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Showing codes 1518031434 — 1053485888
1518031434 -
DR.
DR.
FREDERIC
C.
SIORES
M.D.
Other Name
:
Mailing Address
:
10011 WALTZING LN
LARGO
FL
33778-3434
Phone
: ;
Fax
: ;
Practice Location Address
:
1301 2ND AVE SW
,
, LARGO
, FL
, 33770-2298
Practice Phone
: 727-581-8767;
Practice Fax
: 727-559-0594
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1427122340 -
PENNEY
COBB
Other Name
:
Mailing Address
:
1450 N DRESSEL RD
AVON PARK
FL
33825-6605
Phone
: 863-453-0145;
Fax
: 863-453-0145;
Practice Location Address
:
1450 N DRESSEL RD
,
, AVON PARK
, FL
, 33825-6605
Practice Phone
: 863-453-0145;
Practice Fax
: 863-453-0145
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1336213255 -
MS.
MS.
JANET
LYNN
HAWLEY
M.S. CCC-SLP
Other Name
:
Mailing Address
:
8761 E DESERT LUPINE PL
TUCSON
AZ
85715-5911
Phone
: 520-722-5780;
Fax
: 520-621-9901;
Practice Location Address
:
1131 E 2ND ST
,
, TUCSON
, AZ
, 85721-0071
Practice Phone
: 520-626-6073;
Practice Fax
: 520-621-9901
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1154495075 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1063586980 -
CAROLINAS MEDICAL CENTER - UNIVERSITY
Other Name
:
Mailing Address
:
PO BOX 32861
CHARLOTTE
NC
28232-2861
Phone
: 704-512-6438;
Fax
: 704-512-6485;
Practice Location Address
:
8800 N TRYON ST
,
, CHARLOTTE
, NC
, 28262-3300
Practice Phone
: 704-548-6000;
Practice Fax
: 704-548-6236
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1972677896 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1881768703 -
MR.
MR.
ROSS
MOSCATO
OPTICIAN
Other Name
:
Mailing Address
:
2 HUGHEY ALLEY
ELLICOTTVILLE
NY
14731
Phone
: 716-699-5293;
Fax
: 716-699-8726;
Practice Location Address
:
2 HUGHEY ALLEY
,
, ELLICOTTVILLE
, NY
, 14731
Practice Phone
: 716-699-5293;
Practice Fax
: 716-699-8726
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1699849513 -
MRS.
MRS.
MISTY
ANN
BRADY
DPT
Other Name
:
Mailing Address
:
699 BURROUGHS ST
MORGANTOWN
WV
26505-3361
Phone
: 304-225-9355;
Fax
: ;
Practice Location Address
:
699 BURROUGHS ST
,
, MORGANTOWN
, WV
, 26505-3361
Practice Phone
: 304-225-9355;
Practice Fax
:
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1508930421 -
MR.
MR.
MARK
DANIEL
GROTZINGER
ATC, PES
Other Name
:
Mailing Address
:
104 HAWTHORNE DR
LEWISBURG
PA
17837-6659
Phone
: 814-418-0514;
Fax
: ;
Practice Location Address
:
KENNETH LANGONE SPORTS MEDICINE CENTER
, ONE DENT DR.
, LEWISBURG
, PA
, 17837
Practice Phone
: 814-418-0514;
Practice Fax
:
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1417021338 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1326112244 -
ROLANDO
M
MALIBIRAN
MD
Other Name
:
Mailing Address
:
8110 COUNTY ROAD 44 LEG A
LEESBURG
FL
34788-3704
Phone
: 352-728-5126;
Fax
: 352-323-8865;
Practice Location Address
:
8110 COUNTY ROAD 44 LEG A
,
, LEESBURG
, FL
, 34788-3704
Practice Phone
: 352-728-5126;
Practice Fax
: 352-323-8865
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1235203159 -
ANNETTE
N
OREILLY GREEN
DPT
Other Name
:
ANNETTE
N
O'REILLY
Mailing Address
:
1020 CORN TASSEL TRL
MARTINSVILLE
VA
24112-5606
Phone
: 276-666-4474;
Fax
: ;
Practice Location Address
:
3 STARLING AVE
,
, MARTINSVILLE
, VA
, 24112-2921
Practice Phone
: 276-632-6001;
Practice Fax
:
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1144394065 -
DR.
DR.
DEBORAH
KIPPS-VAUGHAN
PSY. D.
Other Name
:
Mailing Address
:
1147 E HYCO RD
SOUTH BOSTON
VA
24592-6539
Phone
: 434-575-3017;
Fax
: 434-575-3023;
Practice Location Address
:
3401 OLD HALIFAX RD
, SUITE F
, SOUTH BOSTON
, VA
, 24592-4951
Practice Phone
: 434-575-3017;
Practice Fax
: 434-575-3023
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1053485979 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962576884 -
DR.
DR.
EDWARD
D.
ROSSINI
PH.D.
Other Name
:
Mailing Address
:
3515 FOREST AVE
WILMETTE
IL
60091-1007
Phone
: 847-475-2882;
Fax
: ;
Practice Location Address
:
3515 FOREST AVE
,
, WILMETTE
, IL
, 60091-1007
Practice Phone
: 847-475-2882;
Practice Fax
:
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1871667790 -
ANN
M.
ROTHSCHILD
LCSW
Other Name
:
Mailing Address
:
23 E 20TH ST
NEW YORK
NY
10003-1326
Phone
: 917-701-4942;
Fax
: 212-673-4015;
Practice Location Address
:
23 E 20TH ST
,
, NEW YORK
, NY
, 10003-1326
Practice Phone
: 917-701-4942;
Practice Fax
: 212-673-4015
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1780758607 -
DR.
DR.
NOYEMI
ISNAR
M.D.
Other Name
:
Mailing Address
:
296 GARFIELD ST
HAWORTH
NJ
07641-1422
Phone
: 201-384-3733;
Fax
: 201-384-8251;
Practice Location Address
:
296 GARFIELD ST
,
, HAWORTH
, NJ
, 07641-1422
Practice Phone
: 201-384-3733;
Practice Fax
: 201-384-8251
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1598839417 -
MS.
MS.
TAMARA
WILSON
STARKEY
MSW, LICSW
Other Name
:
Mailing Address
:
5655 CHRISTMAS LAKE PT
EXCELSIOR
MN
55331-9102
Phone
: 952-380-0169;
Fax
: ;
Practice Location Address
:
17819 HUTCHINS DR
,
, MINNETONKA
, MN
, 55345-4106
Practice Phone
: 952-470-1186;
Practice Fax
:
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1407920325 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1316011232 -
MS.
MS.
PATRICIA
LYNN
BOGUE
L.P.N.
Other Name
:
Mailing Address
:
139 ORLICH RD
RED HOOK
NY
12571-2410
Phone
: 845-758-9007;
Fax
: 845-758-9007;
Practice Location Address
:
139 ORLICH RD
,
, RED HOOK
, NY
, 12571-2410
Practice Phone
: 845-758-9007;
Practice Fax
: 845-758-9007
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1225102148 -
MRS.
MRS.
ANDREA
STAMPLEY
MD
Other Name
:
ANDREA
GONZALEZ STAMPLEY
Mailing Address
:
2224 WEBER RD
CREST HILL
IL
60403
Phone
: 815-725-1600;
Fax
: 815-725-0300;
Practice Location Address
:
2224 WEBER RD
,
, CREST HILL
, IL
, 60403
Practice Phone
: 815-725-1600;
Practice Fax
: 815-725-0300
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1134293053 -
SUSAN
STONE
HAYNES
LCSW
Other Name
:
Mailing Address
:
10909 MEMORIAL HWY
TAMPA
FL
33615-2511
Phone
: 813-901-3441;
Fax
: 813-882-3689;
Practice Location Address
:
5520 W IDLEWILD AVE
,
, TAMPA
, FL
, 33634-8015
Practice Phone
: 813-901-3441;
Practice Fax
: 813-882-3689
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1952475873 -
FAMILY FIRST, INC.
Other Name
:
Mailing Address
:
893 LOS COLONIS DR
VIRGINIA BEACH
VA
23456-6419
Phone
: 757-773-1301;
Fax
: ;
Practice Location Address
:
8458 PRIMROSE ST
,
, NORFOLK
, VA
, 23503-4055
Practice Phone
: 757-588-5006;
Practice Fax
:
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1861566788 -
DR.
DR.
ERIN
E
HESS
PHARMD
Other Name
:
Mailing Address
:
450 FULTON ST
SUITE 300
HANNIBAL
NY
13074
Phone
: 315-564-6464;
Fax
: 315-564-6030;
Practice Location Address
:
450 FULTON ST
, SUITE 300
, HANNIBAL
, NY
, 13074
Practice Phone
: 315-564-6464;
Practice Fax
:
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1770657694 -
MRS.
MRS.
CYNTHIA
ANNE
WHELAN
RHIA
Other Name
:
CYNTHIA
ANNE
COYLE
Mailing Address
:
315 TALON DR
SALISBURY
NC
28147-5901
Phone
: 704-278-4458;
Fax
: ;
Practice Location Address
:
1601 BRENNER AVE
,
, SALISBURY
, NC
, 28144-2515
Practice Phone
: 790-638-9000;
Practice Fax
:
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1689748501 -
DR.
DR.
ERIK
JON
NUVEEN
M.D., D.M.D.
Other Name
:
Mailing Address
:
2100 NW 63RD ST
OKLAHOMA CITY
OK
73116-5111
Phone
: 405-842-6677;
Fax
: 405-842-6678;
Practice Location Address
:
2100 NW 63RD ST
,
, OKLAHOMA CITY
, OK
, 73116-5111
Practice Phone
: 405-842-6677;
Practice Fax
: 405-842-6678
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1497829311 -
DR.
DR.
DARREN
RICHARD
CROSS
DDS
Other Name
:
Mailing Address
:
1005 BRANDON CT
MONROE
NC
28110-9380
Phone
: 336-860-4119;
Fax
: ;
Practice Location Address
:
2114 FREEMAN PARK DR # C100
,
, CHARLOTTE
, NC
, 28273-3237
Practice Phone
: 980-580-4271;
Practice Fax
:
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1306910229 -
DR.
DR.
ILENE
BETH
ZEIGER
PHD
Other Name
:
Mailing Address
:
2020 N LINCOLN PARK W APT 8M
CHICAGO
IL
60614-4736
Phone
: 773-248-5668;
Fax
: ;
Practice Location Address
:
2000 N RACINE AVE
,
, CHICAGO
, IL
, 60614-4045
Practice Phone
: 773-929-8584;
Practice Fax
:
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1215001136 -
MRS.
MRS.
THERESE
KOHS
GILBERTSON
M.A., L.P.
Other Name
:
Mailing Address
:
4175 NANCY PL
SHOREVIEW
MN
55126-6411
Phone
: 651-415-0900;
Fax
: 651-275-8723;
Practice Location Address
:
2150 RADIO DR
,
, WOODBURY
, MN
, 55125-9453
Practice Phone
: 651-275-8714;
Practice Fax
: 541-275-8723
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1124192042 -
DR.
DR.
DALE
HARLAND
HEATH
DC
Other Name
:
Mailing Address
:
792 S 400 E
OREM
UT
84097-6322
Phone
: 801-226-3383;
Fax
: 801-226-3224;
Practice Location Address
:
792 S 400 E
,
, OREM
, UT
, 84097-6322
Practice Phone
: 801-226-3383;
Practice Fax
: 801-226-3224
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1033283957 -
MARJORIE
WEAVER
FOREMAN
MPT
Other Name
:
Mailing Address
:
PO BOX 660046
DALLAS
TX
75266-0046
Phone
: 214-369-8555;
Fax
: 214-369-2683;
Practice Location Address
:
8251 BEDFORD EULESS RD
, STE 210
, NORTH RICHLAND HILLS
, TX
, 76180-7200
Practice Phone
: 817-656-7827;
Practice Fax
: 817-485-0546
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1750455671 -
MR.
MR.
BRUCE
PRESNER
F.A.N.O
Other Name
:
Mailing Address
:
126 HEMPSTEAD TPKE
WEST HEMPSTEAD
NY
11552-2146
Phone
: 516-481-6640;
Fax
: 516-481-7567;
Practice Location Address
:
126 HEMPSTEAD TPKE
,
, WEST HEMPSTEAD
, NY
, 11552-2146
Practice Phone
: 516-481-6640;
Practice Fax
: 516-481-7567
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1659445575 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1568536480 -
GOOD SHEPHERD REHABILITATION HOSPITAL
Other Name
:
Mailing Address
:
850 S 5TH ST
GOOD SHEPHERD PLAZA
ALLENTOWN
PA
18103-3308
Phone
: 610-776-3214;
Fax
: 610-776-3506;
Practice Location Address
:
850 S 5TH ST
, GOOD SHEPHERD PLAZA
, ALLENTOWN
, PA
, 18103-3308
Practice Phone
: 610-776-3214;
Practice Fax
: 610-776-3506
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1477627396 -
DR.
DR.
DHRUVIL
J
PANDYA
MD
Other Name
:
Mailing Address
:
25 N WINFIELD RD FL 3
WINFIELD
IL
60190-1222
Phone
: 630-933-2113;
Fax
: 630-933-4520;
Practice Location Address
:
25 N WINFIELD RD FL 3
,
, WINFIELD
, IL
, 60190-1222
Practice Phone
: 630-933-2113;
Practice Fax
: 630-933-4520
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1386718203 -
MRS.
MRS.
LENORE
MARIE
DESOUTO-THREN
LPN
Other Name
:
Mailing Address
:
4815 FAIRWAY DR
WATERFORD
WI
53185-3389
Phone
: 262-806-4009;
Fax
: 877-823-1670;
Practice Location Address
:
4815 FAIRWAY DR
,
, WATERFORD
, WI
, 53185-3389
Practice Phone
: 262-806-4009;
Practice Fax
: 877-823-1670
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1194899013 -
MR.
MR.
DAVID
BALKAN
MPT
Other Name
:
Mailing Address
:
2333 MORRIS AVE STE A101
UNION
NJ
07083-5746
Phone
: 908-486-4400;
Fax
: 908-259-2760;
Practice Location Address
:
2333 MORRIS AVE STE A101
,
, UNION
, NJ
, 07083-5746
Practice Phone
: 908-486-4400;
Practice Fax
: 908-259-2760
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1003980921 -
DR.
DR.
ERIC
DEAN
FREY
PH.D.
Other Name
:
Mailing Address
:
6012 W WILLIAM CANNON DR
SUITE B103
AUSTIN
TX
78749-1980
Phone
: 512-358-9700;
Fax
: 512-687-5377;
Practice Location Address
:
6012 W WILLIAM CANNON DR
, SUITE B103
, AUSTIN
, TX
, 78749-1980
Practice Phone
: 512-358-9700;
Practice Fax
: 512-687-5377
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1417021213 -
DR.
DR.
DAVID
STANLEY
HOLLETT
Other Name
:
Mailing Address
:
1500 WALTON BLVD
ROCHESTER HILLS
MI
48309-1858
Phone
: 248-651-8156;
Fax
: 248-650-3083;
Practice Location Address
:
1500 WALTON BLVD
,
, ROCHESTER HILLS
, MI
, 48309-1858
Practice Phone
: 248-651-8156;
Practice Fax
: 248-650-3083
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1366516171 -
MESHBESHER CHIROPRACTIC CENTER PA
Other Name
:
Mailing Address
:
2917 BRYANT AVE S
MINNEAPOLIS
MN
55408-2155
Phone
: 612-823-5456;
Fax
: ;
Practice Location Address
:
2917 BRYANT AVE S
,
, MINNEAPOLIS
, MN
, 55408-2155
Practice Phone
: 612-823-5456;
Practice Fax
:
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1194899914 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1902970726 -
DR.
DR.
JANE
G
JACKSON
PHD PSYCHOLOGIST
Other Name
:
Mailing Address
:
PO BOX #1993
BIG BEAR CITY
CA
92314
Phone
: 909-584-9363;
Fax
: 760-843-0507;
Practice Location Address
:
16519 VICTOR ST SUITE #406
, BEHAVIORAL HEALTH CONSULTANTS
, VICTORVILLE
, CA
, 92392
Practice Phone
: 760-843-0506;
Practice Fax
: 760-843-0507
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1811061633 -
ANNE MARIE
KENNEDY
CSW
Other Name
:
Mailing Address
:
211 W 56TH ST
SUITE 3K
NEW YORK
NY
10019-4312
Phone
: 212-582-0899;
Fax
: ;
Practice Location Address
:
211 W 56TH ST
, SUITE 3K
, NEW YORK
, NY
, 10019-4312
Practice Phone
: 212-582-0899;
Practice Fax
:
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1720152549 -
DR.
DR.
STEPHANIE
KAY
BARNHART
DO
Other Name
:
STEPHANIE
KAY
BURGESS
Mailing Address
:
34 SW 89TH ST
SUITE A
OKLAHOMA CITY
OK
73139-8510
Phone
: 405-488-0750;
Fax
: ;
Practice Location Address
:
34 SW 89TH ST
, SUITE A
, OKLAHOMA CITY
, OK
, 73139-8510
Practice Phone
: 405-488-0750;
Practice Fax
:
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1548334360 -
MR.
MR.
LEONARD
DENNIS
LENSE
DC
Other Name
:
Mailing Address
:
7851 N BLACK CANYON HIGHWAY
PHOENIX
AZ
85021
Phone
: 602-246-8600;
Fax
: 602-246-8700;
Practice Location Address
:
7851 N BLACK CANYON HIGHWAY
,
, PHOENIX
, AZ
, 85021
Practice Phone
: 602-246-8600;
Practice Fax
: 602-246-8700
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1891869616 -
ALTABO FIRST ASSIST
Other Name
:
Mailing Address
:
3947 STOCKTON LN
DALLAS
TX
75287-4921
Phone
: 214-912-9931;
Fax
: 972-862-2507;
Practice Location Address
:
3947 STOCKTON LN
,
, DALLAS
, TX
, 75287-4921
Practice Phone
: 214-912-9931;
Practice Fax
: 972-862-2507
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1700950524 -
PETER
V.
MATRALE
D.C.
Other Name
:
Mailing Address
:
4640 N FEDERAL HWY
SUITE D
FORT LAUDERDALE
FL
33308-5205
Phone
: ;
Fax
: ;
Practice Location Address
:
4640 N FEDERAL HWY
, SUITE D
, FORT LAUDERDALE
, FL
, 33308-5205
Practice Phone
: 954-267-9963;
Practice Fax
:
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1619041431 -
MR.
MR.
LAWRENCE
DAVID
GREENBERG
LCSW
Other Name
:
Mailing Address
:
208 W JEFFERY AVE
WHEELING
IL
60090-4822
Phone
: 847-459-6403;
Fax
: ;
Practice Location Address
:
208 W JEFFERY AVE
,
, WHEELING
, IL
, 60090-4822
Practice Phone
: 847-459-6403;
Practice Fax
:
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1073687893 -
CAROL
L.
THUMAN
FPN
Other Name
:
Mailing Address
:
1411 E 31ST ST
OAKLAND
CA
94602-1018
Phone
: 510-437-4323;
Fax
: 510-437-5042;
Practice Location Address
:
1411 E 31ST ST
,
, OAKLAND
, CA
, 94602-1018
Practice Phone
: 510-437-4323;
Practice Fax
: 510-437-5042
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1982778700 -
DR.
DR.
BENJAMIN
MICHAEL
SCHNEEBERGER
M.D.
Other Name
:
Mailing Address
:
411 WESTWOOD DR
WAUSAU
WI
54401-4152
Phone
: 715-847-2558;
Fax
: 877-442-7702;
Practice Location Address
:
411 WESTWOOD DR
,
, WAUSAU
, WI
, 54401-4152
Practice Phone
: 715-847-2558;
Practice Fax
: 877-442-7702
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1790859510 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1972677797 -
CAROLINA-ANSON HEALTHCARE INCORPORATED
Other Name
:
Mailing Address
:
500 MORVEN RD
WADESBORO
NC
28170-2745
Phone
: 704-694-5131;
Fax
: ;
Practice Location Address
:
500 MORVEN RD
,
, WADESBORO
, NC
, 28170-2745
Practice Phone
: 704-694-5131;
Practice Fax
:
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1770657595 -
MICHAEL
CHARLES
BRAUNSTEIN
M.D.
Other Name
:
Mailing Address
:
1111 BROADHOLLOW RD
STE 205
FARMINGDALE
NY
11735-4800
Phone
: 631-226-6717;
Fax
: 631-226-6793;
Practice Location Address
:
1111 BROADHOLLOW RD
, STE 205
, FARMINGDALE
, NY
, 11735-4800
Practice Phone
: 631-226-6717;
Practice Fax
: 631-226-6793
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1689748402 -
NATIONWIDE OPTOMETRY P.C.
Other Name
:
Mailing Address
:
955 W SOUTHERN AVE STE 101
MESA
AZ
85210-4903
Phone
: 480-961-1865;
Fax
: 480-893-8172;
Practice Location Address
:
4025 S GILBERT RD STE 3
,
, CHANDLER
, AZ
, 85249-2716
Practice Phone
: 480-988-6847;
Practice Fax
: 480-782-1990
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1306910120 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1215001037 -
KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Other Name
:
Mailing Address
:
355 N MAIN ST
KANAB
UT
84741-3260
Phone
: 435-644-4100;
Fax
: 435-644-4197;
Practice Location Address
:
355 N MAIN ST
,
, KANAB
, UT
, 84741-3260
Practice Phone
: 435-644-4100;
Practice Fax
: 435-644-4197
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1124192943 -
DR.
DR.
BENJAMIN
H
MASSEY
MD
Other Name
:
Mailing Address
:
PO BOX 9416
PUEBLO
CO
81008-9416
Phone
: 719-546-0557;
Fax
: 719-546-0557;
Practice Location Address
:
25 MONTEBELLO RD
,
, PUEBLO
, CO
, 81001-1236
Practice Phone
: 719-544-1600;
Practice Fax
: 719-544-2599
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1033283858 -
WALGREEN CO
Other Name
:
Mailing Address
:
1901 E VOORHEES ST
MS #790
DANVILLE
IL
61834-4509
Phone
: 217-709-2364;
Fax
: 217-709-2344;
Practice Location Address
:
1300 US HIGHWAY 127 S STE 115
,
, FRANKFORT
, KY
, 40601-4379
Practice Phone
: 502-223-3728;
Practice Fax
: 502-223-3790
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1942374764 -
MARSHFIELD CLINIC INC
Other Name
:
Mailing Address
:
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT COORDINATOR SHP FL 2
MARSHFIELD
WI
54449-5703
Phone
: 715-389-0660;
Fax
: ;
Practice Location Address
:
1000 N OAK AVE STE 100
,
, MARSHFIELD
, WI
, 54449
Practice Phone
: 715-221-8718;
Practice Fax
:
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1851465678 -
DR.
DR.
CAROLYN
JO
HILL
D.D.S.
Other Name
:
Mailing Address
:
30630 RANCHO CALIFORNIA RD
SUITE 504
TEMECULA
CA
92591-3283
Phone
: 951-694-0545;
Fax
: 951-694-5654;
Practice Location Address
:
30630 RANCHO CALIFORNIA RD
, SUITE 504
, TEMECULA
, CA
, 92591-3283
Practice Phone
: 951-694-0545;
Practice Fax
: 951-694-5654
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1760556583 -
MS.
MS.
TANISHA
D
CLARKE
LCSW
Other Name
:
Mailing Address
:
499 LOMA ALTA AVE
LOS GATOS
CA
95030-6227
Phone
: ;
Fax
: ;
Practice Location Address
:
499 LOMA ALTA AVE
,
, LOS GATOS
, CA
, 95030-6227
Practice Phone
: 408-335-1937;
Practice Fax
:
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1679647499 -
MARSHFIELD CLINIC INC
Other Name
:
Mailing Address
:
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT COORDINATOR SHP FL 2
MARSHFIELD
WI
54449-5703
Phone
: 715-389-0660;
Fax
: ;
Practice Location Address
:
2116 CRAIG RD STE 100
,
, EAU CLAIRE
, WI
, 54701-6149
Practice Phone
: 715-858-4811;
Practice Fax
:
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1588738306 -
DAC, INC
Other Name
:
Mailing Address
:
1710 E MAPLE ST
MAQUOKETA
IA
52060-9214
Phone
: 563-652-5252;
Fax
: 563-652-4872;
Practice Location Address
:
1710 E MAPLE ST
,
, MAQUOKETA
, IA
, 52060-9214
Practice Phone
: 563-652-5252;
Practice Fax
: 563-652-4872
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1396819116 -
SEATTLE EYECARE CENTER LLC
Other Name
:
Mailing Address
:
999 3RD AVE 2ND PLAZA
SEATTLE
WA
98104
Phone
: 206-682-2020;
Fax
: 206-332-0700;
Practice Location Address
:
999 3RD AVE
, 2ND AVE PLAZA
, SEATTLE
, WA
, 98104-4019
Practice Phone
: 206-682-2020;
Practice Fax
: 206-332-0700
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1205900024 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1114091931 -
UNION MILL PEDIATRICS,PC
Other Name
:
Mailing Address
:
13880 BRADDOCK RD. STE 201
CENTREVILLE
VA
20121
Phone
: 703-802-6304;
Fax
: 703-802-6307;
Practice Location Address
:
13880 BRADDOCK RD. STE 201
,
, CENTREVILLE
, VA
, 20121
Practice Phone
: 703-802-6304;
Practice Fax
: 703-802-6307
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1023182847 -
MR.
MR.
RUSS
DUNSTAN
LICENSE PSYCHOLOGIST
Other Name
:
RALPH
F
DUNSTAN
Mailing Address
:
406 WOOD DUCK DR
GREENSBURG
PA
15601-3125
Phone
: 724-552-2471;
Fax
: ;
Practice Location Address
:
438 PELLIS RD SUITE 101
, TIM BRIDGES PHD & ASSOCIATES INC
, GREENSBURG
, PA
, 15601
Practice Phone
: 724-850-7448;
Practice Fax
: 724-850-8143
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1659445476 -
NORTH HOMES, INC. - CHEMICAL DEPENDENCY PROGRAM
Other Name
:
Mailing Address
:
1880 RIVER RD
GRAND RAPIDS
MN
55744-4085
Phone
: 218-327-3000;
Fax
: 218-327-1871;
Practice Location Address
:
1880 RIVER RD
,
, GRAND RAPIDS
, MN
, 55744-4085
Practice Phone
: 218-327-3000;
Practice Fax
: 218-327-1871
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1568536381 -
MR.
MR.
SHANNON
LYNNE
JOHNSON
L.P.C.
Other Name
:
Mailing Address
:
2424 JESTER PL
CARROLLTON
TX
75006-2224
Phone
: 972-824-0803;
Fax
: 972-968-5210;
Practice Location Address
:
9555 LEBANON RD
, 903
, FRISCO
, TX
, 75035-6080
Practice Phone
: 972-824-0803;
Practice Fax
: 469-362-7330
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1477627297 -
MRS.
MRS.
KIRSTEN
HERNDON
SLP
Other Name
:
Mailing Address
:
4601 HARTFORD ST
ABILENE
TX
79605-4603
Phone
: 325-793-3400;
Fax
: 325-793-3587;
Practice Location Address
:
4601 HARTFORD ST
,
, ABILENE
, TX
, 79605-4603
Practice Phone
: 325-793-3400;
Practice Fax
: 325-793-3587
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1740354570 -
NANCY
KAREN
WOODS
Other Name
:
Mailing Address
:
PO BOX 2036
TITUSVILLE
FL
32781-2036
Phone
: 407-970-2134;
Fax
: ;
Practice Location Address
:
3875 POST RD
,
, CUMMING
, GA
, 30040-5354
Practice Phone
: 678-965-2760;
Practice Fax
:
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1659445484 -
EHSIA
UNG
WANG
O.D.
Other Name
:
Mailing Address
:
2203 SHORE CREEK DR
PEARLAND
TX
77584-7203
Phone
: ;
Fax
: ;
Practice Location Address
:
5771 SAN FELIPE ST
,
, HOUSTON
, TX
, 77057-3101
Practice Phone
: 713-782-3937;
Practice Fax
:
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1568536399 -
DR.
DR.
DENNIS
LANE
HOOFNAGLE
D.D.S.
Other Name
:
Mailing Address
:
911 N FOREST ST
BELLINGHAM
WA
98225-5507
Phone
: 360-676-1651;
Fax
: 360-676-4065;
Practice Location Address
:
911 N FOREST ST
,
, BELLINGHAM
, WA
, 98225-5507
Practice Phone
: 360-676-1651;
Practice Fax
: 360-676-4065
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1457425282 -
DR.
DR.
SAMI
B
HAMAMJI
M.D.
Other Name
:
Mailing Address
:
1010 W LA VETA AVE STE 775
ORANGE
CA
92868-4306
Phone
: 714-541-5959;
Fax
: 714-835-9550;
Practice Location Address
:
1010 W LA VETA AVE STE 775
,
, ORANGE
, CA
, 92868-4306
Practice Phone
: 714-541-5959;
Practice Fax
: 714-835-9550
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1366516197 -
JEFFREY
M
JOHNSRUD
M.D.
Other Name
:
Mailing Address
:
1140 W LA VETA AVE
#760
ORANGE
CA
92868-4223
Phone
: 714-541-4442;
Fax
: 714-835-9550;
Practice Location Address
:
1140 W LA VETA AVE
, #760
, ORANGE
, CA
, 92868-4223
Practice Phone
: 714-541-4442;
Practice Fax
: 714-835-9550
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1275607004 -
MR.
MR.
VALDIS
VITOLS
DDS
Other Name
:
Mailing Address
:
5492 LAPEER RD
BURTON
MI
48509-2235
Phone
: 810-742-5428;
Fax
: 810-742-8144;
Practice Location Address
:
5492 LAPEER RD
,
, BURTON
, MI
, 48509-2235
Practice Phone
: 810-742-5428;
Practice Fax
: 810-742-8144
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1184798910 -
SUPRALVA CORP
Other Name
:
Mailing Address
:
PO BOX 9655
SAN JUAN
PR
00908-0655
Phone
: 787-402-2251;
Fax
: 787-767-6743;
Practice Location Address
:
PONCE DE LEON AVE #728
, SUITE 5
, SAN JUAN
, PR
, 00919-1000
Practice Phone
: 787-754-9720;
Practice Fax
: 787-767-6743
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1992879720 -
DR.
DR.
SCOTT
B
TISDALE
DDS
Other Name
:
Mailing Address
:
31549 HARPER AVE
ST CLAIR SHORES
MI
48082
Phone
: 586-293-1530;
Fax
: 586-293-1537;
Practice Location Address
:
31549 HARPER AVE
,
, ST CLAIR SHORES
, MI
, 48082
Practice Phone
: 586-293-1530;
Practice Fax
: 586-293-1537
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1447324272 -
MS.
MS.
GWENDOLYN
WILLIAMS
C.F.N.P.
Other Name
:
Mailing Address
:
401 CATCHINGS AVE
INDIANOLA
MS
38751-2468
Phone
: 662-887-2494;
Fax
: 662-887-3208;
Practice Location Address
:
401 CATCHINGS AVE
,
, INDIANOLA
, MS
, 38751-2468
Practice Phone
: 662-887-2494;
Practice Fax
: 662-887-3208
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1356415186 -
HEALTH AND HUMAN SERVICES COMMISSION
Other Name
:
Mailing Address
:
PO BOX 9297
CORPUS CHRISTI
TX
78469-9297
Phone
: 361-888-5301;
Fax
: 361-844-7910;
Practice Location Address
:
902 AIRPORT RD
,
, CORPUS CHRISTI
, TX
, 78405-3513
Practice Phone
: 361-888-5301;
Practice Fax
: 361-844-7910
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1265506091 -
BEVERLY FARM FOUNDATION
Other Name
:
Mailing Address
:
6301 HUMBERT RD
GODFREY
IL
62035-2163
Phone
: 618-466-0367;
Fax
: 618-466-3652;
Practice Location Address
:
308 BACHMAN LN
,
, GODFREY
, IL
, 62035-2123
Practice Phone
: 618-466-0367;
Practice Fax
: 618-466-3652
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1174697908 -
MARSHFIELD CLINIC INC
Other Name
:
Mailing Address
:
1000 N OAK AVE
ATTN: PROVIDER ENROLLMENT SHP FL 2
MARSHFIELD
WI
54449-5703
Phone
: 715-389-0660;
Fax
: ;
Practice Location Address
:
2727 PLAZA DR STE 100
,
, WAUSAU
, WI
, 54401-4129
Practice Phone
: 715-847-3302;
Practice Fax
:
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1083788814 -
AILEEN
CLEARY
COHEN
MD
Other Name
:
AILEEN
CLEARY
Mailing Address
:
2680 HANOVER ST
PALO ALTO
CA
94304-1117
Phone
: ;
Fax
: ;
Practice Location Address
:
725 WELCH RD
,
, PALO ALTO
, CA
, 94304-1601
Practice Phone
: 650-497-8000;
Practice Fax
:
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1891869624 -
RONALD
COHEN
MD
Other Name
:
Mailing Address
:
2680 HANOVER ST
PALO ALTO
CA
94304-1117
Phone
: ;
Fax
: ;
Practice Location Address
:
725 WELCH RD
,
, PALO ALTO
, CA
, 94304-1601
Practice Phone
: 650-497-8000;
Practice Fax
:
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1700950532 -
KAISER FOUNDATION HOSPITALS
Other Name
:
Mailing Address
:
975 SERENO DR
VALLEJO
CA
94589-2441
Phone
: 707-645-2730;
Fax
: ;
Practice Location Address
:
1761 BROADWAY ST
, SUITE 101
, VALLEJO
, CA
, 94589-2226
Practice Phone
: 707-645-2730;
Practice Fax
:
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1619041449 -
COUNTY OF TULARE HEALTH AND HUMAN SERVICES AGENCY
Other Name
:
Mailing Address
:
5957 S MOONEY BLVD
VISALIA
CA
93277-9394
Phone
: 559-737-4669;
Fax
: 559-737-4697;
Practice Location Address
:
1051 S PLANO ST
,
, PORTERVILLE
, CA
, 93257-6026
Practice Phone
: 559-685-2533;
Practice Fax
:
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1528132354 -
KULA HOSPITAL
Other Name
:
Mailing Address
:
100 KEOKEA PL
KULA HOSPITAL
KULA
HI
96790-7450
Phone
: 808-876-4301;
Fax
: 808-876-4332;
Practice Location Address
:
100 KEOKEA PL
, KULA HOSPITAL
, KULA
, HI
, 96790-7450
Practice Phone
: 808-876-4301;
Practice Fax
: 808-876-4332
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1437223260 -
MRS.
MRS.
CARMEN
M.
ALVAREZ RONDON
MD.
Other Name
:
Mailing Address
:
PO BOX 9655
SAN JUAN
PR
00908-0655
Phone
: 787-402-2251;
Fax
: 787-767-6743;
Practice Location Address
:
PONCE DE LEON #728 SUITES
,
, SAN JUAN
, PR
, 00919-1000
Practice Phone
: 787-754-9720;
Practice Fax
: 787-767-6743
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1346314176 -
HEALTHCARE MANAGEMENT PARTNERS OF DALLAS, LLC
Other Name
:
Mailing Address
:
201 HOLLYWOOD BLVD
BIRMINGHAM
AL
35209-2016
Phone
: 615-584-0719;
Fax
: 615-523-1835;
Practice Location Address
:
1000 E AVENUE J
,
, LAMPASAS
, TX
, 76550-1211
Practice Phone
: 512-556-6267;
Practice Fax
: 512-556-6601
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1255405080 -
DR.
DR.
TERRANCE
ANDERSON
FILTER
PH.D.
Other Name
:
Mailing Address
:
1860 INDEPENDENCE BLVD
ANN ARBOR
MI
48104-6302
Phone
: 248-705-7756;
Fax
: 248-594-7663;
Practice Location Address
:
206 S 5TH AVE
, SUITE 100
, ANN ARBOR
, MI
, 48104-2229
Practice Phone
: 734-662-3385;
Practice Fax
:
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1164596995 -
MARTHA
J.
TOTIN
PSY. D.
Other Name
:
Mailing Address
:
4985 HARLEM ROAD
AMHERST
NY
14226
Phone
: 716-839-0500;
Fax
: 716-839-0523;
Practice Location Address
:
4985 HARLEM ROAD
,
, AMHERST
, NY
, 14226
Practice Phone
: 716-839-0500;
Practice Fax
: 716-839-0523
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1073687802 -
JENNIFER H WAYER DMD PA
Other Name
:
Mailing Address
:
502 E HICKORY AVE
CRESTVIEW
FL
32536
Phone
: 850-683-3544;
Fax
: 850-683-4503;
Practice Location Address
:
502 E HICKORY AVE
,
, CRESTVIEW
, FL
, 32536
Practice Phone
: 850-683-3544;
Practice Fax
: 850-683-4503
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1982778718 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1790859528 -
DR.
DR.
CHRISTOPHER
SHAWN
WALLACE
O.D.
Other Name
:
Mailing Address
:
8624 202ND ST SW
EDMONDS
WA
98026-6644
Phone
: 206-419-7400;
Fax
: ;
Practice Location Address
:
8745 GLACIER HWY
, SPACE 426
, JUNEAU
, AK
, 99801-8029
Practice Phone
: 907-796-3937;
Practice Fax
:
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1609940436 -
MR.
MR.
BOBBY
ROYCE
ENGLISH
DC
Other Name
:
Mailing Address
:
PO BOX 507 NEW BOSTON CHIROPRACTIC CENTER
308 C HWY 82 WEST
NEW BOSTON
TX
75570
Phone
: 903-628-2871;
Fax
: 903-628-0131;
Practice Location Address
:
308 C HWY 82 WEST NEW BOSTON CHIROPRACTIC CENTER
,
, NEW BOSTON
, TX
, 75570
Practice Phone
: 903-628-2871;
Practice Fax
: 903-628-0131
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1518031343 -
CARE ENDODONTICS
Other Name
:
Mailing Address
:
43 WOODLAND ST
SUITE 210
HARTFORD
CT
06105-2363
Phone
: 860-246-4488;
Fax
: 860-293-0729;
Practice Location Address
:
43 WOODLAND ST
, SUITE 210
, HARTFORD
, CT
, 06105-2363
Practice Phone
: 860-246-4488;
Practice Fax
: 860-293-0729
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1326112152 -
COASTAL COMMUNITIES HOSPITAL
Other Name
:
Mailing Address
:
2701 S BRISTOL ST
SANTA ANA
CA
92704-6201
Phone
: 714-754-5454;
Fax
: ;
Practice Location Address
:
2701 S BRISTOL ST
,
, SANTA ANA
, CA
, 92704-6201
Practice Phone
: 714-754-5454;
Practice Fax
:
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1235203068 -
DR.
DR.
GLENN
GEE
WONG
D.C.
Other Name
:
Mailing Address
:
8265 VILLAGE PKWY STE C
DUBLIN
CA
94568-1254
Phone
: 925-803-8383;
Fax
: 925-803-8118;
Practice Location Address
:
8265 VILLAGE PKWY STE C
,
, DUBLIN
, CA
, 94568-1254
Practice Phone
: 925-803-8383;
Practice Fax
: 925-803-8118
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1144394974 -
MR.
MR.
DANIEL
O'NEIL
WATSON
D.C.
Other Name
:
Mailing Address
:
20415 SUNNY RIDGE LN # B
SONORA
CA
95370-9425
Phone
: 209-532-7535;
Fax
: 209-532-7535;
Practice Location Address
:
20415 SUNNY RIDGE LN # B
,
, SONORA
, CA
, 95370-9425
Practice Phone
: 209-532-7535;
Practice Fax
: 209-532-7535
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1053485888 -
MR.
MR.
MALCOLM
DAVID
HENSLEY
LCSW
Other Name
:
Mailing Address
:
1440 WILBEC RD
MEMPHIS
TN
38117-6828
Phone
: 901-682-7524;
Fax
: ;
Practice Location Address
:
1440 WILBEC RD
,
, MEMPHIS
, TN
, 38117-6828
Practice Phone
: 901-682-7524;
Practice Fax
:
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