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Showing codes 1619973906 — 1033115340
1619973906 -
DR.
DR.
JAMES
A.M.
SMITH
DO
Other Name
:
Mailing Address
:
758 S HILLSIDE ST STE 1
WICHITA
KS
67211-3037
Phone
: 316-686-1024;
Fax
: 316-686-2439;
Practice Location Address
:
758 S HILLSIDE ST STE 1
,
, WICHITA
, KS
, 67211-3037
Practice Phone
: 316-686-1024;
Practice Fax
: 316-686-2439
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1528064813 -
MR.
MR.
WILLIAM
A
TURNER
MD
Other Name
:
Mailing Address
:
5 BIRCHCREEK LN
NEVADA
MO
64772
Phone
: 417-667-8048;
Fax
: ;
Practice Location Address
:
800 S ASH ST
,
, NEVADA
, MO
, 64772
Practice Phone
: 417-448-3644;
Practice Fax
: 417-448-3604
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1437155728 -
DR.
DR.
MITCHELL
HOROWITZ
OD
Other Name
:
Mailing Address
:
50 COOPER AVE
STATEN ISLAND
NY
10305-1344
Phone
: 718-979-2020;
Fax
: 718-979-2141;
Practice Location Address
:
50 COOPER AVE
,
, STATEN ISLAND
, NY
, 10305-1344
Practice Phone
: 718-979-2020;
Practice Fax
: 718-979-2141
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1346246634 -
PHYLLIS
ROSE
PETERSON
PA
Other Name
:
Mailing Address
:
TTUHSC DEPT OF PSYCHIATRY
3601 4TH ST.
LUBBOCK
TX
79430-8103
Phone
: 806-781-6069;
Fax
: ;
Practice Location Address
:
TTUHSC DEPT OF PSYCHIATRY
, 3601 4TH ST., MS 8103
, LUBBOCK
, TX
, 79430-8103
Practice Phone
: 806-743-2800;
Practice Fax
: 806-743-2784
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1255337549 -
DR.
DR.
DAVID
JAMES
LANGFORD
O.D.
Other Name
:
Mailing Address
:
PO BOX 1310
RIVERTON
WY
82501-0158
Phone
: 307-856-8094;
Fax
: 307-856-1630;
Practice Location Address
:
14 GREAT PLAINS RD
,
, ARAPAHOE
, WY
, 82510
Practice Phone
: 307-856-8094;
Practice Fax
: 307-856-1630
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1164428454 -
MS.
MS.
CLAUDETTE
J
KURZ
GNP
Other Name
:
Mailing Address
:
PO BOX 8221
7425 FORSYTH
SAINT LOUIS
MO
63156-8221
Phone
: 314-935-0770;
Fax
: 314-935-0575;
Practice Location Address
:
4488 FOREST PARK AVE
,
, SAINT LOUIS
, MO
, 63108-2215
Practice Phone
: 314-454-7756;
Practice Fax
: 314-454-7759
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1073519369 -
WHEELING RENAL CARE LLC
Other Name
:
NEW MARTINSVILLE DIALYSIS FACILITY
Mailing Address
:
500 MEDICAL PARK
STE 100
WHEELING
WV
26003-7600
Phone
: 304-242-7770;
Fax
: 304-243-3216;
Practice Location Address
:
1 BENJAMIN DR
,
, NEW MARTINSVILLE
, WV
, 26155
Practice Phone
: 304-455-2700;
Practice Fax
: 304-455-4151
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1982600276 -
MS.
MS.
CINDY
D.
ERWIN
P.A.-C.
Other Name
:
Mailing Address
:
100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE
SD
57501
Phone
: 605-945-5267;
Fax
: 605-945-5295;
Practice Location Address
:
100 MAC LANE
, AVERA MEDICAL GROUP PIERRE
, PIERRE
, SD
, 57501
Practice Phone
: 605-945-5267;
Practice Fax
: 605-945-5295
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1790781086 -
LIEBE INC,
Other Name
:
CEDAR VALE ASSISTED LIVING
Mailing Address
:
100 POPPE LN
NASHUA
IA
50658-9704
Phone
: 641-435-4040;
Fax
: ;
Practice Location Address
:
100 POPPE LN
,
, NASHUA
, IA
, 50658-9704
Practice Phone
: 641-435-4040;
Practice Fax
:
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1609872993 -
GARY
M
DAVIDSON
MD
Other Name
:
Mailing Address
:
8109 HINSON FARM RD
SUITE 504
ALEXANDRIA
VA
22306-3415
Phone
: 703-780-2800;
Fax
: 703-780-0461;
Practice Location Address
:
8109 HINSON FARM RD
, SUITE 504
, ALEXANDRIA
, VA
, 22306-3415
Practice Phone
: 703-780-2800;
Practice Fax
: 703-780-0461
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1518963800 -
DUANE
M
KOONS
MD
Other Name
:
Mailing Address
:
407 S MAIN ST
STE 400
VIROQUA
WI
54665-4000
Phone
: 608-637-4750;
Fax
: 608-637-3120;
Practice Location Address
:
407 S MAIN ST
,
, VIROQUA
, WI
, 54665-4000
Practice Phone
: 608-637-4750;
Practice Fax
: 608-637-3120
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1427054717 -
DR.
DR.
ARLENE
MARTIN
DDS
Other Name
:
Mailing Address
:
1770 GRAND CONCOURSE
BRONX
NY
10457-5524
Phone
: 718-901-8110;
Fax
: 718-901-8121;
Practice Location Address
:
1770 GRAND CONCOURSE
,
, BRONX
, NY
, 10457-5524
Practice Phone
: 718-901-8110;
Practice Fax
: 718-901-8121
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1336145622 -
DR.
DR.
STEVEN
RALPH
FUDGE
D.D.S.
Other Name
:
Mailing Address
:
4913 HARROUN RD
STE 2
SYLVANIA
OH
43560-2102
Phone
: 419-882-6896;
Fax
: 419-882-3162;
Practice Location Address
:
4913 HARROUN RD
, STE 2
, SYLVANIA
, OH
, 43560-2102
Practice Phone
: 419-882-6896;
Practice Fax
: 419-882-3162
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1245236538 -
JOAN
L
KORTBEIN
RD
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
1330 N SUPERIOR AVE
,
, TOMAH
, WI
, 54660-1130
Practice Phone
: 608-372-4111;
Practice Fax
:
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1154327443 -
TIMOTHY
A
SEIFERT
MPAS-C
Other Name
:
Mailing Address
:
PO BOX 547
PHILLIPSBURG
KS
67661-0547
Phone
: 785-543-5211;
Fax
: 785-543-5274;
Practice Location Address
:
1719 HIGHWAY 183
,
, PHILLIPSBURG
, KS
, 67661
Practice Phone
: 785-543-5211;
Practice Fax
: 785-543-5274
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1972509263 -
KIM
PARLEE
EBLE
CRNA
Other Name
:
Mailing Address
:
700 LAWN AVE
SELLERSVILLE
PA
18960-1548
Phone
: 215-453-4550;
Fax
: ;
Practice Location Address
:
700 LAWN AVE
,
, SELLERSVILLE
, PA
, 18960-1548
Practice Phone
: 215-453-4550;
Practice Fax
:
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1881690170 -
MICHAEL
P
FUNK
DDS
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
1836 SOUTH AVE
,
, LA CROSSE
, WI
, 54601-5429
Practice Phone
: 608-782-7300;
Practice Fax
:
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1699771980 -
SEBASTICOOK VALLEY HOME CARE
Other Name
:
Mailing Address
:
49 MAIN STREET
PITTSFIELD
ME
04967
Phone
: 207-487-3726;
Fax
: 207-487-5740;
Practice Location Address
:
49 MAIN STREET
,
, PITTSFIELD
, ME
, 04967
Practice Phone
: 207-487-3726;
Practice Fax
: 207-487-5740
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1508862897 -
DR.
DR.
JAMES
MCAULEY
RPH, PHD
Other Name
:
Mailing Address
:
500 W 12TH AVE
OSU COLLEGE OF PHARMACY
COLUMBUS
OH
43210
Phone
: 614-292-9713;
Fax
: 614-292-1335;
Practice Location Address
:
456 W 10TH AVE
, NEUROLOGY CLINIC - 1C
, COLUMBUS
, OH
, 43210
Practice Phone
: 614-293-4882;
Practice Fax
:
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1417953704 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1326044611 -
DENISE
DICICCO
DO
Other Name
:
Mailing Address
:
24 S 18TH ST
ALLENTOWN
PA
18104-5622
Phone
: 610-628-8372;
Fax
: 610-628-8648;
Practice Location Address
:
1736 W HAMILTON ST
,
, ALLENTOWN
, PA
, 18104-5656
Practice Phone
: 610-628-8372;
Practice Fax
: 610-628-8648
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1235135526 -
COMMUNITY DIALYSIS UNITS, LLC
Other Name
:
Mailing Address
:
4685 FULTON DR NW
CANTON
OH
44718-2379
Phone
: 330-649-9300;
Fax
: 330-649-4058;
Practice Location Address
:
4685 FULTON DR NW
,
, CANTON
, OH
, 44718-2379
Practice Phone
: 330-649-9300;
Practice Fax
: 330-649-4058
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1144226432 -
LINDA
JEAN
FIELDS
M.D.
Other Name
:
Mailing Address
:
10800 MIDLOTHIAN TPKE
SUITE 265
RICHMOND
VA
23235-4724
Phone
: 804-594-2622;
Fax
: 804-594-0915;
Practice Location Address
:
1901 TATE SPRINGS RD
,
, LYNCHBURG
, VA
, 24501-1109
Practice Phone
: 804-594-2622;
Practice Fax
: 804-594-0915
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1053317347 -
GALVESTON COUNTY HEALTH DISTRICT
Other Name
:
GALVESTON AREA AMBULANCE AUTHORITY
Mailing Address
:
9850-D EMMETT F LOWRY EXPY
TEXAS CITY
TX
77591-2001
Phone
: 409-938-2336;
Fax
: 409-938-2200;
Practice Location Address
:
9850-D EMMETT F LOWRY EXPY
,
, TEXAS CITY
, TX
, 77591-2001
Practice Phone
: 409-938-2336;
Practice Fax
: 409-938-2200
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1962408252 -
WAYNE
AI
FREDERICK
MD
Other Name
:
Mailing Address
:
6138 31ST PL NW
WASHINGTON
DC
20015-1502
Phone
: 202-865-6237;
Fax
: ;
Practice Location Address
:
2041 GEORGIA AVE NW
, STE 4000
, WASHINGTON
, DC
, 20060-0001
Practice Phone
: 202-865-6237;
Practice Fax
: 860-679-1390
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1114923414 -
DR.
DR.
CHERYL
DIANE
JOHNSON
M.D.
Other Name
:
CHERYL
D
ANDERSON
Mailing Address
:
PO BOX 2147
FORT MYERS
FL
33902-2147
Phone
: 239-343-2052;
Fax
: 239-343-5348;
Practice Location Address
:
9981 S HEALTHPARK DR
,
, FORT MYERS
, FL
, 33908-3618
Practice Phone
: 239-343-2052;
Practice Fax
: 239-343-5348
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1023014321 -
KAREN
AROMANDO-WILLIAMS
CRNA
Other Name
:
Mailing Address
:
778 TYLER BRANCH RD
PERRYVILLE
MO
63775-8847
Phone
: 573-517-7809;
Fax
: 573-517-0347;
Practice Location Address
:
434 N WEST ST
,
, PERRYVILLE
, MO
, 63775-1359
Practice Phone
: 573-547-2530;
Practice Fax
: 573-517-0347
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1932105236 -
DR.
DR.
GARY
J
KOSC
MD
Other Name
:
Mailing Address
:
1130 MCBRIDE AVENUE
WOODLAND PARK
NJ
07424
Phone
: 973-812-1400;
Fax
: 913-812-1404;
Practice Location Address
:
1130 MCBRIDE AVENUE
,
, WOODLAND PARK
, NJ
, 07424
Practice Phone
: 973-812-1400;
Practice Fax
: 913-812-1404
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1841296142 -
DR.
DR.
ANDREW
THOMAS
BONNEAU
D.C.
Other Name
:
Mailing Address
:
2921 SOUTH PARK RD.
BETHEL PARK
PA
15102-1682
Phone
: 412-833-4133;
Fax
: 412-833-4133;
Practice Location Address
:
2921 SOUTH PARK RD.
,
, BETHEL PARK
, PA
, 15102-1682
Practice Phone
: 412-833-4133;
Practice Fax
: 412-833-4133
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1750387056 -
DR.
DR.
SURINDER
MOHAN
KAURA
MD
Other Name
:
Mailing Address
:
6801 ALLEN RD
ALLEN PARK
MI
48101-2007
Phone
: 313-382-3400;
Fax
: 313-382-0150;
Practice Location Address
:
6801 ALLEN RD
,
, ALLEN PARK
, MI
, 48101-2007
Practice Phone
: 313-382-3400;
Practice Fax
: 313-382-0150
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1669478962 -
MR.
MR.
JERRY
DEAN
WEST
O.D.
Other Name
:
Mailing Address
:
7171 S YALE AVE
STE 104
TULSA
OK
74136-6367
Phone
: 918-492-1722;
Fax
: 918-492-3578;
Practice Location Address
:
7171 S YALE AVE
, STE 104
, TULSA
, OK
, 74136-6367
Practice Phone
: 918-492-1722;
Practice Fax
: 918-492-3578
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1578569877 -
RUBEA
ANGENITA
BOONE
MSW, LCSW
Other Name
:
Mailing Address
:
1046 E WENDOVER AVE
GREENSBORO
NC
27405-6712
Phone
: 336-272-1050;
Fax
: 336-272-1110;
Practice Location Address
:
1046 E WENDOVER AVE
,
, GREENSBORO
, NC
, 27405-6712
Practice Phone
: 336-272-1050;
Practice Fax
: 336-272-1110
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1487650784 -
MS.
MS.
BOBBIE
KATHERINE
FLETCHER
ARNP
Other Name
:
Mailing Address
:
920 ALDER AVE
STE 203
SUMNER
WA
98390-1401
Phone
: 253-891-0811;
Fax
: 253-891-4049;
Practice Location Address
:
920 ALDER AVE
, STE 203
, SUMNER
, WA
, 98390-1401
Practice Phone
: 253-891-0811;
Practice Fax
: 253-891-4049
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1396741591 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1205832409 -
MS.
MS.
MARY
F.
KOENIGSHOFF
P.N.P.
Other Name
:
Mailing Address
:
900 CATON AVENUE
MAILBOX 081
BALTIMORE
MD
21229-5299
Phone
: 443-703-3200;
Fax
: 443-703-3201;
Practice Location Address
:
900 CATON AVENUE
, MAILBOX 081
, BALTIMORE
, MD
, 21229-5299
Practice Phone
: 443-703-3200;
Practice Fax
: 443-703-3201
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1114923315 -
CHARLES
ALLEN
MITGANG
M.D.
Other Name
:
Mailing Address
:
371 MERRICK RD
STE 302
ROCKVILLE CENTRE
NY
11570-5301
Phone
: 516-678-5555;
Fax
: 516-678-9128;
Practice Location Address
:
371 MERRICK RD
, STE 302
, ROCKVILLE CENTRE
, NY
, 11570-5301
Practice Phone
: 516-678-5555;
Practice Fax
: 516-678-9128
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1023014222 -
DR.
DR.
ANDREJS
NA
BAUMHAMMERS
DDS
Other Name
:
Mailing Address
:
3520 5TH AVE
STE 500
PITTSBURGH
PA
15213-3320
Phone
: 412-687-5311;
Fax
: 412-687-5122;
Practice Location Address
:
3520 5TH AVE
, STE 500
, PITTSBURGH
, PA
, 15213-3320
Practice Phone
: 412-687-5311;
Practice Fax
: 412-687-5122
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1932105137 -
DR.
DR.
MICHAELLE
M
HALABY HOLMES
MD
Other Name
:
Mailing Address
:
515 FAIRMOUNT AVE
STE 400
TOWSON
MD
21286-5466
Phone
: 443-471-0469;
Fax
: ;
Practice Location Address
:
1838 GREENE TREE RD STE 135
,
, PIKESVILLE
, MD
, 21208-7108
Practice Phone
: 443-471-0469;
Practice Fax
: 410-584-1883
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1841296043 -
LANSDOWNE AVE PHARMACY
Other Name
:
Mailing Address
:
5943 LANSDOWNE AVE
PHILADELPHIA
PA
19151-3932
Phone
: 215-877-0700;
Fax
: 215-877-4700;
Practice Location Address
:
5943 LANSDOWNE AVE
,
, PHILADELPHIA
, PA
, 19151-3932
Practice Phone
: 215-877-0700;
Practice Fax
: 215-877-4700
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1750387957 -
CAROL
M
BIALOBRZESKI
CRNA
Other Name
:
CAROL
B
GOURLEY
Mailing Address
:
2775 SCHOENERSVILLE RD
BETHLEHEM
PA
18017-7307
Phone
: 610-861-8080;
Fax
: ;
Practice Location Address
:
10 PARK PL
,
, HAZLE TOWNSHIP
, PA
, 18202-2885
Practice Phone
: 570-454-1000;
Practice Fax
:
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1669478863 -
DR.
DR.
OSCAR
PADILLA
DDS
Other Name
:
Mailing Address
:
3200 S UNIVERSITY DR
NOVA SOUTHEASTERN UNIV. COLLEGE OF DENTAL MEDICINE
DAVIE
FL
33328-2018
Phone
: 954-262-1791;
Fax
: ;
Practice Location Address
:
3200 S UNIVERSITY DR
, NOVA SOUTHEASTERN UNIV. COLLEGE OF DENTAL MEDICINE
, DAVIE
, FL
, 33328-2018
Practice Phone
: 954-262-1791;
Practice Fax
:
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1578569778 -
SHANNON
T
LOY
PT
Other Name
:
Mailing Address
:
PO BOX 949
ROME
GA
30162-0949
Phone
: 706-236-2758;
Fax
: 706-802-1408;
Practice Location Address
:
201 TURNER MCCALL BLVD NW
,
, ROME
, GA
, 30165-2545
Practice Phone
: 706-236-2758;
Practice Fax
: 706-802-1408
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1487650685 -
DR.
DR.
JOHN
RECK
KINDER
M.D.
Other Name
:
Mailing Address
:
64 DOCTORS PARK
CAPE GIRARDEAU
MO
63703-4928
Phone
: 573-334-5265;
Fax
: 573-334-3648;
Practice Location Address
:
64 DOCTORS PARK
,
, CAPE GIRARDEAU
, MO
, 63703-4928
Practice Phone
: 573-334-5265;
Practice Fax
: 573-334-3648
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1295731495 -
PINAKINI
SUDHAKAR
SHIVDE
M.D.
Other Name
:
Mailing Address
:
201 STATE ST
ERIE
PA
16550-0002
Phone
: 814-877-6000;
Fax
: 814-877-6545;
Practice Location Address
:
201 STATE ST
,
, ERIE
, PA
, 16550-0002
Practice Phone
: 814-877-6000;
Practice Fax
: 814-877-6545
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1104822303 -
DR.
DR.
ROBERT
O
MAY
SR.
M.D.
Other Name
:
Mailing Address
:
1190 N STATE ST
STE 403
JACKSON
MS
39202-2413
Phone
: 601-353-2020;
Fax
: 601-714-5110;
Practice Location Address
:
1190 N STATE ST
, STE 403
, JACKSON
, MS
, 39202-2413
Practice Phone
: 601-353-2020;
Practice Fax
: 601-714-5110
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1013913219 -
DAVID
THOMAS
OUTLAW
MD
Other Name
:
Mailing Address
:
224 HIGH HOUSE RD
STE 100
CARY
NC
27513-4278
Phone
: 919-380-7531;
Fax
: 919-380-0686;
Practice Location Address
:
224 HIGH HOUSE RD
, STE 100
, CARY
, NC
, 27513-4278
Practice Phone
: 919-380-7531;
Practice Fax
: 919-380-0686
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1922004126 -
MRS.
MRS.
LAURA
ANN
SCHMIDT
RPH
Other Name
:
LAURA
ANN
BIESINGER
Mailing Address
:
1820 PIONEER DR
SEWICKLEY
PA
15143-8585
Phone
: 412-635-0568;
Fax
: ;
Practice Location Address
:
232 NORTH AVE
,
, PITTSBURGH
, PA
, 15209-2502
Practice Phone
: 412-821-2379;
Practice Fax
: 412-821-8071
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1831195031 -
FORREST
J
KRAUSE
MD
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
1836 SOUTH AVE
,
, LA CROSSE
, WI
, 54601-5429
Practice Phone
: 608-782-7300;
Practice Fax
:
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1740286947 -
DR.
DR.
ROCCO
NOTO
MD
Other Name
:
Mailing Address
:
2000 MAPLE HILL ST
YORKTOWN HEIGHTS
NY
10598-4176
Phone
: 914-245-0256;
Fax
: 914-243-0236;
Practice Location Address
:
2000 MAPLE HILL ST
,
, YORKTOWN HEIGHTS
, NY
, 10598-4176
Practice Phone
: 914-245-0256;
Practice Fax
: 914-243-0236
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1659377851 -
DR.
DR.
WARD
A
KATSANIS
MD
Other Name
:
Mailing Address
:
1470 TOBIAS GADSON BLVD
SUITE 110
CHARLESTON
SC
29407-4707
Phone
: 843-556-4380;
Fax
: 843-571-5531;
Practice Location Address
:
1470 TOBIAS GADSON BLVD
, SUITE 110
, CHARLESTON
, SC
, 29407-4707
Practice Phone
: 843-556-4380;
Practice Fax
: 843-571-5531
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1568468767 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1477559672 -
SA-LAKELAND, LLC
Other Name
:
PALM TERRACE OF LAKELAND
Mailing Address
:
1919 LAKELAND HILLS BLVD
LAKELAND
FL
33805-2901
Phone
: 863-688-5612;
Fax
: 863-688-1398;
Practice Location Address
:
1919 LAKELAND HILLS BLVD
,
, LAKELAND
, FL
, 33805-2901
Practice Phone
: 863-688-5612;
Practice Fax
: 863-687-8870
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1386640589 -
POORNIMA
U.
HEGDE
M.D.
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-2980;
Practice Fax
: 860-679-4334
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1194721399 -
CRUZ INTERNAL MEDICINE CORP.
Other Name
:
Mailing Address
:
P.O. BOX 190740
SAN JUAN
PR
00919-0740
Phone
: 787-763-3434;
Fax
: 787-763-2852;
Practice Location Address
:
407 B FERNANDO MONTILLA ESQ J. J. JIMENEZ
,
, HATO REY
, PR
, 00918
Practice Phone
: 787-763-3434;
Practice Fax
: 787-763-2852
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1003812207 -
MARY
F
BARBER
M.D.
Other Name
:
Mailing Address
:
10973 SE 175TH PL STE 100
SUMMERFIELD
FL
34491-8983
Phone
: 352-259-6553;
Fax
: 352-873-9397;
Practice Location Address
:
10973 SE 175TH PL STE 100
,
, SUMMERFIELD
, FL
, 34491
Practice Phone
: 352-259-6553;
Practice Fax
: 352-873-9397
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1912903113 -
MS.
MS.
JENNIFER
LANG REE
P.N.P.
Other Name
:
Mailing Address
:
10956 DONNER PASS RD
STE 130
TRUCKEE
CA
96161-4860
Phone
: 530-587-3523;
Fax
: 530-582-6192;
Practice Location Address
:
10956 DONNER PASS RD
, STE 130
, TRUCKEE
, CA
, 96161-4860
Practice Phone
: 530-587-3523;
Practice Fax
: 530-582-6190
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1821094020 -
STANTON
C.
HONIG
M-D.
Other Name
:
Mailing Address
:
65 KANE ST
WEST HARTFORD
CT
06119-2110
Phone
: ;
Fax
: ;
Practice Location Address
:
330 ORCHARD ST STE 164
,
, NEW HAVEN
, CT
, 06511-4429
Practice Phone
: 203-789-2222;
Practice Fax
: 203-624-3697
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1730185935 -
FREDERICK
PEARSON
SMITH
M.D.
Other Name
:
Mailing Address
:
5454 WISCONSIN AVE
STE 1300
CHEVY CHASE
MD
20815-6908
Phone
: 301-657-4588;
Fax
: 301-657-9565;
Practice Location Address
:
5454 WISCONSIN AVE
, STE 1300
, CHEVY CHASE
, MD
, 20815-6908
Practice Phone
: 301-657-4588;
Practice Fax
: 301-657-9565
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1649276841 -
ERICA
J
KRAUSE-WAGNER
APNP
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
50 N 4TH ST
,
, LANSING
, IA
, 52151-7729
Practice Phone
: 563-538-4874;
Practice Fax
:
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1033115233 -
DR.
DR.
SCOTT
SKORUPA
M.D.
Other Name
:
Mailing Address
:
500 N HIATUS RD STE 200
PEMBROKE PINES
FL
33026-5213
Phone
: 954-437-4800;
Fax
: 954-437-6628;
Practice Location Address
:
3501 JOHNSON ST
,
, HOLLYWOOD
, FL
, 33021-5421
Practice Phone
: 954-987-2000;
Practice Fax
: 954-437-6628
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1942206149 -
DR.
DR.
PHILIP
C
SMITH
M.D.
Other Name
:
Mailing Address
:
1200 N STATE ST STE 330
JACKSON
MS
39202-2027
Phone
: 601-353-2020;
Fax
: 601-714-5110;
Practice Location Address
:
401 BAPTIST DR STE 201
,
, MADISON
, MS
, 39110
Practice Phone
: 601-853-2020;
Practice Fax
:
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1851397053 -
DR.
DR.
HOWARD
GARY
SMITH
M.D.
Other Name
:
Mailing Address
:
145 W 67TH ST APT 4C
NEW YORK
NY
10023-5930
Phone
: 860-212-6723;
Fax
: ;
Practice Location Address
:
145 W 67TH ST APT 4C
,
, NEW YORK
, NY
, 10023-5930
Practice Phone
: 860-212-6723;
Practice Fax
:
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1760488969 -
DR.
DR.
JOHN
EDWARD
HOGG
MD
Other Name
:
Mailing Address
:
615 BIENVILLE ST
NATCHITOCHES
LA
71457-5730
Phone
: 318-352-6800;
Fax
: 318-352-6803;
Practice Location Address
:
615 BIENVILLE ST
,
, NATCHITOCHES
, LA
, 71457-5730
Practice Phone
: 318-352-6800;
Practice Fax
: 318-352-6803
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1679579874 -
JASON
D
BURNS
M.D.
Other Name
:
Mailing Address
:
9157 HUEBNER RD
SAN ANTONIO
TX
78240-1502
Phone
: 210-697-2020;
Fax
: 210-558-7679;
Practice Location Address
:
9157 HUEBNER RD
,
, SAN ANTONIO
, TX
, 78240-1502
Practice Phone
: 210-697-2020;
Practice Fax
: 210-558-7679
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1588660781 -
JAMES
A
JOKI
MD
Other Name
:
Mailing Address
:
1570 N 115TH ST
# 9
SEATTLE
WA
98133-8412
Phone
: 206-362-5654;
Fax
: ;
Practice Location Address
:
1570 N 115TH ST
, # 9
, SEATTLE
, WA
, 98133-8412
Practice Phone
: 206-362-5654;
Practice Fax
:
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1497751606 -
IRA
FLOYD
MD
Other Name
:
Mailing Address
:
PO BOX 437
SAN ANTONIO
TX
78292-0437
Phone
: 830-774-2505;
Fax
: 830-774-2394;
Practice Location Address
:
1200 N BEDELL AVE
,
, DEL RIO
, TX
, 78840
Practice Phone
: 830-774-2505;
Practice Fax
: 830-774-2394
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1306842513 -
SUZANNE
LYNN
SKRYPAK
CRNP
Other Name
:
Mailing Address
:
86 WELLNESS WAY
WASHINGTON
PA
15301-9720
Phone
: 724-229-3300;
Fax
: 724-229-0975;
Practice Location Address
:
86 WELLNESS WAY
,
, WASHINGTON
, PA
, 15301-9720
Practice Phone
: 724-229-3300;
Practice Fax
: 724-229-0975
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1215933429 -
DR.
DR.
SCOTT
OWEN
WASHBURN
DC
Other Name
:
Mailing Address
:
PO BOX 1314
PORTALES
NM
88130-1314
Phone
: 575-799-0955;
Fax
: ;
Practice Location Address
:
421 S AVENUE C
, SUITE C
, PORTALES
, NM
, 88130-6328
Practice Phone
: 575-799-0955;
Practice Fax
:
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1124024336 -
DR.
DR.
FARID
SHAHKOOHI
M.D.
Other Name
:
Mailing Address
:
371 MERRICK RD
STE 302
ROCKVILLE CENTRE
NY
11570-5301
Phone
: 516-678-5555;
Fax
: 516-678-9128;
Practice Location Address
:
371 MERRICK RD
, STE 302
, ROCKVILLE CENTRE
, NY
, 11570-5301
Practice Phone
: 516-678-5555;
Practice Fax
: 516-678-9128
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1033115241 -
KAMLESH
B
GOSAI
M.D.
Other Name
:
Mailing Address
:
119 WILSON RD
BENTLEYVILLE
PA
15314-1027
Phone
: 724-239-4700;
Fax
: 724-489-0350;
Practice Location Address
:
119 WILSON RD
,
, BENTLEYVILLE
, PA
, 15314-1027
Practice Phone
: 724-239-4700;
Practice Fax
: 724-489-0350
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1942206156 -
JOEL
B
LEVINE
M.D.
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-3238;
Practice Fax
: 860-679-1217
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1851397061 -
TIMOTHY
J
RANVAL
MD
Other Name
:
Mailing Address
:
PO BOX 636961
CINCINNATI
OH
45263-6961
Phone
: 513-981-5130;
Fax
: 513-981-5015;
Practice Location Address
:
1532 LONE OAK RD
, STE 405
, PADUCAH
, KY
, 42003-7913
Practice Phone
: 270-441-4300;
Practice Fax
: 270-441-4370
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1760488977 -
DR.
DR.
DAREN
LANE
GOIN
Other Name
:
Mailing Address
:
505 N 2ND AVE
STAYTON
OR
97383-1715
Phone
: 503-769-3366;
Fax
: 503-769-5501;
Practice Location Address
:
505 N 2ND AVE
,
, STAYTON
, OR
, 97383-1715
Practice Phone
: 503-769-3366;
Practice Fax
: 503-769-5501
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1679579882 -
SATINDER
JUDGE
MD
Other Name
:
Mailing Address
:
6720 BERTNER AVE
HOUSTON
TX
77030-2604
Phone
: 832-355-2666;
Fax
: ;
Practice Location Address
:
2701 HOSPITAL DR
,
, VICTORIA
, TX
, 77901-5748
Practice Phone
: 512-573-9181;
Practice Fax
:
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1588660799 -
JILL
HOPWOOD
MULLEN
CRNA
Other Name
:
Mailing Address
:
700 LAWN AVE
SELLERSVILLE
PA
18960-1548
Phone
: 215-453-4550;
Fax
: ;
Practice Location Address
:
700 LAWN AVE
,
, SELLERSVILLE
, PA
, 18960-1548
Practice Phone
: 215-453-4550;
Practice Fax
:
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1396741500 -
JEFFREY
LEE
VARNELL
MD
Other Name
:
Mailing Address
:
1421 S POTOMAC ST
STE 110
AURORA
CO
80012-4511
Phone
: 303-337-5600;
Fax
: 303-337-7734;
Practice Location Address
:
1421 S POTOMAC ST
, STE 110
, AURORA
, CO
, 80012-4511
Practice Phone
: 303-337-5600;
Practice Fax
: 303-337-7734
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1205832417 -
JEANES RADIOLOGY ASSOCIATES
Other Name
:
Mailing Address
:
PO BOX 827275
PHILADELPHIA
PA
19182-7275
Phone
: 215-663-5910;
Fax
: ;
Practice Location Address
:
1619 GRANT AVE
,
, PHILADELPHIA
, PA
, 19115-3167
Practice Phone
: 215-934-6100;
Practice Fax
: 215-934-6713
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1114923323 -
DR.
DR.
DAVE
LIVINGSTONE
M.D.
Other Name
:
Mailing Address
:
68 S SERVICE RD
SUITE 350
MELVILLE
NY
11747-2354
Phone
: 516-945-3000;
Fax
: ;
Practice Location Address
:
27005 76TH AVE
,
, NEW HYDE PARK
, NY
, 11040-1433
Practice Phone
: 718-470-7390;
Practice Fax
:
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1023014230 -
MALINI
IYER
MD, FACS, FRCS
Other Name
:
Mailing Address
:
45 2ND STREET PIKE STE 100
SOUTHAMPTON
PA
18966-3829
Phone
: 215-633-3456;
Fax
: 215-396-3456;
Practice Location Address
:
45 2ND STREET PIKE STE 100
,
, SOUTHAMPTON
, PA
, 18966-3829
Practice Phone
: 215-633-3456;
Practice Fax
:
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1932105145 -
DR.
DR.
CICELY
MONIQUE
PICKETT
MD
Other Name
:
Mailing Address
:
701 PUMPHREY FARM DR
MILLERSVILLE
MD
21108-1485
Phone
: 410-299-5101;
Fax
: ;
Practice Location Address
:
1701 TWIN SPRINGS RD
,
, HALETHORPE
, MD
, 21227-3553
Practice Phone
: 800-777-7904;
Practice Fax
:
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1841296050 -
MARIA
EVE
MAIN
A.R.N.P
Other Name
:
Mailing Address
:
815 WAKEFIELD ST
BOWLING GREEN
KY
42103-1554
Phone
: 270-781-2200;
Fax
: ;
Practice Location Address
:
1906 COLLEGE HEIGHTS BLVD #8400
,
, BOWLING GREEN
, KY
, 42101-1041
Practice Phone
: 270-745-5641;
Practice Fax
: 270-745-3806
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1750387965 -
SA-PG-CLEARWATER LLC
Other Name
:
PALM GARDEN OF CLEARWATER
Mailing Address
:
3480 MCMULLEN BOOTH ROAD
CLEARWATER
FL
33761
Phone
: 727-786-6697;
Fax
: 727-781-0516;
Practice Location Address
:
3480 N MCMULLEN BOOTH RD
,
, CLEARWATER
, FL
, 33761-1421
Practice Phone
: 727-786-6697;
Practice Fax
: 727-781-0516
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1669478871 -
SANG HYUK
PARK
D.D.S.
Other Name
:
Mailing Address
:
6383 PINE MEADOW CIR
STOCKTON
CA
95219-2543
Phone
: 415-867-1603;
Fax
: ;
Practice Location Address
:
3040 PARK AVE
, STE H
, MERCED
, CA
, 95348-3405
Practice Phone
: 209-722-7789;
Practice Fax
: 209-722-7811
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1578569786 -
KAREN
M
DONALDSON
MD
Other Name
:
Mailing Address
:
3120 ERDMAN AVE
BALTIMORE
MD
21213-1720
Phone
: 410-558-4800;
Fax
: 410-675-8947;
Practice Location Address
:
3120 ERDMAN AVE
,
, BALTIMORE
, MD
, 21213-1720
Practice Phone
: 410-558-4800;
Practice Fax
: 410-675-8947
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1487650693 -
DR.
DR.
CHARISSE
D
LITCHMAN
MD
Other Name
:
Mailing Address
:
1290 SUMMER ST
STAMFORD
CT
06905-5360
Phone
: 203-969-7662;
Fax
: 203-969-0809;
Practice Location Address
:
1290 SUMMER ST
, 5200
, STAMFORD
, CT
, 06905-5360
Practice Phone
: 203-969-7662;
Practice Fax
: 203-969-0809
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1295731404 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104822311 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1013913227 -
DR.
DR.
ROBERT
DOUGLAS
DENT
D.C.
Other Name
:
Mailing Address
:
701 E HANOVER ST
NEW BADEN
IL
62265-1908
Phone
: 618-588-4976;
Fax
: 618-588-4926;
Practice Location Address
:
701 E HANOVER ST
,
, NEW BADEN
, IL
, 62265-1908
Practice Phone
: 618-588-4976;
Practice Fax
: 618-588-4926
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1922004134 -
DR.
DR.
PABLO
CRUZ BURGOS
MD
Other Name
:
Mailing Address
:
113 PASEO DEL MAR
LUQUILLO
PR
00773-2902
Phone
: 919-946-3340;
Fax
: 787-294-9921;
Practice Location Address
:
400 CALLE MANUEL DOMENECH STE 304
,
, SAN JUAN
, PR
, 00918-3703
Practice Phone
: 787-282-8181;
Practice Fax
: 787-294-9921
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1831195049 -
DR.
DR.
SENTHIL
N
SUNDARAM
M.D.
Other Name
:
Mailing Address
:
2920 HIGHWOODS BLVD
RALEIGH
NC
27604-0010
Phone
: ;
Fax
: ;
Practice Location Address
:
3000 NEW BERN AVE
, STE 1200
, RALEIGH
, NC
, 27610-1231
Practice Phone
: 919-231-6132;
Practice Fax
: 919-231-6276
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1740286954 -
ANANT
J
GANDHI
MD
Other Name
:
Mailing Address
:
SOUTHWEST MEDICAL CENTER, INC
119 WILSON RD
BENTLEYVILLE
PA
15314-1027
Phone
: 724-239-4700;
Fax
: 724-489-0350;
Practice Location Address
:
SOUTHWEST MEDICAL CENTER, INC
, 119 WILSON RD
, BENTLEYVILLE
, PA
, 15314-1027
Practice Phone
: 724-239-4700;
Practice Fax
: 724-489-0350
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1659377869 -
COOS COUNTY NURSING HOME
Other Name
:
Mailing Address
:
PO BOX 416
BERLIN
NH
03570-0416
Phone
: 603-752-2343;
Fax
: 603-752-4773;
Practice Location Address
:
364 CATES HILL RD
,
, BERLIN
, NH
, 03570-1554
Practice Phone
: 603-752-2343;
Practice Fax
: 603-752-4773
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1568468775 -
BARRY
R
REZNICK
MD
Other Name
:
Mailing Address
:
1200 SHARON RD STE 201
BEAVER
PA
15009-3148
Phone
: 724-774-0398;
Fax
: 724-775-5635;
Practice Location Address
:
1200 SHARON RD STE 201
,
, BEAVER
, PA
, 15009-3148
Practice Phone
: 724-774-0398;
Practice Fax
: 724-775-5635
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1477559680 -
REX
E
LUTTRELL
M.D.
Other Name
:
Mailing Address
:
PO BOX 5209
JACKSONVILLE
AR
72078-5209
Phone
: 501-978-4343;
Fax
: 501-975-8995;
Practice Location Address
:
1300 BRADEN ST
, POD B
, JACKSONVILLE
, AR
, 72076-3719
Practice Phone
: 501-978-4343;
Practice Fax
: 501-975-8995
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1558367763 -
DR.
DR.
GEORGE
R
WOODBURY
Other Name
:
Mailing Address
:
8143 WALNUT GROVE RD
CORDOVA
TN
38018-7270
Phone
: 901-753-0168;
Fax
: 901-754-4946;
Practice Location Address
:
8143 WALNUT GROVE RD
,
, CORDOVA
, TN
, 38018-7270
Practice Phone
: 901-753-0168;
Practice Fax
: 901-754-4946
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1467458679 -
DR.
DR.
MICHAEL
H
FINCK
M.D.
Other Name
:
Mailing Address
:
70 HATFIELD LN
STE 204
GOSHEN
NY
10924-6735
Phone
: 945-291-1260;
Fax
: 845-294-2312;
Practice Location Address
:
70 HATFIELD LN
, STE 204
, GOSHEN
, NY
, 10924-6735
Practice Phone
: 945-291-1260;
Practice Fax
: 845-294-2312
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1255337465 -
EUGENE
FANTL
M.D.
Other Name
:
Mailing Address
:
65 KANE ST
PROVIDER ENROLLMENT
WEST HARTFORD
CT
06119-2110
Phone
: 860-523-6421;
Fax
: 860-523-3701;
Practice Location Address
:
99 ASH ST
,
, EAST HARTFORD
, CT
, 06108-3226
Practice Phone
: 860-282-3859;
Practice Fax
: 860-282-8574
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1164428371 -
DR.
DR.
KARL
E.
RICHEY
M.D.
Other Name
:
Mailing Address
:
161 HALONA ST
KIHEI
HI
96753-8523
Phone
: 808-268-8517;
Fax
: 808-891-8279;
Practice Location Address
:
3100 TONGASS AVE
,
, KETCHIKAN
, AK
, 99901-5746
Practice Phone
: 907-225-5171;
Practice Fax
: 907-228-8333
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1124024435 -
DAVID
ZUCKERMAN
DPM
Other Name
:
Mailing Address
:
341 S EVERGREEN AVE
WOODBURY
NJ
08096-2715
Phone
: 856-848-3338;
Fax
: 856-848-5122;
Practice Location Address
:
341 S EVERGREEN AVE
,
, WOODBURY
, NJ
, 08096-2715
Practice Phone
: 856-848-3338;
Practice Fax
: 856-848-5122
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1033115340 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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