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Showing codes 1598761587 — 1225034234
1598761587 -
ROBERT
ANTHONY
KOZOL
MD
Other Name
:
Mailing Address
:
5301 S CONGRESS AVE
FLOOR 3S
ATLANTIS
FL
33462
Phone
: 561-548-1711;
Fax
: 561-548-1743;
Practice Location Address
:
142 JFK DRIVE
,
, ATLANTIS
, FL
, 33462
Practice Phone
: 561-439-1500;
Practice Fax
: 561-548-1743
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1407852494 -
DR.
DR.
LEONIDES
G.
CIGARROA
JR.
M.D.
Other Name
:
Mailing Address
:
1710 E SAUNDERS ST
TOWER B 5TH FLOOR
LAREDO
TX
78041-5443
Phone
: 956-725-1228;
Fax
: 956-725-0833;
Practice Location Address
:
1710 E SAUNDERS ST
, TOWER B 5TH FLOOR
, LAREDO
, TX
, 78041-5443
Practice Phone
: 956-725-1228;
Practice Fax
: 956-725-0833
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1316943301 -
MICHAEL
LEE
STACK
M.D.
Other Name
:
Mailing Address
:
6215 HUMPHREYS BLVD STE 200
MEMPHIS
TN
38120-2382
Phone
: 901-512-6086;
Fax
: 833-450-5323;
Practice Location Address
:
6215 HUMPHREYS BLVD STE 200
,
, MEMPHIS
, TN
, 38120-2382
Practice Phone
: 901-512-6086;
Practice Fax
: 833-450-5323
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1225034218 -
IAN
LAURENCE
COHEN
MD
Other Name
:
Mailing Address
:
ELM AND CARLTON ST
BUFFALO
NY
14263-0001
Phone
: 716-845-2300;
Fax
: 716-845-8518;
Practice Location Address
:
ELM AND CARLTON ST
,
, BUFFALO
, NY
, 14263-0001
Practice Phone
: 716-845-2300;
Practice Fax
: 716-845-8518
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1134125123 -
ROSALIND
J
MASCALL
M.D.
Other Name
:
ROSALIND
J
JACKSON
Mailing Address
:
2110 LEITER RD
MIAMISBURG
OH
45342-3660
Phone
: 937-384-4841;
Fax
: 937-384-4845;
Practice Location Address
:
4000 MIAMISBURG CENTERVILLE RD
, STE. 200
, MIAMISBURG
, OH
, 45342-7615
Practice Phone
: 937-293-5200;
Practice Fax
:
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1043216039 -
DR.
DR.
DANIEL
L
OLSON
PH.D.
Other Name
:
Mailing Address
:
700 LOCUST ST
STE 716
DUBUQUE
IA
52001-6824
Phone
: 563-556-1225;
Fax
: 563-556-0713;
Practice Location Address
:
700 LOCUST ST
, STE 716
, DUBUQUE
, IA
, 52001-6824
Practice Phone
: 563-556-1225;
Practice Fax
: 563-556-0713
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1952307944 -
DR.
DR.
JAMES
JOSEPH
ELSON
MD
Other Name
:
Mailing Address
:
119 MONIER RD
GIBSONIA
PA
15044-7728
Phone
: 724-265-3153;
Fax
: ;
Practice Location Address
:
119 MONIER RD
,
, GIBSONIA
, PA
, 15044-7728
Practice Phone
: 724-265-3153;
Practice Fax
:
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1861498859 -
STEVEN
D.
CLARK
RPA-C
Other Name
:
Mailing Address
:
14 MOUNTAIN LEDGE DRIVE
WILTON
NY
12831-1858
Phone
: 518-339-4839;
Fax
: ;
Practice Location Address
:
14 MOUNTAIN LEDGE DRIVE
,
, WILTON
, NY
, 12831-1858
Practice Phone
: 518-339-4839;
Practice Fax
:
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1770589764 -
ROCK COUNTY HOSPITAL
Other Name
:
Mailing Address
:
801 S STATE ST
BASSETT
NE
68714-5062
Phone
: 402-684-2906;
Fax
: 402-684-3822;
Practice Location Address
:
801 S STATE ST
,
, BASSETT
, NE
, 68714-5062
Practice Phone
: 402-684-2906;
Practice Fax
: 402-684-3822
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1689670671 -
BOBBY
JOE
BROOKS
MD
Other Name
:
Mailing Address
:
127 KINGSWOOD DR
CAMPBELLSVILLE
KY
42718-9634
Phone
: 270-789-3410;
Fax
: 270-465-2449;
Practice Location Address
:
127 KINGSWOOD DR
,
, CAMPBELLSVILLE
, KY
, 42718-9634
Practice Phone
: 270-789-3410;
Practice Fax
: 270-465-2449
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1598761595 -
DR.
DR.
MICHAEL
C
PARKS
O.D.
Other Name
:
Mailing Address
:
325A KENNEDY MEMORIAL DR
WATERVILLE
ME
04901-4517
Phone
: 207-873-2731;
Fax
: 207-873-1106;
Practice Location Address
:
16 SOMERSET PLZ
,
, PITTSFIELD
, ME
, 04967-1334
Practice Phone
: 207-487-2261;
Practice Fax
: 207-487-3977
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1407852403 -
DR.
DR.
DAVID
A.
KOLDE
MD
Other Name
:
Mailing Address
:
400 HINCKLEY BLVD
JACKSON
MI
49203-6152
Phone
: 517-205-8991;
Fax
: ;
Practice Location Address
:
400 HINCKLEY BLVD
,
, JACKSON
, MI
, 49203-6152
Practice Phone
: 517-205-8991;
Practice Fax
:
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1316943319 -
DR.
DR.
ZACHARY
GENE
CAMPBELL
PHARM.D., R.PH.
Other Name
:
Mailing Address
:
17 MARKET ST
HURRICANE
WV
25526-9525
Phone
: 304-638-9555;
Fax
: ;
Practice Location Address
:
885 OAKWOOD RD
,
, CHARLESTON
, WV
, 25314-2057
Practice Phone
: 304-340-9925;
Practice Fax
:
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1225034226 -
MARGARET
R
LEY
RD
Other Name
:
MARGARET
A
RADOWSKI
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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1134125131 -
LAKE ORION NURSING CENTER CORPORATION
Other Name
:
Mailing Address
:
585 E FLINT ST
LAKE ORION
MI
48362-3209
Phone
: 248-693-0505;
Fax
: 248-693-6071;
Practice Location Address
:
585 E FLINT ST
,
, LAKE ORION
, MI
, 48362-3209
Practice Phone
: 248-693-0505;
Practice Fax
: 248-693-6071
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1043216047 -
DR.
DR.
JOAN
C.
DASTEEL
MSW, PHD
Other Name
:
Mailing Address
:
424 N BOWLING GREEN WAY
LOS ANGELES
CA
90049-2820
Phone
: 310-471-1496;
Fax
: 310-472-5826;
Practice Location Address
:
424 N BOWLING GREEN WAY
,
, LOS ANGELES
, CA
, 90049-2820
Practice Phone
: 310-471-1496;
Practice Fax
: 310-472-5826
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1952307951 -
BILLIE
J
BARKER
MD
Other Name
:
Mailing Address
:
4 ALLEGHENY CTR FL 7
PITTSBURGH
PA
15212-5227
Phone
: 412-359-6656;
Fax
: ;
Practice Location Address
:
490 E NORTH AVE STE 305
,
, PITTSBURGH
, PA
, 15212-4740
Practice Phone
: 412-359-6656;
Practice Fax
: 412-359-6653
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1861498867 -
PATRICIA
ANTOINE
C.R.N.A
Other Name
:
Mailing Address
:
68 S SERVICE RD
SUITE 350
MELVILLE
NY
11747-2354
Phone
: 516-945-3000;
Fax
: ;
Practice Location Address
:
10201 66TH RD
,
, FOREST HILLS
, NY
, 11375-2029
Practice Phone
: 718-830-4090;
Practice Fax
:
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1770589772 -
DR.
DR.
GENE
E.
GRAFF
D.O.
Other Name
:
Mailing Address
:
17000 140TH AVE NE
UNIT 206
WOODINVILLE
WA
98072-6928
Phone
: 425-485-7985;
Fax
: 425-483-2375;
Practice Location Address
:
17000 140TH AVE NE
, UNIT 206
, WOODINVILLE
, WA
, 98072-6928
Practice Phone
: 425-485-7985;
Practice Fax
: 425-483-2375
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1689670689 -
DR.
DR.
KATHRYN
REYNOLDS
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
1729 CLARKSON RD
,
, CHESTERFIELD
, MO
, 63017-4977
Practice Phone
: 636-733-0090;
Practice Fax
: 636-733-0028
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1497751499 -
THOMAS
M
MANGER
MD
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
: 860-679-4477;
Practice Fax
: 860-679-4474
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1306842307 -
MR.
MR.
LEROY
KEITH
VAN DYKE
PA
Other Name
:
Mailing Address
:
3322 ROAD N NE
MOSES LAKE
WA
98837-9505
Phone
: 509-793-9051;
Fax
: 509-766-8585;
Practice Location Address
:
3322 ROAD N NE
,
, MOSES LAKE
, WA
, 98837-9505
Practice Phone
: 509-793-9051;
Practice Fax
: 509-766-8585
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1942206941 -
MR.
MR.
THOMAS
S
GOOD
N.P.
Other Name
:
Mailing Address
:
2121 E HARMONY RD
UNIT 100
FORT COLLINS
CO
80528-3401
Phone
: 970-221-1000;
Fax
: 970-221-1544;
Practice Location Address
:
2121 E HARMONY RD
, UNIT 100
, FORT COLLINS
, CO
, 80528-3401
Practice Phone
: 970-221-1000;
Practice Fax
: 970-221-1544
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1851397855 -
ROBERT
S.
THORNTON
M.D.
Other Name
:
Mailing Address
:
2121 LINE AVE
SHREVEPORT
LA
71104-2126
Phone
: 318-226-9441;
Fax
: 318-425-3236;
Practice Location Address
:
2121 LINE AVE
,
, SHREVEPORT
, LA
, 71104-2126
Practice Phone
: 318-226-9441;
Practice Fax
: 318-425-3236
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1760488761 -
DR.
DR.
WILLIAM
J
ANDREW
MD
Other Name
:
Mailing Address
:
200 MEDICAL CENTER DR
SUITE 160
FRANKLIN
OH
45005-5200
Phone
: 513-424-1440;
Fax
: 513-424-1422;
Practice Location Address
:
200 MEDICAL CENTER DR
, SUITE 160
, FRANKLIN
, OH
, 45005-5200
Practice Phone
: 513-424-1440;
Practice Fax
: 513-424-1422
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1679579676 -
DR.
DR.
JOEL
L
MARTIN
M D
Other Name
:
Mailing Address
:
3939 HOLLYWOOD BLVD
STE 3A
HOLLYWOOD
FL
33021-6749
Phone
: 954-961-7700;
Fax
: 954-961-0092;
Practice Location Address
:
3939 HOLLYWOOD BLVD
, STE 3A
, HOLLYWOOD
, FL
, 33021-6749
Practice Phone
: 954-961-7700;
Practice Fax
: 954-961-0092
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1588660583 -
DR.
DR.
KENNETH
CORDERO
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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1396741393 -
RANDALL
STRATE
MD
Other Name
:
Mailing Address
:
9002 N MERIDIAN ST
STE 107
INDIANAPOLIS
IN
46260-5349
Phone
: 317-848-7970;
Fax
: ;
Practice Location Address
:
9002 N MERIDIAN ST
, STE 107
, INDIANAPOLIS
, IN
, 46260-5349
Practice Phone
: 317-848-7970;
Practice Fax
:
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1205832201 -
HENRY
R
KRANZLER
MD
Other Name
:
Mailing Address
:
3900 CHESTNUT ST
PHILADELPHIA
PA
19104-3120
Phone
: 215-386-6662;
Fax
: ;
Practice Location Address
:
3900 CHESTNUT ST
,
, PHILADELPHIA
, PA
, 19104-3120
Practice Phone
: 215-386-6662;
Practice Fax
:
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1114923117 -
MS.
MS.
ROSSANA
LYNN
SPENCE
Other Name
:
Mailing Address
:
2828 CROASDAILE DR
DURHAM
NC
27705-2505
Phone
: 877-751-1157;
Fax
: 919-425-1596;
Practice Location Address
:
1100 NW 95TH ST
,
, MIAMI
, FL
, 33150-2038
Practice Phone
: 305-835-6191;
Practice Fax
: 305-694-3649
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1023014024 -
DR.
DR.
MICHAEL
ROHDE
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
2572 LEMAY FERRY RD
,
, SAINT LOUIS
, MO
, 63125-3131
Practice Phone
: 314-892-3321;
Practice Fax
: 314-845-9603
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1932105939 -
DR.
DR.
LAURA
BRITTON
PHARM.D.
Other Name
:
Mailing Address
:
127 S 500 E STE 160
SALT LAKE CITY
UT
84102-2091
Phone
: 801-587-6610;
Fax
: 801-236-8043;
Practice Location Address
:
127 S 500 E STE 160
,
, SALT LAKE CITY
, UT
, 84102-2091
Practice Phone
: 801-587-6610;
Practice Fax
: 801-236-8043
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1841296845 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1750387759 -
ARAVIND
GANGASANI
MD
Other Name
:
Mailing Address
:
5012 S US HIGHWAY 75 STE 300
ATTN. BILLING
DENISON
TX
75020-4589
Phone
: 903-465-3624;
Fax
: 903-465-3973;
Practice Location Address
:
5026 POOL ROAD
,
, DENISON
, TX
, 75020-4595
Practice Phone
: 903-465-3624;
Practice Fax
: 903-465-3973
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1669478665 -
WEST COUNTY CARE CENTER, INC.
Other Name
:
Mailing Address
:
312 SOLLEY DR
BALLWIN
MO
63021-5248
Phone
: 636-391-0666;
Fax
: 636-391-0622;
Practice Location Address
:
312 SOLLEY DR
,
, BALLWIN
, MO
, 63021-5248
Practice Phone
: 636-391-0666;
Practice Fax
: 636-391-0622
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1578569570 -
CHARLES
E
LINK
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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1487650487 -
MAHER
SALOUM
MD
Other Name
:
Mailing Address
:
8235 S NEW BRAUNFELS STE 101
SAN ANTONIO
TX
78235-4439
Phone
: 210-616-1317;
Fax
: ;
Practice Location Address
:
8235 S NEW BRAUNFELS STE 101
,
, SAN ANTONIO
, TX
, 78235-4439
Practice Phone
: 210-616-1317;
Practice Fax
:
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1295731297 -
DR.
DR.
BRAD
L
CRANWELL
D.C.
Other Name
:
Mailing Address
:
110 TRADERS LN
MILLIKEN
CO
80543-3152
Phone
: 970-587-7029;
Fax
: 970-587-7029;
Practice Location Address
:
110 TRADERS LN
,
, MILLIKEN
, CO
, 80543-3152
Practice Phone
: 970-587-7029;
Practice Fax
: 970-587-7029
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1104822105 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1013913011 -
JULIE
SUZANNE
BUNNER
MD
Other Name
:
Mailing Address
:
58 16TH ST
WHEELING
WV
26003-3660
Phone
: 304-243-6410;
Fax
: 304-243-6411;
Practice Location Address
:
58 16TH ST
,
, WHEELING
, WV
, 26003-3660
Practice Phone
: 304-243-6410;
Practice Fax
: 304-243-6411
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1922004928 -
DR.
DR.
LEON
ROMAINE
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
4575 GRAVOIS RD
,
, HOUSE SPRINGS
, MO
, 63051-1374
Practice Phone
: 636-671-7272;
Practice Fax
: 636-671-1196
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1831195833 -
BONNIE
STRATE
MD
Other Name
:
Mailing Address
:
9002 N MERIDIAN ST
STE 107
INDIANAPOLIS
IN
46260-5349
Phone
: 317-848-7970;
Fax
: ;
Practice Location Address
:
9002 N MERIDIAN ST
, STE 107
, INDIANAPOLIS
, IN
, 46260-5349
Practice Phone
: 317-848-7970;
Practice Fax
:
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1740286749 -
DR.
DR.
ELISABETH
A
BOSSINGHAM
M.D.
Other Name
:
ELISABETH
A
HOAG
Mailing Address
:
1827 S COURT ST
SUITE F
VISALIA
CA
93277-5469
Phone
: 559-622-0800;
Fax
: 559-622-0801;
Practice Location Address
:
1827 S COURT ST
, SUITE F
, VISALIA
, CA
, 93277-5469
Practice Phone
: 559-622-0800;
Practice Fax
: 559-622-0801
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1659377653 -
GEORGE
A
MANSOOR
MD
Other Name
:
Mailing Address
:
65 KANE ST
WEST HARTFORD
CT
06119-2110
Phone
: 860-523-6421;
Fax
: 860-523-3201;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-3343;
Practice Fax
: 860-679-4256
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1568468569 -
KATHERINE
ANNE
LONGSDORF
MD
Other Name
:
Mailing Address
:
2111 CLAREMONT AVE
ASHLAND
OH
44805-3547
Phone
: 419-281-5575;
Fax
: 419-289-1677;
Practice Location Address
:
2111 CLAREMONT AVE
,
, ASHLAND
, OH
, 44805-3547
Practice Phone
: 419-281-5575;
Practice Fax
: 419-289-1677
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1477559474 -
SCOTT
RANDOLPH
MILLER
D.D.S.
Other Name
:
Mailing Address
:
15325 LEE HWY
BRISTOL
VA
24202-4013
Phone
: 276-466-9800;
Fax
: 276-591-5959;
Practice Location Address
:
15325 LEE HWY
,
, BRISTOL
, VA
, 24202-4013
Practice Phone
: 276-466-9800;
Practice Fax
: 276-591-5959
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1386640381 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1194721191 -
DR.
DR.
SAYED
SAJID
ALI
M.D.
Other Name
:
Mailing Address
:
1129 NORTHERN BLVD
SUITE 101
MANHASSET
NY
11030-3022
Phone
: 516-365-5570;
Fax
: 516-365-5532;
Practice Location Address
:
1129 NORTHERN BLVD
, SUITE 101
, MANHASSET
, NY
, 11030-3022
Practice Phone
: 516-365-5570;
Practice Fax
: 516-365-5532
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1003812009 -
WILLIAM
HARREL
WATKINS
M.D.
Other Name
:
Mailing Address
:
2121 LINE AVE
SHREVEPORT
LA
71104-2126
Phone
: 318-226-9441;
Fax
: 318-425-3236;
Practice Location Address
:
2121 LINE AVE
,
, SHREVEPORT
, LA
, 71104-2126
Practice Phone
: 318-226-9441;
Practice Fax
: 318-425-3236
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1912903915 -
ASHLIE
OLP
MD
Other Name
:
Mailing Address
:
9002 N MERIDIAN ST
STE 107
INDIANAPOLIS
IN
46260-5349
Phone
: 317-848-7970;
Fax
: ;
Practice Location Address
:
9002 N MERIDIAN ST
, STE 107
, INDIANAPOLIS
, IN
, 46260-5349
Practice Phone
: 317-848-7970;
Practice Fax
:
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1821094822 -
GEORGE
A
KUCHEL
MD
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2110
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
, GERIATRICS DEPT.
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-8400;
Practice Fax
: 860-679-1867
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1730185737 -
HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKINS COUNTY, INC.
Other Name
:
Mailing Address
:
172 KING RD E
ITHACA
NY
14850-9403
Phone
: 607-272-0212;
Fax
: 607-272-3785;
Practice Location Address
:
172 E KING RD
,
, ITHACA
, NY
, 14850-9403
Practice Phone
: 607-272-0212;
Practice Fax
: 607-272-0237
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1649276643 -
DR.
DR.
CORY
BAKER
M.D.
Other Name
:
Mailing Address
:
PO BOX 28082
NEW YORK
NY
10087-8082
Phone
: 212-987-3100;
Fax
: ;
Practice Location Address
:
25-10 30TH AVENUE
,
, ASTORIA
, NY
, 11102
Practice Phone
: 212-987-3100;
Practice Fax
:
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1558367557 -
DR.
DR.
HERSHEL
T
ELLENBOGEN
DMD
Other Name
:
Mailing Address
:
98 CHURCH ST
WHITINSVILLE
MA
01588-1416
Phone
: ;
Fax
: ;
Practice Location Address
:
98 CHURCH ST
,
, WHITINSVILLE
, MA
, 01588-1416
Practice Phone
: 508-234-5073;
Practice Fax
:
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1467458463 -
DR.
DR.
JEFFREY
R
BORIS
M.D.
Other Name
:
Mailing Address
:
PO BOX 843966
KANSAS CITY
MO
64184-3966
Phone
: 573-884-3300;
Fax
: 573-884-0943;
Practice Location Address
:
1020 HITT ST
,
, COLUMBIA
, MO
, 65212-0001
Practice Phone
: 573-219-3960;
Practice Fax
: 573-219-3964
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1376549378 -
DR.
DR.
ROBERT
ROTTLER
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
2946 HIGHWAY K
,
, O FALLON
, MO
, 63366-7861
Practice Phone
: 636-240-1516;
Practice Fax
: 636-272-1323
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1285630285 -
MRS.
MRS.
AMY
LEIGH
OWENS
DPT
Other Name
:
Mailing Address
:
PO BOX 5285
GRAND ISLAND
NE
68802-5285
Phone
: 308-382-0344;
Fax
: 308-382-3241;
Practice Location Address
:
1230 ARIES DR
, STE D
, LINCOLN
, NE
, 68512-9614
Practice Phone
: 402-434-5895;
Practice Fax
: 402-434-5899
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1093711095 -
NORTH JEFFERSON COUNTY AMBULANCE DISTRICT
Other Name
:
Mailing Address
:
3131 ROCK CREEK RD
HIGH RIDGE
MO
63049-3102
Phone
: 636-677-3399;
Fax
: ;
Practice Location Address
:
3131 ROCK CREEK RD
,
, HIGH RIDGE
, MO
, 63049-3102
Practice Phone
: 636-677-3399;
Practice Fax
:
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1902802903 -
AUGUSTUS
MAZZOCCA
MD
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
, SPORTS MEDICINE
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-6600;
Practice Fax
: 860-679-6604
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1811993819 -
JEDIDIAH
R
GASS
SR.
DDS, MSD, PC
Other Name
:
Mailing Address
:
992 COUNTRY CLUB RD
STE 102
EUGENE
OR
97401-6023
Phone
: 541-687-1161;
Fax
: 541-344-9188;
Practice Location Address
:
992 COUNTRY CLUB RD
, STE 102
, EUGENE
, OR
, 97401-6023
Practice Phone
: 541-687-1161;
Practice Fax
: 541-344-9188
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1720084726 -
MUNISH
CHAWLA
M.D.
Other Name
:
Mailing Address
:
7026 OLD KATY RD STE 276
HOUSTON
TX
77024-2187
Phone
: 713-621-7436;
Fax
: 713-963-9051;
Practice Location Address
:
7026 OLD KATY RD STE 276
,
, HOUSTON
, TX
, 77024-2187
Practice Phone
: 713-621-7436;
Practice Fax
: 713-963-9051
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1639175631 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1548266547 -
BALTIMORE MEDICAL SYSTEM INC
Other Name
:
Mailing Address
:
5525 EASTERN AVE STE 301
BALTIMORE
MD
21224-2796
Phone
: 410-732-8800;
Fax
: 410-327-1693;
Practice Location Address
:
3700 FLEET ST STE 200
,
, BALTIMORE
, MD
, 21224-4243
Practice Phone
: 410-558-4888;
Practice Fax
:
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1457357451 -
SCOTT
KURTZMAN
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
:
1625 STRAITS TPKE
, SUITE 200
, MIDDLEBURY
, CT
, 06762-1805
Practice Phone
: 203-568-2929;
Practice Fax
: 203-568-2921
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1366448367 -
DALE
R
WHEELER
M.D.
Other Name
:
Mailing Address
:
3925 SHERIDAN DR
STE 100
BUFFALO
NY
14226-1738
Phone
: 716-250-6409;
Fax
: ;
Practice Location Address
:
3925 SHERIDAN DR
,
, AMHERST
, NY
, 14226-1738
Practice Phone
: 716-250-9999;
Practice Fax
: 716-250-6555
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1275539272 -
MARILYN
P
BOGASH
MHS
Other Name
:
Mailing Address
:
24417 S STONEY PATH DR
SUN LAKES
AZ
85248-7679
Phone
: 480-299-8802;
Fax
: 480-895-1260;
Practice Location Address
:
1490 S PRICE RD
, SUITE 115
, CHANDLER
, AZ
, 85286-6607
Practice Phone
: 480-299-8802;
Practice Fax
: 480-895-8464
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1184620189 -
DR.
DR.
JAMES
MARSHALL
HARTLEY
MD
Other Name
:
Mailing Address
:
524 N ANDOVER RD
ANDOVER
KS
67002-9712
Phone
: 316-733-3002;
Fax
: 316-733-1240;
Practice Location Address
:
524 N ANDOVER RD
,
, ANDOVER
, KS
, 67002-9712
Practice Phone
: 316-733-3002;
Practice Fax
: 316-733-1240
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1992701999 -
DR.
DR.
WILLIAM
TIMOTHY
BALLARD
M.D.
Other Name
:
Mailing Address
:
2415 MCCALLIE AVE
CHATTANOOGA
TN
37404-3322
Phone
: 423-624-2696;
Fax
: 423-697-2059;
Practice Location Address
:
2415 MCCALLIE AVE
,
, CHATTANOOGA
, TN
, 37404-3322
Practice Phone
: 423-624-2696;
Practice Fax
: 423-697-2059
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1801892807 -
MARTINE
ELIZABETH
WURST
PA-C
Other Name
:
Mailing Address
:
200 E 2ND AVE
GASTONIA
NC
28052-4358
Phone
: 704-874-1900;
Fax
: ;
Practice Location Address
:
991 W HUDSON BLVD
,
, GASTONIA
, NC
, 28052-6430
Practice Phone
: 704-852-5294;
Practice Fax
: 704-862-5383
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1710983713 -
CHARLES
JULES
DENUNZIO
DO
Other Name
:
Mailing Address
:
45325 STATE ROUTE 78
WOODSFIELD
OH
43793
Phone
: 740-472-1879;
Fax
: ;
Practice Location Address
:
45325 STATE ROUTE 78
,
, WOODSFIELD
, OH
, 43793
Practice Phone
: 740-472-1879;
Practice Fax
:
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1629074620 -
DR.
DR.
LISA
DURHAM
O.D.
Other Name
:
LISA
SCHELLER
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
54 THE LEGENDS PKWY STE 151
,
, EUREKA
, MO
, 63025-3803
Practice Phone
: 636-938-7010;
Practice Fax
: 636-938-7141
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1538165535 -
DR.
DR.
JOEL
SOLOMON
M.D.
Other Name
:
Mailing Address
:
276 5TH AVE
RM 1101
NEW YORK
NY
10001-4509
Phone
: 212-595-9119;
Fax
: ;
Practice Location Address
:
276 5TH AVE
, RM 1101
, NEW YORK
, NY
, 10001-4509
Practice Phone
: 212-595-9119;
Practice Fax
:
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1447256441 -
LOUISE
D
MCCULLOUGH
MD
Other Name
:
Mailing Address
:
6431 FANNIN ST
MSB 7.044
HOUSTON
TX
77030-3969
Phone
: 713-500-7079;
Fax
: 713-500-0660;
Practice Location Address
:
6410 FANNIN ST
, SUITE 1014
, HOUSTON
, TX
, 77030-3000
Practice Phone
: 832-325-7080;
Practice Fax
:
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1356347355 -
STE. GENEVIEVE CARE CENTER, INC
Other Name
:
Mailing Address
:
437 SOVEREIGN CT
BALLWIN
MO
63011-4432
Phone
: 636-394-3000;
Fax
: ;
Practice Location Address
:
1010 SAINTE GENEVIEVE DR
,
, SAINTE GENEVIEVE
, MO
, 63670-1447
Practice Phone
: 573-883-5725;
Practice Fax
: 573-883-3104
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1265438261 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1174529176 -
DR.
DR.
EDWIN
P.
KEZAR
MD
Other Name
:
Mailing Address
:
PO BOX 55310
BIRMINGHAM
AL
35255-5310
Phone
: 205-731-9701;
Fax
: ;
Practice Location Address
:
619 19TH ST S
,
, BIRMINGHAM
, AL
, 35249-6804
Practice Phone
: 205-934-4011;
Practice Fax
:
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1083610083 -
JAY
GORDON
ROBINSON
MD
Other Name
:
Mailing Address
:
2790 CLAY EDWARDS DR
SUITE 1235
NORTH KANSAS CITY
MO
64116-3276
Phone
: 816-472-5157;
Fax
: 816-472-7201;
Practice Location Address
:
2790 CLAY EDWARDS DR
, SUITE 1235
, NORTH KANSAS CITY
, MO
, 64116-3276
Practice Phone
: 816-472-5157;
Practice Fax
: 816-472-7201
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1891791893 -
BROOKE
M
MERRIWETHER
Other Name
:
Mailing Address
:
5454 WISCONSIN AVE
SUITE 1000
CHEVY CHASE
MD
20815-6901
Phone
: 301-657-1996;
Fax
: ;
Practice Location Address
:
5454 WISCONSIN AVE
, 1000
, CHEVY CHASE
, MD
, 20815-6901
Practice Phone
: 301-657-1996;
Practice Fax
:
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1700882701 -
GERALD
KEVIN
GREER
MD
Other Name
:
Mailing Address
:
6626E 75TH ST 500
INDIANAPOLIS
IN
46250-2890
Phone
: ;
Fax
: ;
Practice Location Address
:
2401 COLUMBUS BLVD
,
, KOKOMO
, IN
, 46901-6455
Practice Phone
: 765-453-1254;
Practice Fax
: 765-864-8732
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1619973617 -
PATEL RAMANAN AND ASSOCIATES P.A.
Other Name
:
Mailing Address
:
3575 OLD WASHINGTON RD
STE A
WALDORF
MD
20602-3269
Phone
: 301-645-9650;
Fax
: 301-645-0774;
Practice Location Address
:
3575 OLD WASHINGTON RD
, STE A
, WALDORF
, MD
, 20602-3269
Practice Phone
: 301-645-9650;
Practice Fax
: 301-645-0774
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1528064524 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1437155439 -
DR.
DR.
COLLEEN
SHEAR
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
8562 EAGER RD # 66
,
, BRENTWOOD
, MO
, 63144-1435
Practice Phone
: 314-785-7272;
Practice Fax
:
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1053317057 -
DR.
DR.
ELSA
A.
ECHEVERRI
DDS
Other Name
:
Mailing Address
:
7844 LONG POINT RD
HOUSTON
TX
77055
Phone
: 713-956-8767;
Fax
: 713-956-1952;
Practice Location Address
:
7844 LONG POINT RD
,
, HOUSTON
, TX
, 77055
Practice Phone
: 713-956-8767;
Practice Fax
: 713-956-1952
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1962408963 -
DR.
DR.
MILDRED
M.
KENDRICK
DDS
Other Name
:
Mailing Address
:
7844 LONG POINT RD
HOUSTON
TX
77055
Phone
: 713-956-8767;
Fax
: 713-956-1952;
Practice Location Address
:
7844 LONG POINT RD
,
, HOUSTON
, TX
, 77055
Practice Phone
: 713-956-8767;
Practice Fax
: 713-956-1952
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1871599878 -
DR.
DR.
MARCUS
DEGUZMAN
DMD
Other Name
:
Mailing Address
:
7844 LONG POINT RD.
HOUSTON
TX
77055
Phone
: 713-956-8767;
Fax
: 713-956-1952;
Practice Location Address
:
7844 LONG POINT RD.
,
, HOUSTON
, TX
, 77055
Practice Phone
: 713-956-8767;
Practice Fax
: 713-956-1952
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1780680785 -
DR.
DR.
ANNA
MARIA
SALAS
DDS, MS
Other Name
:
Mailing Address
:
3642 UNIVERSITY BLVD STE 102
HOUSTON
TX
77005-3360
Phone
: 713-481-4885;
Fax
: 713-481-4886;
Practice Location Address
:
3642 UNIVERSITY BLVD STE 102
,
, HOUSTON
, TX
, 77005-3360
Practice Phone
: 713-481-4885;
Practice Fax
: 713-481-4886
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1699771600 -
DR.
DR.
DAVID
CHARLES
MARZULO
D.O.
Other Name
:
Mailing Address
:
1919 E MCKELLIPS RD
STE 102
MESA
AZ
85203-2844
Phone
: 480-834-9575;
Fax
: 480-834-4497;
Practice Location Address
:
1919 E MCKELLIPS RD
, STE 102
, MESA
, AZ
, 85203-2844
Practice Phone
: 480-834-9575;
Practice Fax
: 480-834-4497
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1508862517 -
MS.
MS.
JANICE
YVONNE
WALKER
ARNP
Other Name
:
Mailing Address
:
5201 RAYMOND ST
TEAL TEAM
ORLANDO
FL
32803-8208
Phone
: 407-629-1599;
Fax
: ;
Practice Location Address
:
5201 RAYMOND ST
, TEAL TEAM
, ORLANDO
, FL
, 32803-8208
Practice Phone
: 407-629-1599;
Practice Fax
:
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1417953423 -
BENJAMIN
W
REESE
MD
Other Name
:
Mailing Address
:
907 CHEROKEE PL SW
LENOIR
NC
28645-5803
Phone
: ;
Fax
: ;
Practice Location Address
:
1601 BRENNER AVE
, 11A W.G. BILL HEFNER MEDICAL CENTER
, SALISBURY
, NC
, 28144
Practice Phone
: 704-638-9000;
Practice Fax
:
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1326044330 -
CHARLES
B.
ROSS
MD
Other Name
:
Mailing Address
:
95 COLLIER ROAD
SUITE 5015
ATLANTA
GA
30309
Phone
: 404-605-5699;
Fax
: 404-355-4235;
Practice Location Address
:
95 COLLIER ROAD
, SUITE 5015
, ATLANTA
, GA
, 30309
Practice Phone
: 404-605-5699;
Practice Fax
: 404-355-4235
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1235135245 -
DR.
DR.
LINDA
ANN
SMOKER
MD
Other Name
:
Mailing Address
:
800 BRADBURY DR SE STE 116
ALBUQUERQUE
NM
87106-4310
Phone
: 505-272-1476;
Fax
: 505-272-6308;
Practice Location Address
:
1209 UNIVERSITY BLVD NE
,
, ALBUQUERQUE
, NM
, 87102-1727
Practice Phone
: 505-272-4400;
Practice Fax
: 505-272-6308
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1144226150 -
DR.
DR.
MATTHEW
BURRILL
STRAKA
MD
Other Name
:
Mailing Address
:
1099 OHIO RIVER BLVD
SEWICKLEY
PA
15143-2056
Phone
: 412-741-5670;
Fax
: 412-741-8520;
Practice Location Address
:
1099 OHIO RIVER BLVD
,
, SEWICKLEY
, PA
, 15143-2056
Practice Phone
: 412-741-5670;
Practice Fax
: 412-741-8520
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1053317065 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962408971 -
DAVID W. CONNORS, MD, P.C.
Other Name
:
Mailing Address
:
10 WINTHROP ST
WORCESTER
MA
01604-4435
Phone
: 508-753-3355;
Fax
: 508-799-2208;
Practice Location Address
:
10 WINTHROP ST
,
, WORCESTER
, MA
, 01604-4435
Practice Phone
: 508-753-3355;
Practice Fax
: 508-799-2208
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1871599886 -
CRYSTAL
L
KIRCHNER
RD
Other Name
:
CRYSTAL
L
LINK
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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1780680793 -
LARRY
A
DODD
MD
Other Name
:
Mailing Address
:
PO BOX 6847
WHEELING
WV
26003-0666
Phone
: 304-234-2061;
Fax
: 304-234-2070;
Practice Location Address
:
20 MEDICAL PARK
, SUITE 223
, WHEELING
, WV
, 26003-6390
Practice Phone
: 304-234-2061;
Practice Fax
: 304-234-2070
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1598761504 -
JUAN
MANUEL
BRIONES
PA C
Other Name
:
Mailing Address
:
1821 S SESAME SQ STE 2
HARLINGEN
TX
78550-7941
Phone
: 956-299-2150;
Fax
: 956-299-5456;
Practice Location Address
:
1821 S SESAME SQ STE 2
,
, HARLINGEN
, TX
, 78550-7941
Practice Phone
: 956-299-2150;
Practice Fax
: 956-299-5456
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1407852411 -
DR.
DR.
CLAUDIA
K
BENEDICT
M.D.,F.A.C.C.
Other Name
:
Mailing Address
:
500 ELDORADO BLVD STE 6250
BROOMFIELD
CO
80021-3421
Phone
: 303-272-0768;
Fax
: 303-318-2488;
Practice Location Address
:
8300 ALCOTT ST
, SUITE 300
, WESTMINSTER
, CO
, 80031-4008
Practice Phone
: 303-603-9970;
Practice Fax
: 303-403-6213
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1316943327 -
CHENG-AN
KANG
M.D.
Other Name
:
Mailing Address
:
2537 AMBOY RD
STATEN ISLAND
NY
10306-2221
Phone
: 718-351-0155;
Fax
: ;
Practice Location Address
:
2537 AMBOY RD
,
, STATEN ISLAND
, NY
, 10306-2221
Practice Phone
: 718-351-0155;
Practice Fax
:
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1225034234 -
FLORIDA HOSPITAL MEDICAL GROUP INC
Other Name
:
Mailing Address
:
2600 WESTHALL LN FL 4
MAITLAND
FL
32751-7102
Phone
: 407-200-2700;
Fax
: ;
Practice Location Address
:
2600 WESTHALL LN FL 4
,
, MAITLAND
, FL
, 32751-7102
Practice Phone
: 407-200-2700;
Practice Fax
:
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