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Showing codes 1578654000 — 1750472049
1578654000 -
ROCKLAND PSYCHIATRIC CENTER
Other Name
:
Mailing Address
:
140 OLD ORANGEBURG ROAD
ROCKLAND PSYCHIATRIC CENTER
ORANGEBURG
NY
10962
Phone
: 845-359-1000;
Fax
: 845-680-5516;
Practice Location Address
:
18 CHURCH STREET
, NYACK CONSULTATION CENTER
, NYACK
, NY
, 10960
Practice Phone
: 845-358-1677;
Practice Fax
: 845-358-3640
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1487745915 -
EMUATA
UFOK
BASSEY
M.D.
Other Name
:
Mailing Address
:
2800 W 95TH ST
EVERGREEN PARK
IL
60805-2701
Phone
: 708-229-5420;
Fax
: 708-229-4209;
Practice Location Address
:
2800 W 95TH ST
,
, EVERGREEN PARK
, IL
, 60805-2701
Practice Phone
: 708-229-5420;
Practice Fax
: 708-229-4209
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1295826725 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104917632 -
DR.
DR.
DEBORAH
SUSAN
CRECRAFT
DDS
Other Name
:
DEBORAH
CRECRAFT
TAYLOR
Mailing Address
:
237 E INTERNATIONAL SPEEDWAY BLVD SUITE 1B
COAST DENTAL SERVICES PA
DELAND
FL
32720-2339
Phone
: 286-943-9990;
Fax
: 386-943-8988;
Practice Location Address
:
237 E INTERNATIONAL SPEEDWAY BLVD SUITE 1B
, COAST DENTAL SERVICES PA
, DELAND
, FL
, 32720-2339
Practice Phone
: 286-943-9990;
Practice Fax
: 386-943-8988
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1013008549 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1922199454 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1689765968 -
DR.
DR.
MARC
ROBERT
VANNESS
D.M.D.
Other Name
:
Mailing Address
:
155 LAKE AVE STE 201
COLORADO SPRINGS
CO
80906-3706
Phone
: 719-375-5201;
Fax
: 844-656-9696;
Practice Location Address
:
155 LAKE AVE STE 201
,
, COLORADO SPRINGS
, CO
, 80906-3706
Practice Phone
: 719-375-5201;
Practice Fax
: 844-656-9696
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1497846778 -
DR.
DR.
MICHAEL
ROBERT
BRITT
DDS MS
Other Name
:
Mailing Address
:
4771 ROUNDTREE DR
BRIGHTON
MI
48116-5140
Phone
: 313-300-5334;
Fax
: 810-229-6180;
Practice Location Address
:
4771 ROUNDTREE DR
,
, BRIGHTON
, MI
, 48116-5140
Practice Phone
: 313-300-5334;
Practice Fax
: 810-229-6180
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1306937685 -
YVONNE
KAMEN
LCSW
Other Name
:
Mailing Address
:
28 PLAZA NINE
MANALAPAN
NJ
07726
Phone
: 732-409-3223;
Fax
: ;
Practice Location Address
:
28 PLAZA NINE
,
, MANALAPAN
, NJ
, 07726
Practice Phone
: 732-409-3223;
Practice Fax
:
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1215028592 -
JEFFREY
DANIEL
DETTWILER
D.C.
Other Name
:
Mailing Address
:
9865 E 116TH ST
STE 150
FISHERS
IN
46037-9239
Phone
: 317-902-5802;
Fax
: ;
Practice Location Address
:
9865 E 116TH ST
, SUITE 150
, FISHERS
, IN
, 46037-9231
Practice Phone
: 317-902-5802;
Practice Fax
:
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1124119409 -
MR.
MR.
JOSEPH
FRANCIS
RYAN
A.S.
Other Name
:
Mailing Address
:
85 PEPPER BUSH LN
NEWINGTON
CT
06111-4242
Phone
: 860-667-1901;
Fax
: ;
Practice Location Address
:
555 WILLARD AVE
, 116A
, NEWINGTON
, CT
, 06111-2631
Practice Phone
: 860-594-6320;
Practice Fax
: 860-667-8642
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1942391222 -
SPINE CARE HAWAII INC.
Other Name
:
Mailing Address
:
407 ULUNIU ST
SUITE 311
KAILUA
HI
96734-2519
Phone
: 808-261-4040;
Fax
: ;
Practice Location Address
:
407 ULUNIU ST
, SUITE 311
, KAILUA
, HI
, 96734-2519
Practice Phone
: 808-261-4040;
Practice Fax
:
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1851482137 -
HEATHER
ANN
COLLINS
Other Name
:
Mailing Address
:
114 MACK RD
MIDDLEFIELD
CT
06455-1115
Phone
: ;
Fax
: ;
Practice Location Address
:
114 BOSTON POST RD
,
, WEST HAVEN
, CT
, 06516-2043
Practice Phone
: 203-415-4504;
Practice Fax
:
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1760573042 -
SHIRLEY
TRABACHINO
CRNP
Other Name
:
Mailing Address
:
2450 W HUNTING PARK AVE
PHILA
PA
19129-1302
Phone
: 215-722-4600;
Fax
: 215-722-1370;
Practice Location Address
:
7600 CENTRAL AVE
,
, PHILA
, PA
, 19111-2442
Practice Phone
: 215-722-4600;
Practice Fax
: 215-722-1370
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1679664957 -
MRS.
MRS.
GUADALUPE
SHOBER
LCSW
Other Name
:
Mailing Address
:
10094 S WASATCH BLVD
SANDY
UT
84092-4572
Phone
: 801-634-5334;
Fax
: ;
Practice Location Address
:
1108 W SOUTH JORDAN PKWY STE C
,
, SOUTH JORDAN
, UT
, 84095-5505
Practice Phone
: 801-856-4647;
Practice Fax
: 801-634-5334
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1588755862 -
MICHAEL
ARTHUR
JORDAN
OD
Other Name
:
Mailing Address
:
3925 PRIVATE ROAD 304
SEMMES
AL
36575-6043
Phone
: 251-649-6848;
Fax
: ;
Practice Location Address
:
3063 DAUPHIN ST
,
, MOBILE
, AL
, 36606-4040
Practice Phone
: 251-476-2743;
Practice Fax
:
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1396836672 -
JULIE
R
ZABER
PT
Other Name
:
Mailing Address
:
555 NORTH NEW BALLAS ROAD
SUITE 225
ST. LOUIS
MO
63141-6825
Phone
: 314-997-8700;
Fax
: 314-997-8799;
Practice Location Address
:
555 NORTH NEW BALLAS ROAD
, SUITE 225
, ST. LOUIS
, MO
, 63141-6825
Practice Phone
: 314-997-8700;
Practice Fax
: 314-997-8799
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1205927589 -
NHS DIAGNOSTIC CORPORATION
Other Name
:
Mailing Address
:
7520 SKOKIE BLVD
SKOKIE
IL
60077-3342
Phone
: 847-982-1195;
Fax
: ;
Practice Location Address
:
7520 SKOKIE BLVD
,
, SKOKIE
, IL
, 60077-3342
Practice Phone
: 847-982-1195;
Practice Fax
:
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1114018496 -
MRS.
MRS.
ELIZABETH
ROSE
BRAGAW
RPH, CDM
Other Name
:
Mailing Address
:
19 ATTAWAN AVE
NIANTIC
CT
06357-3601
Phone
: 860-739-2364;
Fax
: 860-767-3495;
Practice Location Address
:
125 WESTBROOK RD
,
, ESSEX
, CT
, 06426-1521
Practice Phone
: 860-767-2181;
Practice Fax
: 860-767-3495
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1841381126 -
DR.
DR.
TOMASZ
T
PAJAK
M.D.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6701 N CHARLES ST
, DEPT OF MEDICINE RM 4890
, BALTIMORE
, MD
, 21204-6808
Practice Phone
: 443-849-8046;
Practice Fax
:
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1750472031 -
MRS.
MRS.
LISA
M
DAVIS
R.D., L.D.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6565 N CHARLES ST
, STE 507
, BALTIMORE
, MD
, 21204-6800
Practice Phone
: 443-849-2036;
Practice Fax
:
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1669563946 -
MRS.
MRS.
JENNIFER
L
MULLER
RDN,LDN,CDE
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6535 N CHARLES ST STE 125
,
, BALTIMORE
, MD
, 21204-5822
Practice Phone
: 443-849-3793;
Practice Fax
:
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1104917483 -
DR.
DR.
LOUIS
E.
BARTOSHESKY
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1013008390 -
MRS.
MRS.
LISA
K.
BORK
APN
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
1665 SW HIGHWAY 484 STE 105
,
, OCALA
, FL
, 34473-1996
Practice Phone
: 352-693-5900;
Practice Fax
: 352-693-5805
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1922199207 -
MS.
MS.
LINDA
A.
BOYAJIAN-CONBOY
APN
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1831280114 -
LINDA
DUFFY
PA-C
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1740371020 -
DR.
DR.
THOMAS
ALLEN
HENDERSON
MD
Other Name
:
Mailing Address
:
3205 N ACADEMY BLVD
SUITE 130
COLORADO SPRINGS
CO
80917-5101
Phone
: 719-632-5700;
Fax
: 719-344-7837;
Practice Location Address
:
722 S WAHSATCH AVE
,
, COLORADO SPRINGS
, CO
, 80903-4035
Practice Phone
: 719-632-5700;
Practice Fax
: 719-344-7817
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1659462935 -
MRS.
MRS.
RUTH
MURRAY
GIBBS
LPC
Other Name
:
Mailing Address
:
6121 HOMEWOOD CIR
ROANOKE
VA
24018-7612
Phone
: 540-776-9212;
Fax
: ;
Practice Location Address
:
3451 BRANDON AVE SW
,
, ROANOKE
, VA
, 24018-1513
Practice Phone
: 540-314-0443;
Practice Fax
:
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1912098294 -
HUNG NGUYEN, M.D., INC.
Other Name
:
Mailing Address
:
210 N TUSTIN AVE
SANTA ANA
CA
92705-3807
Phone
: 800-883-7243;
Fax
: 714-647-1245;
Practice Location Address
:
9920 TALBERT AVE
,
, FOUNTAIN VALLEY
, CA
, 92708-5153
Practice Phone
: 800-883-7243;
Practice Fax
:
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1821189101 -
BHASKER MEDICAL CLINIC PC
Other Name
:
Mailing Address
:
200 NEEL AVE
SOCORRO
NM
87801-4649
Phone
: 575-835-2940;
Fax
: 575-835-2216;
Practice Location Address
:
200 NEEL AVE
,
, SOCORRO
, NM
, 87801-4649
Practice Phone
: 575-835-2940;
Practice Fax
: 575-835-2216
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1730270018 -
DR.
DR.
KEITH
WAYNE
RUSSELL
D O
Other Name
:
Mailing Address
:
1200 NE 13TH ST
OKLAHOMA CITY
OK
73152-3277
Phone
: 405-522-2368;
Fax
: 405-522-4120;
Practice Location Address
:
1200 NE 13TH ST
,
, OKLAHOMA CITY
, OK
, 73152-3277
Practice Phone
: 405-522-2368;
Practice Fax
: 405-522-4120
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1649361924 -
MRS.
MRS.
JOANNE
M
DIELMANN
R.D., L.D., C.D.E.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6565 N CHARLES ST
, STE 507
, BALTIMORE
, MD
, 21204-6800
Practice Phone
: 443-849-2036;
Practice Fax
:
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1558452839 -
DR.
DR.
JOHN
LEDONNE
M.D.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6701 N CHARLES ST
, DEPT OF SURGERY
, BALTIMORE
, MD
, 21204-6808
Practice Phone
: 443-849-2000;
Practice Fax
:
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1467543744 -
DR.
DR.
NIKUNJ
J
PUROHIT
M.D.
Other Name
:
Mailing Address
:
9114 PHILADELPHIA RD
SUITE 108
BALTIMORE
MD
21237-4345
Phone
: 410-918-0777;
Fax
: 410-369-1707;
Practice Location Address
:
9114 PHILADELPHIA RD
, SUITE 108
, BALTIMORE
, MD
, 21237-4345
Practice Phone
: 410-918-0777;
Practice Fax
: 410-369-1707
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1376634659 -
MRS.
MRS.
AMANDA
L
WILSON
MBA, CADC
Other Name
:
Mailing Address
:
1196 PALMETTO ROAD
TUPELO
MS
38804
Phone
: 662-566-2551;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 920 BOONE STREET
, TUPELO
, MS
, 38804
Practice Phone
: 662-844-3531;
Practice Fax
: 662-844-1757
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1285725564 -
DIANE
T
NELSON
R.PH.
Other Name
:
Mailing Address
:
3601 S 6TH AVENUE
TUCSON
AZ
85723
Phone
: 520-792-1450;
Fax
: ;
Practice Location Address
:
3601 S 6TH AVENUE
,
, TUCSON
, AZ
, 85723
Practice Phone
: 520-792-1450;
Practice Fax
:
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1093806374 -
DIGESTIVE HEALTHCARE ASSOCIATES PC
Other Name
:
Mailing Address
:
8865 W 400 N #155
MICHIGAN CITY
IN
46360
Phone
: 219-362-4887;
Fax
: 219-872-2712;
Practice Location Address
:
8865 W 400 N #155
,
, MCIHGAN CITY
, IN
, 46360
Practice Phone
: 219-362-4887;
Practice Fax
: 219-872-2712
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1902997281 -
MRS.
MRS.
AMELIA
T
LADREYT
MACE, LCMHT
Other Name
:
Mailing Address
:
502 EXCHANGE STREET
TUPELO
MS
38801
Phone
: 662-372-4582;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH-CHEMICAL DEPENCY SERVICES
, 920 BOONE STREET
, TUPELO
, MS
, 38804
Practice Phone
: 662-844-3531;
Practice Fax
: 662-844-1757
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1811088198 -
SAM'S CLUB OPTICAL
Other Name
:
Mailing Address
:
702 SW 8TH STREET
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
1700 WESEL BLVD
,
, HAGERSTOWN
, MD
, 21740-5389
Practice Phone
: 301-714-0096;
Practice Fax
:
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1548351828 -
MS.
MS.
MARCY
K.
DEEMEDIO
APN
Other Name
:
Mailing Address
:
500 STOCKLEY ST OFC
REHOBOTH BEACH
DE
19971-1846
Phone
: 302-227-3172;
Fax
: 302-227-5176;
Practice Location Address
:
500 STOCKLEY ST OFC
,
, REHOBOTH BEACH
, DE
, 19971-1846
Practice Phone
: 302-227-3172;
Practice Fax
: 302-227-5176
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1457442733 -
DR.
DR.
MARIA CARMEN
G.
DIAZ
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-1400;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND ROAD
, NEMOURS/DUPONT HOSPITAL FOR CHILDREN
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1366533648 -
HOLLY
GALLOWAY
B.S.
Other Name
:
Mailing Address
:
10710 OLD HIGHWAY 64
BOLIVAR
TN
38008-3587
Phone
: 731-658-6113;
Fax
: 731-658-6165;
Practice Location Address
:
10710 OLD HIGHWAY 64
,
, BOLIVAR
, TN
, 38008-3587
Practice Phone
: 731-658-6113;
Practice Fax
: 731-658-6165
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1275624553 -
MR.
MR.
SPYRIDON
J.
CONDOS
DDS
Other Name
:
Mailing Address
:
115 CENTRAL PARK W
NEW YORK
NY
10023
Phone
: 212-799-6900;
Fax
: 212-769-2290;
Practice Location Address
:
115 CENTRAL PARK W
,
, NEW YORK
, NY
, 10023
Practice Phone
: 212-799-6900;
Practice Fax
: 212-769-2290
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1184715468 -
JOANNA
GORMAN
Other Name
:
Mailing Address
:
3109 LOTUS HILL DR
LAS VEGAS
NV
89134-8988
Phone
: 702-247-1908;
Fax
: ;
Practice Location Address
:
1800 W CHARLESTON BLVD
,
, LAS VEGAS
, NV
, 89102-2329
Practice Phone
: 702-207-8205;
Practice Fax
:
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1992896278 -
JANET
L
CARLSON
RN
Other Name
:
Mailing Address
:
199 HOME RD
JUNEAU
WI
53039-1401
Phone
: 920-386-3500;
Fax
: 920-386-3812;
Practice Location Address
:
199 HOME RD
,
, JUNEAU
, WI
, 53039-1401
Practice Phone
: 920-386-3500;
Practice Fax
: 920-386-3812
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1801987185 -
ANIL
KUMAR
GANDHI
MD
Other Name
:
Mailing Address
:
71 WEST 156TH STREET
SUITE 206
HARVEY
IL
60426-4262
Phone
: 708-339-8833;
Fax
: 708-333-4229;
Practice Location Address
:
71 WEST 156TH STREET
, SUITE 206
, HARVEY
, IL
, 60426-4262
Practice Phone
: 708-339-8833;
Practice Fax
: 708-333-4229
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1710078092 -
KAREN
LEWIS
Other Name
:
Mailing Address
:
701 18TH AVE NW STE 200
AUSTIN
MN
55912-1850
Phone
: ;
Fax
: ;
Practice Location Address
:
701 18TH AVE NW STE 200
,
, AUSTIN
, MN
, 55912-1850
Practice Phone
: 763-689-5385;
Practice Fax
:
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1629169909 -
DR.
DR.
MICHAEL
THOMAS
FLYNN
D.D.S.
Other Name
:
Mailing Address
:
27249 RUSLYNN DR
WINONA
MN
55987-4971
Phone
: 507-452-9035;
Fax
: 507-457-3269;
Practice Location Address
:
560 DEBRA DR
,
, LEWISTON
, MN
, 55952-2104
Practice Phone
: 507-523-2267;
Practice Fax
: 507-523-2206
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1538250816 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1083705362 -
IRWIN
ENDELMAN
MD
Other Name
:
Mailing Address
:
PO BOX 1969
COPPELL
TX
75019-1903
Phone
: 972-981-7927;
Fax
: 972-981-7928;
Practice Location Address
:
6130 W. PARKER RD
, MOB 1 STE 310
, PLANO
, TX
, 75093
Practice Phone
: 972-981-7927;
Practice Fax
: 972-981-7928
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1891886172 -
CURTIS
WIGGINS
Other Name
:
Mailing Address
:
PO BOX 1589
BENTON
AR
72018-1589
Phone
: 501-315-3344;
Fax
: ;
Practice Location Address
:
1628 E PAGE AVE
,
, MALVERN
, AR
, 72104
Practice Phone
: 501-315-3344;
Practice Fax
:
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1700977089 -
MS.
MS.
CHARMEN
LEIGH
SHOEMAKER
LMSW
Other Name
:
Mailing Address
:
941 HWY 9 NORTH
BRUCE
MS
38915
Phone
: ;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1619068996 -
MR.
MR.
DANNY
B
MCBRAYER
MED
Other Name
:
Mailing Address
:
1295 WINWOOD COVE
TUPELO
MS
38801
Phone
: 662-871-3432;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH-CHEMICAL DEPENDENCY SERVICES
, 920 BOONE STREET
, TUPELO
, MS
, 38804
Practice Phone
: 662-844-3531;
Practice Fax
: 662-844-1757
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1528159803 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
5315 CORTEZ RD W
,
, BRADENTON
, FL
, 34210-2814
Practice Phone
: 941-798-9341;
Practice Fax
:
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1437240710 -
SAM'S CLUB OPTICAL
Other Name
:
Mailing Address
:
702 SW 8TH STREET
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
5300 30TH ST E
,
, BRADENTON
, FL
, 34203-8400
Practice Phone
: 941-739-2130;
Practice Fax
:
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1346331626 -
DR.
DR.
MICHAEL
A.
ALEXANDER
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1255422531 -
DR.
DR.
MICHAEL
B.
BOBER
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1164513446 -
MS.
MS.
MARILYN
L.
BOOS
APN
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4946;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1073604351 -
MS.
MS.
MELINDA
S.
BROWN
CRNA
Other Name
:
Mailing Address
:
P.O. BOX 191
ROCKLAND
DE
19723-0191
Phone
: 302-651-4000;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
, NEMOURS DUPONT PEDIATRICS
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5365
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1982795266 -
DR.
DR.
MARY
R.
FESTA
D.O.
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1891886180 -
DR.
DR.
NANCY
CAPPIELLO
DC
Other Name
:
Mailing Address
:
562 SARATOGA RD
SCOTIA
NY
12302-5731
Phone
: 518-399-2252;
Fax
: 518-399-4712;
Practice Location Address
:
562 SARATOGA RD
,
, SCOTIA
, NY
, 12302-5731
Practice Phone
: 518-399-2252;
Practice Fax
: 518-399-4712
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1700977097 -
MR.
MR.
CARL
SIMMERER
II
M.A.
Other Name
:
Mailing Address
:
2035 E BALL RD STE 200
ANAHEIM
CA
92806-5157
Phone
: ;
Fax
: ;
Practice Location Address
:
2035 E BALL RD STE 200
,
, ANAHEIM
, CA
, 92806-5157
Practice Phone
: 714-517-6300;
Practice Fax
:
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1619068905 -
LYNN
E
MCBRIDE
LPC, LMFT,CSAC
Other Name
:
Mailing Address
:
134 ELON RD
MADISON HEIGHTS
VA
24572-2536
Phone
: 434-455-2480;
Fax
: 434-455-2487;
Practice Location Address
:
320 FEDERAL ST
,
, LYNCHBURG
, VA
, 24504-2306
Practice Phone
: 434-947-5967;
Practice Fax
: 434-947-5971
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1528159811 -
MS.
MS.
KIM
J
SCOTT
Other Name
:
Mailing Address
:
40 MONMOUTH RD
OAKHURST
NJ
07755-1654
Phone
: 732-263-1220;
Fax
: 732-222-3019;
Practice Location Address
:
40 MONMOUTH RD
,
, OAKHURST
, NJ
, 07755-1654
Practice Phone
: 732-263-1220;
Practice Fax
: 732-222-3019
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1982795274 -
MRS.
MRS.
DEBBIE
LYNN
BANKO
CMHT, MS
Other Name
:
Mailing Address
:
708 DANIELLE COVE
TUPELO
MS
38801
Phone
: 662-844-4081;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1790876084 -
PAMELA
ELAINE
ALBO
PAC
Other Name
:
Mailing Address
:
3157 N RAINBOW BLVD # 518
LAS VEGAS
NV
89108-4578
Phone
: 702-912-4100;
Fax
: 702-386-4701;
Practice Location Address
:
7220 S CIMARRON RD STE 270
,
, LAS VEGAS
, NV
, 89113-2160
Practice Phone
: 702-912-4100;
Practice Fax
: 702-386-4701
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1609967991 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
2001 US HIGHWAY 1
,
, SEBASTIAN
, FL
, 32958-1615
Practice Phone
: 772-589-8528;
Practice Fax
:
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1518058809 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
3535 APALACHEE PKWY
,
, TALLAHASSEE
, FL
, 32311-5330
Practice Phone
: 850-656-2732;
Practice Fax
:
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1427149715 -
DR.
DR.
PAUL
C.
ANISMAN
MD
Other Name
:
Mailing Address
:
P.O. BOX 191
ROCKLAND
DE
19723-0191
Phone
: 302-651-4000;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND ROAD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5345
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1336230622 -
MS.
MS.
MICHELLE
L.
BARON
APN
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1245321538 -
MS.
MS.
MILDRED
D.
BOETTCHER
APN
Other Name
:
Mailing Address
:
34TH AND CIVIC CENTER BLVD
PHILADELPHIA
PA
19104
Phone
: 215-590-3630;
Fax
: 215-590-3606;
Practice Location Address
:
34TH AND CIVIC CENTER BLVD
,
, PHILADELPHIA
, PA
, 19104
Practice Phone
: 215-590-3630;
Practice Fax
: 215-590-3606
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1154412443 -
DR.
DR.
OMAR
DABBAGH
MD
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1063503357 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1972694263 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1881785178 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1699866988 -
REHAB 1OF CHARLOTTE COUNTY, INC.
Other Name
:
Mailing Address
:
4166 TAMIAMI TRL
SUITE A
PORT CHARLOTTE
FL
33952-9209
Phone
: 941-766-1110;
Fax
: 941-766-1190;
Practice Location Address
:
4166 TAMIAMI TRL
, SUITE A
, PORT CHARLOTTE
, FL
, 33952-9209
Practice Phone
: 941-766-1110;
Practice Fax
: 941-766-1190
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1508957895 -
ANGELA
NOVELA
BUFFENN
MD
Other Name
:
Mailing Address
:
6430 W SUNSET BLVD
SUITE 600
LOS ANGELES
CA
90028-7901
Phone
: 323-361-2337;
Fax
: 323-361-8491;
Practice Location Address
:
4650 W SUNSET BLVD
, MS# 88
, LOS ANGELES
, CA
, 90027-6062
Practice Phone
: 323-361-2344;
Practice Fax
: 323-361-6283
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1417048703 -
DR.
DR.
GWENDOLYN
SNYDER
M.D.
Other Name
:
Mailing Address
:
601 ELMWOOD AVE
BOX 655
ROCHESTER
NY
14642-0001
Phone
: 585-341-6880;
Fax
: ;
Practice Location Address
:
1000 SOUTH AVE
,
, ROCHESTER
, NY
, 14642-0001
Practice Phone
: 585-341-6880;
Practice Fax
:
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1407947799 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
1400 HUDSON BRIDGE RD
,
, STOCKBRIDGE
, GA
, 30281
Practice Phone
: 770-474-0121;
Practice Fax
:
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1316038607 -
ROGER
T
JOHNSON
PAC
Other Name
:
Mailing Address
:
PO BOX 1650
FAMILY HEALTHCARE ASSOC INC
PINEVILLE
WV
24874
Phone
: 304-732-6735;
Fax
: 304-732-9161;
Practice Location Address
:
MAIN ST
, FAMILY HEALTHCARE ASSOC INC
, PINEVILLE
, WV
, 24874
Practice Phone
: 304-732-6735;
Practice Fax
: 304-732-9161
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1225129513 -
DR.
DR.
CARRIE
KAME
MCDOUGAL
DDS
Other Name
:
Mailing Address
:
1206 GULL RD
KALAMAZOO
MI
49048-1736
Phone
: 269-385-2100;
Fax
: 269-385-2538;
Practice Location Address
:
1206 GULL RD
,
, KALAMAZOO
, MI
, 49048-1736
Practice Phone
: 269-385-2100;
Practice Fax
: 269-385-2538
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1134210420 -
MRS.
MRS.
SHANNON
J.
ANTUNES
APN
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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|
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1043301336 -
MS.
MS.
SHERRIE
S
BRADY
PA-C
Other Name
:
Mailing Address
:
CORPORATE CREDENTIALING
P.O. BOX 269
WILMINGTON
DE
19899
Phone
: 302-651-5938;
Fax
: 302-651-6077;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-5345
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1952492241 -
MR.
MR.
ROBERT
P.
BRISLIN
DO
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT
ROCKLAND
DE
19732-0191
Phone
: ;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-4945
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|
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1861583155 -
MS.
MS.
STEPHANIE
W.
CARVER
APN
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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|
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1770674061 -
DR.
DR.
SABINA
S.
DICINDIO
D.O.
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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|
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|
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1689765976 -
DR.
DR.
STEPHEN
C.
EPPES
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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|
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|
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1497846786 -
JANET
MARIE
HARGADON
MASTERS OF ARTS
Other Name
:
Mailing Address
:
143 ROCKRIDGE RD
SAN CARLOS
CA
94070-3703
Phone
: 650-592-9222;
Fax
: 650-592-5009;
Practice Location Address
:
3801 MIRANDA AVE # 126
,
, PALO ALTO
, CA
, 94304-1207
Practice Phone
: 650-493-5000;
Practice Fax
: 650-849-0516
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1306937693 -
SUZANNE M. DAVIS, RPT. INC
Other Name
:
Mailing Address
:
447 NW 73RD AVE
PLANTATION
FL
33317-1608
Phone
: 954-583-7383;
Fax
: 954-583-7388;
Practice Location Address
:
447 NW 73RD AVE
,
, PLANTATION
, FL
, 33317-1608
Practice Phone
: 954-583-7383;
Practice Fax
: 954-583-7388
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1215028501 -
LUBBOCK DIAGNOSTIC RADIOLOGY, L.L.P.
Other Name
:
Mailing Address
:
PO BOX 1620
LUBBOCK
TX
79408-1620
Phone
: 806-792-2767;
Fax
: 806-791-6709;
Practice Location Address
:
4005 24TH ST
,
, LUBBOCK
, TX
, 79410-1835
Practice Phone
: 806-792-2767;
Practice Fax
: 888-861-8858
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1124119417 -
MR.
MR.
ROBERT
LEE
CLAYBORN
SR.
CO
Other Name
:
Mailing Address
:
214 ROCK CREEK CT
YORKTOWN
VA
23693-5542
Phone
: 662-292-3887;
Fax
: ;
Practice Location Address
:
100 EMANCIPATION DR
,
, HAMPTON
, VA
, 23667
Practice Phone
: 757-722-9961;
Practice Fax
: 757-728-3173
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1033200324 -
DR.
DR.
DON
T
HARADA
DC
Other Name
:
Mailing Address
:
1580 MAKALOA STREET
SUITE 798
HONOLULU
HI
96814-3283
Phone
: 808-947-7575;
Fax
: 808-941-4026;
Practice Location Address
:
1580 MAKALOA STREET
, SUITE 798
, HONOLULU
, HI
, 96814-3283
Practice Phone
: 808-947-7575;
Practice Fax
: 808-941-4026
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1942391230 -
THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UABHS
Other Name
:
Mailing Address
:
PO BOX 241145
MONTGOMERY
AL
36124-1145
Phone
: 334-747-4307;
Fax
: 334-747-4172;
Practice Location Address
:
124 S MEMORIAL DR
,
, PRATTVILLE
, AL
, 36067-3619
Practice Phone
: 334-361-4267;
Practice Fax
: 334-361-3131
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1851482145 -
TRACY
BAUCOM
KENT
LPA
Other Name
:
Mailing Address
:
3907 WRIGHTSVILLE AVE
SUITE 110
WILMINGTON
NC
28403-6246
Phone
: 910-799-6162;
Fax
: 910-799-6171;
Practice Location Address
:
3907 WRIGHTSVILLE AVE.
, SUITE 110
, WILMINGTON
, NC
, 28401-6626
Practice Phone
: 910-799-6162;
Practice Fax
: 910-799-6171
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1760573059 -
COMFORT CARE HOSPICE, LLC
Other Name
:
Mailing Address
:
3535 NW 58TH
SUITE 765
OKLAHOMA CITY
OK
73112
Phone
: 405-602-0440;
Fax
: 405-602-0442;
Practice Location Address
:
3535 NW 58TH
, SUITE 765
, OKLAHOMA CITY
, OK
, 73112
Practice Phone
: 405-602-0440;
Practice Fax
: 405-602-0442
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1679664965 -
MRS.
MRS.
DEBRA
KAYE
SMITH
MS
Other Name
:
Mailing Address
:
105 PRAIRIE STREET
OKOLONA
MS
38860
Phone
: 662-447-3520;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1588755870 -
ABBIS MEDICAL SUPPLY, INC
Other Name
:
Mailing Address
:
12999 MURPHY RD
SUITTE N8
STAFFORD
TX
77477
Phone
: 832-244-0501;
Fax
: ;
Practice Location Address
:
12999 MURPHY RD
, SUITE N8
, STAFFORD
, TX
, 77477
Practice Phone
: 832-244-0501;
Practice Fax
:
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1396836680 -
DR.
DR.
JULIE
D
BRACK
M.D.
Other Name
:
Mailing Address
:
8800 PENROSE LN APT 242
LENEXA
KS
66219-8156
Phone
: 913-219-1095;
Fax
: ;
Practice Location Address
:
23351 PRAIRIE STAR PKWY STE A245
,
, LENEXA
, KS
, 66227-7301
Practice Phone
: 913-676-8630;
Practice Fax
: 913-676-8635
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1205927597 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
6830 NORMANDY BLVD
,
, JACKSONVILLE
, FL
, 32205-6210
Practice Phone
: 904-786-0390;
Practice Fax
:
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1750472049 -
TERRANCE
JOSEPH
DRAKE
M.D.
Other Name
:
Mailing Address
:
8003 CASTLEWAY DR
INDIANAPOLIS
IN
46250-1946
Phone
: 317-576-1335;
Fax
: 317-576-1339;
Practice Location Address
:
8003 CASTLEWAY DR
,
, INDIANAPOLIS
, IN
, 46250-1946
Practice Phone
: 317-576-1335;
Practice Fax
: 317-576-1339
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