
:
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1689647307 -
DR.
DR.
WALTER
PENNINGTON
WITHERSPOON
JR.
DDS MSO
Other Name
:
Mailing Address
:
205 MEDICAL CIR
WEST COLUMBIA
SC
29169-3653
Phone
: 803-796-5300;
Fax
: 803-796-5301;
Practice Location Address
:
205 MEDICAL CIR
,
, WEST COLUMBIA
, SC
, 29169-3653
Practice Phone
: 803-796-5300;
Practice Fax
: 803-796-5301
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1689648297 -
DR.
DR.
DAVID
MARCH
PH.D., LMHC, CAP
Other Name
:
Mailing Address
:
1555 HOWELL BRANCH RD
SUITE B-4
WINTER PARK
FL
32789-1109
Phone
: 407-644-2121;
Fax
: 407-644-2974;
Practice Location Address
:
1555 HOWELL BRANCH RD
, SUITE B-4
, WINTER PARK
, FL
, 32789-1109
Practice Phone
: 407-644-2121;
Practice Fax
: 407-644-2974
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1528032075 -
DR.
DR.
WILLIAM
H
CURTIS
PHD
Other Name
:
Mailing Address
:
454 KIRK LN
MEDIA
PA
19063-2220
Phone
: 610-892-0390;
Fax
: ;
Practice Location Address
:
1033 N PROVIDENCE RD
,
, MEDIA
, PA
, 19063-2220
Practice Phone
: 610-892-0390;
Practice Fax
: 610-566-8816
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1811961279 -
DR.
DR.
ARDEN
L
WEINTRAUB
M.D.
Other Name
:
Mailing Address
:
PO BOX 58644
SALT LAKE CITY
UT
84158-0644
Phone
: 801-599-9424;
Fax
: ;
Practice Location Address
:
3809 W 6200 S
,
, KEARNS
, UT
, 84118-3725
Practice Phone
: 801-963-4200;
Practice Fax
: 801-963-4299
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1346214640 -
MARIANO
VAZQUEZ
NURSE
Other Name
:
Mailing Address
:
HC 6 BOX 2504
PONCE
PR
00731-9628
Phone
: 787-843-2399;
Fax
: ;
Practice Location Address
:
URB. SANTA MARIA
, 8024 CONCORDIA ST. SUITE 100
, PONCE
, PR
, 00717
Practice Phone
: 787-812-3318;
Practice Fax
: 787-290-3318
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1508830928 -
MRS.
MRS.
DEBRA
L
SCANLON
PTA, ATC
Other Name
:
Mailing Address
:
7540 W 92ND AVE
CROWN POINT
IN
46307-7453
Phone
: 219-365-1174;
Fax
: ;
Practice Location Address
:
221 INDIANAPOLIS BLVD
,
, SCHERERVILLE
, IN
, 46375-1277
Practice Phone
: 219-322-1600;
Practice Fax
:
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1508830019 -
DR.
DR.
THUCUMA
SISE
PHARM.D.
Other Name
:
Mailing Address
:
8210 RED GATE CT
BOWIE
MD
20715-3368
Phone
: ;
Fax
: ;
Practice Location Address
:
6900 GEORGIA AVE NW
, C/O THE DEPARTMENT OF PHARMACY
, WASHINGTON
, DC
, 20307-0003
Practice Phone
: 202-782-8617;
Practice Fax
:
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1225002546 -
DR.
DR.
MARIE
C
CEBERT
D.O.
Other Name
:
Mailing Address
:
PO BOX 29
HARVEST
AL
35749-0029
Phone
: 256-382-0830;
Fax
: 256-382-0833;
Practice Location Address
:
7 TOWN CENTER DR
, SUITE 301
, HUNTSVILLE
, AL
, 35806-2672
Practice Phone
: 256-382-0830;
Practice Fax
: 256-382-0833
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1396719613 -
DR.
DR.
DAVID
E
SOSNOVIK
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST YAW 5
, CARDIAC UNIT ASSOCIATES
, BOSTON
, MA
, 02114-2696
Practice Phone
: 617-724-6750;
Practice Fax
: 617-724-6767
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1205800521 -
DR.
DR.
DEBORAH
L
BLACKER
MD SCD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST 149 2691
, MASSACHUSETTS GENERAL HOSPITAL
, BOSTON
, MA
, 02114
Practice Phone
: 617-726-5571;
Practice Fax
: 617-726-5760
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1780658013 -
SCOTT
A.B.
COLLINS
M.D.
Other Name
:
Mailing Address
:
10215 SW HALL BLVD
TIGARD
OR
97223-8809
Phone
: 503-245-2415;
Fax
: ;
Practice Location Address
:
10215 SW HALL BLVD
,
, TIGARD
, OR
, 97223-8809
Practice Phone
: 503-245-2415;
Practice Fax
:
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1790759223 -
MS.
MS.
PATRICIA
W
HOFFSTATTER
FNP
Other Name
:
Mailing Address
:
PO BOX 685
309 KENAI ST
WHITTIER
AK
99693-0685
Phone
: 907-299-3336;
Fax
: 907-472-2339;
Practice Location Address
:
301 KENAI ST
, POB 727
, WHITTIER
, AK
, 99693-0727
Practice Phone
: 907-472-2303;
Practice Fax
: 907-472-2339
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1144294562 -
DR.
DR.
JAMES
ROBERT
CORCORAN
DDS
Other Name
:
Mailing Address
:
21ST STREET
BLDG 2441
FORT CAMPBELL
KY
42223-5369
Phone
: 270-798-8614;
Fax
: 270-798-8633;
Practice Location Address
:
21ST STREET
, BLDG 2441
, FORT CAMPBELL
, KY
, 42223-5369
Practice Phone
: 270-798-8614;
Practice Fax
: 270-798-8633
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