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Showing codes 1053312033 — 1407857493
1053312033 -
ODYSSEY HEALTHCARE OPERATING A LP
Other Name
:
Mailing Address
:
PO BOX 4060
ATTN REGULATORY
MOORESVILLE
NC
28117-4060
Phone
: 704-664-2876;
Fax
: 704-664-1306;
Practice Location Address
:
301 E VANDERBILT WAY STE 250
,
, SAN BERNARDINO
, CA
, 92408-3512
Practice Phone
: 909-888-5000;
Practice Fax
: 909-888-4040
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1962403949 -
KATHERINE
ELIZABETH STENBERG
CURRY
PA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP - PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
841 PRUDENTIAL DR
, UFJAX - PEDIATRIC CARDIOTHORACIC SURGERY
, JACKSONVILLE
, FL
, 32207-8329
Practice Phone
: 904-493-2288;
Practice Fax
: 904-493-2363
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1871594853 -
JOHN
R
RUDISILL
Other Name
:
Mailing Address
:
1020 WOODMAN DR
SUITE 225
DAYTON
OH
45432-1446
Phone
: ;
Fax
: ;
Practice Location Address
:
1020 WOODMAN DR
, SUITE 225
, DAYTON
, OH
, 45432-1446
Practice Phone
: 937-254-9210;
Practice Fax
:
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1780685768 -
DR.
DR.
JEFFREY
E
GLADD
M.D.
Other Name
:
Mailing Address
:
10515 ILLINOIS RD
FORT WAYNE
IN
46814-9182
Phone
: 260-373-9233;
Fax
: 260-373-9219;
Practice Location Address
:
1234 E DUPONT RD
, SUITE 3
, FORT WAYNE
, IN
, 46825-1545
Practice Phone
: 260-373-9965;
Practice Fax
: 260-458-5664
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1285635268 -
KIMBRA
L
LINGERFELT
FNP
Other Name
:
Mailing Address
:
2118 STEIN DR
CHATTANOOGA
TN
37421-1691
Phone
: 423-648-4900;
Fax
: 423-648-1868;
Practice Location Address
:
251 N LYERLY ST
, SUITE 100
, CHATTANOOGA
, TN
, 37404-2728
Practice Phone
: 423-826-8000;
Practice Fax
: 423-826-8005
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1093716078 -
PHYSICAL MEDICINE REHAB, LLC
Other Name
:
Mailing Address
:
101 W HILLSIDE RD
STE 6-B
LAREDO
TX
78041-3141
Phone
: 956-725-5212;
Fax
: 956-796-1117;
Practice Location Address
:
101 W HILLSIDE RD
, STE 6-B
, LAREDO
, TX
, 78041-3141
Practice Phone
: 956-725-5212;
Practice Fax
: 956-796-1117
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1902807985 -
MR.
MR.
JOHN
T
DVORAK
MD
Other Name
:
Mailing Address
:
2620 WILHITE DR
LEXINGTON
KY
40503-3385
Phone
: 859-278-6031;
Fax
: 859-277-7015;
Practice Location Address
:
2620 WILHITE DR
,
, LEXINGTON
, KY
, 40503-3385
Practice Phone
: 859-278-6031;
Practice Fax
: 859-277-7015
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1811998891 -
CENTER FOR ADVANCED GASTROENTEROLOGY LLC
Other Name
:
Mailing Address
:
260 LOOKOUT PL
STE 201
MAITLAND
FL
32751-4485
Phone
: 407-644-4014;
Fax
: 407-644-5270;
Practice Location Address
:
260 LOOKOUT PL
, STE 201
, MAITLAND
, FL
, 32751-4485
Practice Phone
: 407-644-4014;
Practice Fax
: 407-644-5270
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1720089709 -
MRS.
MRS.
KAREN
SUE
MOELLMAN
M.A., CCC,
Other Name
:
Mailing Address
:
PO BOX 509
ELMORE
OH
43416-0509
Phone
: 419-862-3434;
Fax
: ;
Practice Location Address
:
5950 AIRPORT HWY STE 17
,
, TOLEDO
, OH
, 43615-7362
Practice Phone
: 419-865-7500;
Practice Fax
: 419-865-8532
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1639170616 -
DR.
DR.
SHARON
C.
KIELY
MD
Other Name
:
Mailing Address
:
320 E NORTH AVE
2ND FL AGH INTERNAL MEDICINE
PITTSBURGH
PA
15212-4756
Phone
: 412-359-3751;
Fax
: 412-359-8439;
Practice Location Address
:
320 E NORTH AVE
, 2ND FL AGH INTERNAL MEDICINE
, PITTSBURGH
, PA
, 15212-4756
Practice Phone
: 412-359-3751;
Practice Fax
: 412-359-8439
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1548261522 -
DR.
DR.
ROY
E
SCHUTZENGEL
MD, MBA
Other Name
:
Mailing Address
:
3840 CRONDALL DR
SACRAMENTO
CA
95864-6038
Phone
: 916-591-1614;
Fax
: ;
Practice Location Address
:
1650 RESPONSE RD
,
, SACRAMENTO
, CA
, 95815-4807
Practice Phone
: 916-614-4060;
Practice Fax
:
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1457352437 -
DERMOT
M
MCDERMOTT
PA-C
Other Name
:
Mailing Address
:
874 HOWARD AVE
NEW HAVEN
CT
06519-1106
Phone
: 203-688-8200;
Fax
: 203-688-8204;
Practice Location Address
:
874 HOWARD AVE
,
, NEW HAVEN
, CT
, 06519-1106
Practice Phone
: 203-688-8200;
Practice Fax
: 203-688-8204
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1366443343 -
GHULAM
RABBANI
AZIZ
M.D.
Other Name
:
Mailing Address
:
16218 SAINT CLAIR AVE
EAST LIVERPOOL
OH
43920-9449
Phone
: 330-382-9355;
Fax
: 330-382-9448;
Practice Location Address
:
16218 SAINT CLAIR AVE
,
, EAST LIVERPOOL
, OH
, 43920-9449
Practice Phone
: 330-382-9355;
Practice Fax
: 330-382-9448
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1275534257 -
DR.
DR.
BARRY
WOHLGEMUTH
DDS
Other Name
:
Mailing Address
:
22076 E RIDGE TRAIL CIR
AURORA
CO
80016-2666
Phone
: ;
Fax
: ;
Practice Location Address
:
1450 S HAVANA ST
,
, AURORA
, CO
, 80012-4021
Practice Phone
: 303-755-8388;
Practice Fax
:
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1184625162 -
DR.
DR.
JAMES
J
VOPAL
DDS, MD, FACS
Other Name
:
Mailing Address
:
801 SE OSCEOLA ST
STUART
FL
34994-2431
Phone
: 772-220-4050;
Fax
: 772-220-0502;
Practice Location Address
:
801 SE OSCEOLA ST
,
, STUART
, FL
, 34994-2431
Practice Phone
: 772-220-4050;
Practice Fax
: 772-220-0502
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1992706972 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1801897889 -
RANDALL
F
RANDAZZO
M.D.
Other Name
:
Mailing Address
:
806 E WOODFIELD RD
SCHAUMBURG
IL
60173-4837
Phone
: 847-278-1243;
Fax
: 847-466-7936;
Practice Location Address
:
806 E WOODFIELD RD
,
, SCHAUMBURG
, IL
, 60173-4837
Practice Phone
: 847-278-1243;
Practice Fax
: 847-466-7936
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1710988795 -
DR.
DR.
STEVEN
KRIS
AHLFELD
MD
Other Name
:
STEVEN
KRIS
AHLFELD
Mailing Address
:
9302 N MERIDIAN ST
SUITE 110
INDIANAPOLIS
IN
46260-1873
Phone
: 317-575-6515;
Fax
: 317-844-8347;
Practice Location Address
:
9302 N MERIDIAN ST
, SUITE 110
, INDIANAPOLIS
, IN
, 46260-1873
Practice Phone
: 317-575-6515;
Practice Fax
: 317-844-8347
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1629079603 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1538160510 -
ANNE
MARIE
ROMANIK-PATENAUDE
MD
Other Name
:
Mailing Address
:
15990 W 9 MILE RD
SOUTHFIELD
MI
48075-4826
Phone
: 248-849-4226;
Fax
: 248-849-4240;
Practice Location Address
:
26850 PROVIDENCE PKWY
, SUITE 455
, NOVI
, MI
, 48374-1213
Practice Phone
: 248-465-4847;
Practice Fax
: 248-465-4877
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1447251426 -
HOGAN MEDICAL EQUIPMENT, INC
Other Name
:
Mailing Address
:
500 INTERSTATE PARK DR
MONTGOMERY
AL
36109-5429
Phone
: 334-777-1274;
Fax
: ;
Practice Location Address
:
500 INTERSTATE PARK DR STE 534
,
, MONTGOMERY
, AL
, 36109-5434
Practice Phone
: 334-777-1274;
Practice Fax
:
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1356342331 -
DR.
DR.
CHRISTA
S
PESTKA
MD
Other Name
:
Mailing Address
:
PO BOX 155
CHRISTOPHER
IL
62822-0155
Phone
: 618-724-2401;
Fax
: 618-724-4628;
Practice Location Address
:
14410 ROUTE 37
,
, JOHNSTON CITY
, IL
, 62951-1427
Practice Phone
: 618-983-6911;
Practice Fax
: 618-983-6913
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1861493801 -
BERNADINE
ZEBROWSKI
Other Name
:
Mailing Address
:
120 E 2ND ST FL 1
1ST FLOOR
ERIE
PA
16507-1537
Phone
: ;
Fax
: ;
Practice Location Address
:
120 E 2ND ST FL 1
, 1ST FLOOR
, ERIE
, PA
, 16507-1537
Practice Phone
: 814-456-8980;
Practice Fax
:
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1851392807 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1760483713 -
MONUMENT HEALTH NETWORK, INC
Other Name
:
Mailing Address
:
423 N 10 ST
CUSTER
SD
57730
Phone
: 605-673-5588;
Fax
: 605-673-4462;
Practice Location Address
:
423 N 10 ST
,
, CUSTER
, SD
, 57730
Practice Phone
: 605-673-5588;
Practice Fax
: 605-673-4462
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1679574628 -
MARION V STAUFFER LLC
Other Name
:
Mailing Address
:
1236 E MAIN ST
CUSHING
OK
74023
Phone
: 918-225-1973;
Fax
: 918-225-1988;
Practice Location Address
:
1236 E MAIN ST
,
, CUSHING
, OK
, 74023
Practice Phone
: 918-225-1973;
Practice Fax
: 918-225-1988
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1588665533 -
WILLIAM
CARROLL
MD
Other Name
:
Mailing Address
:
101 DATES DR
ITHACA
NY
14850-1342
Phone
: 607-277-3790;
Fax
: 607-277-3849;
Practice Location Address
:
101 DATES DR
,
, ITHACA
, NY
, 14850-1342
Practice Phone
: 607-277-3790;
Practice Fax
: 607-277-3849
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1144221102 -
DR.
DR.
SCOTT
LAWRENCE
PORTNOY
MD
Other Name
:
Mailing Address
:
2026 E CARSON ST
PITTSBURGH
PA
15203-1902
Phone
: 412-381-1542;
Fax
: 412-381-6662;
Practice Location Address
:
2853 FREEPORT ROAD
,
, NATRONA HEIGHTS
, PA
, 15065
Practice Phone
: 724-224-4240;
Practice Fax
: 724-224-3197
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1053312017 -
DR.
DR.
CRAIG
E
MCCOY
D.O.
Other Name
:
Mailing Address
:
1513 UNION AVE STE 1600
MOBERLY
MO
65270-9404
Phone
: 660-269-8752;
Fax
: 660-269-8753;
Practice Location Address
:
1513 UNION AVE STE 1600
,
, MOBERLY
, MO
, 65270-9404
Practice Phone
: 660-269-8752;
Practice Fax
: 660-269-8753
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1962403923 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1871594838 -
KARAM
K
PATHAN
MD
Other Name
:
Mailing Address
:
590 INDIAN SPRINGS RD
SUITE 4
INDIANA
PA
15701-3600
Phone
: 724-349-6340;
Fax
: 724-801-8721;
Practice Location Address
:
590 INDIAN SPRINGS RD
, SUITE 4
, INDIANA
, PA
, 15701-3600
Practice Phone
: 724-349-6340;
Practice Fax
: 724-801-8721
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1780685743 -
DR.
DR.
WAYNE
O
WELLS
M.D.
Other Name
:
Mailing Address
:
1430 W BADDOUR PKWY
SUITE A
LEBANON
TN
37087-2656
Phone
: 615-443-0730;
Fax
: 615-443-0722;
Practice Location Address
:
1430 W BADDOUR PKWY
, SUITE A
, LEBANON
, TN
, 37087-2656
Practice Phone
: 615-443-0730;
Practice Fax
: 615-443-0722
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1598766552 -
BRUCE
EVAN
FISCHER
MD
Other Name
:
Mailing Address
:
1180 HOPE ST
BRISTOL
RI
02809-1126
Phone
: 401-253-8900;
Fax
: 401-253-3131;
Practice Location Address
:
1180 HOPE ST
,
, BRISTOL
, RI
, 02809-1126
Practice Phone
: 401-253-8900;
Practice Fax
: 401-253-3131
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1407857469 -
DR.
DR.
PAUL
C
WALDMAN
MD
Other Name
:
Mailing Address
:
354 MILL ST
HAGERSTOWN
MD
21740-6138
Phone
: 301-739-7360;
Fax
: ;
Practice Location Address
:
354 MILL ST
,
, HAGERSTOWN
, MD
, 21740-6138
Practice Phone
: 301-739-7360;
Practice Fax
: 301-739-7310
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1316948375 -
DR.
DR.
GILBERT
E
HERREN
MD
Other Name
:
Mailing Address
:
8010 STAGE HILLS BLVD
BARTLETT
TN
38133-4032
Phone
: 901-291-2400;
Fax
: 901-379-0771;
Practice Location Address
:
7691 POPLAR AVE
,
, GERMANTOWN
, TN
, 38138-3904
Practice Phone
: 901-516-6970;
Practice Fax
:
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1225039282 -
DR.
DR.
MICHAEL
W
GOLZ
D.C.
Other Name
:
Mailing Address
:
784 FRANKLIN AVE
SUITE 230
FRANKLIN LAKES
NJ
07417-1920
Phone
: 201-891-4100;
Fax
: 201-891-0014;
Practice Location Address
:
784 FRANKLIN AVE
, SUITE 230
, FRANKLIN LAKES
, NJ
, 07417-1920
Practice Phone
: 201-891-4100;
Practice Fax
: 201-891-0014
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1134120199 -
MEDICAL ONCOLOGY ASSOCIATES OF WYOMING VALLEY, PC
Other Name
:
Mailing Address
:
382 PIERCE ST
KINGSTON
PA
18704-5535
Phone
: 570-288-7231;
Fax
: ;
Practice Location Address
:
382 PIERCE ST
,
, KINGSTON
, PA
, 18704-5535
Practice Phone
: 570-288-7231;
Practice Fax
:
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1043211006 -
MEDICAL ONCOLOGY AND HEMATOLOGY ASSOC OF NORTHERN VIRGINIA
Other Name
:
Mailing Address
:
8501 ARLINGTON BLVD
SUITE 340
FAIRFAX
VA
22031-4617
Phone
: 703-207-0733;
Fax
: 703-207-0736;
Practice Location Address
:
8501 ARLINGTON BLVD
, SUITE 340
, FAIRFAX
, VA
, 22031-4617
Practice Phone
: 703-207-0733;
Practice Fax
: 703-207-0736
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1952302911 -
SUNITA
M
BHASIN
MD
Other Name
:
Mailing Address
:
PO BOX 1748
BLUEFIELD
WV
24701-5748
Phone
: 306-325-7460;
Fax
: 304-323-2575;
Practice Location Address
:
1609 STADIUM DR
,
, BLUEFIELD
, WV
, 24701-3321
Practice Phone
: 304-325-7460;
Practice Fax
: 304-323-2575
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1861493827 -
MICHAEL
LILLPOPP
PA
Other Name
:
Mailing Address
:
1000 ASYLUM AVE
SUITE 2109A
HARTFORD
CT
06105-1770
Phone
: 860-714-6581;
Fax
: 860-714-8311;
Practice Location Address
:
114 WOODLAND ST
, DEPT OF SURGERY
, HARTFORD
, CT
, 06105-1208
Practice Phone
: 860-714-4694;
Practice Fax
: 860-714-8311
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1770584732 -
DR.
DR.
ANDREW
B
CASABIANCA
M.D.
Other Name
:
Mailing Address
:
3355 GLENDALE AVE
THIRD FLOOR
TOLEDO
OH
43614-2426
Phone
: 419-383-7100;
Fax
: 419-383-2000;
Practice Location Address
:
3000 ARLINGTON AVE
,
, TOLEDO
, OH
, 43614-2595
Practice Phone
: 419-383-3556;
Practice Fax
: 419-383-3550
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1689675647 -
GEETHA
A
MENEZES
MD
Other Name
:
Mailing Address
:
11150 FAIRFAX BLVD
SUITE 501
FAIRFAX
VA
22030
Phone
: 703-691-2516;
Fax
: 703-691-3526;
Practice Location Address
:
3300 GALLOWS RD
,
, FALLS CHURCH
, VA
, 22042-3307
Practice Phone
: 703-776-2638;
Practice Fax
:
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1497756456 -
STEPHANIE
NOWYSZ
DDS
Other Name
:
Mailing Address
:
611 E BURLINGTON ST
IOWA CITY
IA
52240-5048
Phone
: 319-339-0489;
Fax
: ;
Practice Location Address
:
611 E BURLINGTON ST
,
, IOWA CITY
, IA
, 52240-5048
Practice Phone
: 319-339-0489;
Practice Fax
:
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1306847363 -
WILLIAMS ORTHOTIC SERVICES, INC.
Other Name
:
Mailing Address
:
4466 W BRISTOL RD
FLINT
MI
48507-3170
Phone
: 810-230-9400;
Fax
: 810-230-9411;
Practice Location Address
:
4466 W BRISTOL RD
,
, FLINT
, MI
, 48507-3170
Practice Phone
: 810-230-9400;
Practice Fax
: 810-230-9411
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1245231216 -
JOSEPH
L
WILHELM
MD
Other Name
:
Mailing Address
:
1005 CHARLEVOIX DR STE 100
GRAND LEDGE
MI
48837-8186
Phone
: 517-337-1668;
Fax
: 517-622-1205;
Practice Location Address
:
702 W LAKE LANSING RD
,
, EAST LANSING
, MI
, 48823-8526
Practice Phone
: 517-332-6523;
Practice Fax
: 517-332-3365
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1154322121 -
MID PENN ANESTHESIA P.C.
Other Name
:
Mailing Address
:
PO BOX 947
CHAMBERSBURG
PA
17201-0947
Phone
: 717-263-5562;
Fax
: 717-263-1566;
Practice Location Address
:
1 HOSPITAL DR
,
, LEWISBURG
, PA
, 17837-9314
Practice Phone
: 570-522-2629;
Practice Fax
:
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1063413037 -
MS.
MS.
AMY
GREEN
CNP
Other Name
:
Mailing Address
:
2500 METROHEALTH DR
CLEVELAND
OH
44109-1900
Phone
: ;
Fax
: ;
Practice Location Address
:
2500 METROHEALTH DR
,
, CLEVELAND
, OH
, 44109-1900
Practice Phone
: 216-778-7800;
Practice Fax
:
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1972504942 -
GALEN
FOO HOCK
CHUN
MD
Other Name
:
Mailing Address
:
PO BOX 42456
CINCINNATI
OH
45242-0456
Phone
: 513-965-8041;
Fax
: 513-965-8091;
Practice Location Address
:
375 DIXMYTH AVE
,
, CINCINNATI
, OH
, 45220-2475
Practice Phone
: 513-965-8041;
Practice Fax
: 513-965-8091
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1881695856 -
DR.
DR.
EUGENE
W
REILLY
M.D.
Other Name
:
Mailing Address
:
7631 CHEVIOT RD
CINCINNATI
OH
45247-4036
Phone
: 513-923-1886;
Fax
: 513-923-2878;
Practice Location Address
:
7631 CHEVIOT RD
,
, CINCINNATI
, OH
, 45247-4036
Practice Phone
: 513-923-1886;
Practice Fax
: 513-923-2878
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1508867573 -
KENTUCKY ORTHOPEDIC REHABILITATION LLC
Other Name
:
Mailing Address
:
4714 GETTYSBURG RD
LEGAL DEPARTMENT
MECHANICSBURG
PA
17055-4325
Phone
: 717-972-1100;
Fax
: 717-975-9981;
Practice Location Address
:
1308 W SHELBY ST
, SUITE D
, FALMOUTH
, KY
, 41040-9229
Practice Phone
: 859-654-6200;
Practice Fax
: 859-654-1060
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1417958489 -
DR.
DR.
ROBERT
A
LEE
MD
Other Name
:
Mailing Address
:
7147 VISTA DR STE 150
WEST DES MOINES
IA
50266-9313
Phone
: 515-875-9925;
Fax
: 515-875-9923;
Practice Location Address
:
5501 NW 86TH ST
, SUITE 300
, JOHNSTON
, IA
, 50131
Practice Phone
: 515-875-9035;
Practice Fax
: 515-875-9036
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1326049396 -
ZIAD
YAFI
MD
Other Name
:
Mailing Address
:
PO BOX 37090
BALTIMORE
MD
21297-3090
Phone
: 703-295-9360;
Fax
: 703-295-9369;
Practice Location Address
:
3998 FAIR RIDGE DR
, SUITE 320
, FAIRFAX
, VA
, 22033-2921
Practice Phone
: 703-295-9360;
Practice Fax
: 703-295-9369
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1235130204 -
DR.
DR.
FRANCIS
CHARLES
LOSITO
MD
Other Name
:
Mailing Address
:
345 KENSETT RD
MANHASSET
NY
11030-2141
Phone
: 516-647-4471;
Fax
: 516-365-8163;
Practice Location Address
:
345 KENSETT RD
,
, MANHASSET
, NY
, 11030-2141
Practice Phone
: 516-647-4471;
Practice Fax
: 516-365-8163
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1144221110 -
DR.
DR.
LILIYA
LOTSVIN
M.D.
Other Name
:
Mailing Address
:
5625 INDEPENDENCE AVE
BRONX
NY
10471-1230
Phone
: 914-309-5793;
Fax
: 718-432-5230;
Practice Location Address
:
3533 RIVERDALE AVE
,
, BRONX
, NY
, 10463-1803
Practice Phone
: 718-432-5500;
Practice Fax
: 718-432-5230
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1053312025 -
MS.
MS.
JILL
LORETITSCH
CNP
Other Name
:
Mailing Address
:
25000 COUNTRY CLUB BLVD
#255
NORTH OLMSTED
OH
44070-5344
Phone
: 440-893-0200;
Fax
: 440-793-7194;
Practice Location Address
:
25000 COUNTRY CLUB BLVD
, #255
, NORTH OLMSTED
, OH
, 44070-5344
Practice Phone
: 440-893-0200;
Practice Fax
: 440-793-7194
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1962403931 -
CARMEN
DOLORES
DAVILA-TORO
M.D.
Other Name
:
Mailing Address
:
4455 E 12TH AVE
DENVER
CO
80220-2415
Phone
: 303-504-7700;
Fax
: 303-504-7892;
Practice Location Address
:
4455 E 12TH AVE
,
, DENVER
, CO
, 80220-2415
Practice Phone
: 303-504-7700;
Practice Fax
: 303-504-7892
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1871594846 -
CREATIVE LIFESTYLES MANAGEMENT PROG
Other Name
:
Mailing Address
:
7503 SURRATTS ROAD
CLINTON
MD
20735-3358
Phone
: 301-870-7001;
Fax
: 301-870-6697;
Practice Location Address
:
7501 SURRATTS ROAD
, SUITE 202
, CLINTON
, MD
, 20735-3358
Practice Phone
: 301-877-4616;
Practice Fax
: 301-877-4355
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1780685750 -
SHELBY COUNTY HEALTH CARE CORPORATION
Other Name
:
Mailing Address
:
877 JEFFERSON AVE
ATTN: PROVIDER ENROLLMENT
MEMPHIS
TN
38103-2807
Phone
: 901-545-8336;
Fax
: 901-545-8122;
Practice Location Address
:
877 JEFFERSON AVE
,
, MEMPHIS
, TN
, 38103-2807
Practice Phone
: 901-545-8336;
Practice Fax
: 901-545-8122
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1598766560 -
MARIA
TULPAN
MD
Other Name
:
Mailing Address
:
40 PARK AVE
NEW YORK
NY
10016-3467
Phone
: 212-679-7363;
Fax
: 212-679-6160;
Practice Location Address
:
40 PARK AVE
,
, NEW YORK
, NY
, 10016-3467
Practice Phone
: 212-679-7363;
Practice Fax
: 212-679-6160
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1407857477 -
DR.
DR.
COREY
S.
GREENWALD
M.D.
Other Name
:
Mailing Address
:
2711 IRVIN WAY
SUITE 211
DECATUR
GA
30030-5405
Phone
: 404-501-0001;
Fax
: 404-501-0023;
Practice Location Address
:
2711 IRVIN WAY
, SUITE 211
, DECATUR
, GA
, 30030-5405
Practice Phone
: 404-501-0001;
Practice Fax
: 404-501-0023
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1316948383 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1225039290 -
MR.
MR.
ROBERT
ALAN
RICHTER
MD
Other Name
:
Mailing Address
:
1284 W MAIN ST
FRANKLIN
TN
37064-3319
Phone
: 615-790-1441;
Fax
: 615-790-1014;
Practice Location Address
:
1284 W MAIN ST
,
, FRANKLIN
, TN
, 37064-3319
Practice Phone
: 615-790-1441;
Practice Fax
: 615-790-1014
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1134120108 -
MR.
MR.
FRANK
REMINGTON
SPRAGUE
MD
Other Name
:
Mailing Address
:
2700 BAKER ST FL 3
MUSKEGON
MI
49444-2157
Phone
: 231-737-1335;
Fax
: ;
Practice Location Address
:
376 E APPLE AVE
,
, MUSKEGON
, MI
, 49442-3466
Practice Phone
: 231-724-1335;
Practice Fax
:
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1043211014 -
DR.
DR.
JANIE
RHEA
VALE
Other Name
:
Mailing Address
:
1012 BOURN AVE
COLUMBIA
MO
65203-1455
Phone
: 573-446-2993;
Fax
: ;
Practice Location Address
:
1012 BOURN AVE
,
, COLUMBIA
, MO
, 65203-1455
Practice Phone
: 573-446-2993;
Practice Fax
:
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1952302929 -
WEST JEFFERSON MRI, LLC
Other Name
:
Mailing Address
:
1111 MEDICAL CENTER BLVD
SUITE N-110
MARRERO
LA
70072-3151
Phone
: 504-349-6570;
Fax
: 504-934-8040;
Practice Location Address
:
1111 MEDICAL CENTER BLVD
, SUITE N-110
, MARRERO
, LA
, 70072-3151
Practice Phone
: 504-349-6570;
Practice Fax
: 504-934-8040
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1861493835 -
DR.
DR.
ASHWINI
K
JHA
MD
Other Name
:
Mailing Address
:
8010 STAGE HILLS BLVD
BARTLETT
TN
38133-4032
Phone
: 901-291-2400;
Fax
: 901-379-0771;
Practice Location Address
:
7691 POPLAR AVE
,
, GERMANTOWN
, TN
, 38138-3904
Practice Phone
: 901-516-6970;
Practice Fax
:
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1770584740 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1689675654 -
ARNOLD
DEL PILAR
JR.
D.O.
Other Name
:
Mailing Address
:
270 E DAY RD STE 280
MISHAWAKA
IN
46545-3452
Phone
: 574-271-0268;
Fax
: 574-271-0395;
Practice Location Address
:
270 E DAY RD STE 280
,
, MISHAWAKA
, IN
, 46545-3452
Practice Phone
: 574-271-0268;
Practice Fax
: 574-271-0395
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1497756464 -
MS.
MS.
ANDREA
TERRI
VOGEL
LCSW
Other Name
:
Mailing Address
:
1104 W 4TH NORTH ST
MORRISTOWN
TN
37814-3847
Phone
: 423-317-8482;
Fax
: 423-317-9901;
Practice Location Address
:
1104 W 4TH NORTH ST
,
, MORRISTOWN
, TN
, 37814-3847
Practice Phone
: 423-317-8482;
Practice Fax
: 423-317-9901
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1821099896 -
DR.
DR.
MARY
E
MONEY
MD
Other Name
:
MARY
E
MONEY
Mailing Address
:
12912 CONAMAR DR UNIT 1853
HAGERSTOWN
MD
21742-7502
Phone
: 301-824-9240;
Fax
: 301-720-8182;
Practice Location Address
:
13121 CLOPPER RD
,
, HAGERSTOWN
, MD
, 21742-4814
Practice Phone
: 240-291-2281;
Practice Fax
:
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1730180704 -
DR.
DR.
CORY
J.
BOSANKO
O.D.
Other Name
:
Mailing Address
:
39 LANTANA RD
CROSSVILLE
TN
38555-4901
Phone
: 931-484-3344;
Fax
: 931-456-3671;
Practice Location Address
:
39 LANTANA RD
,
, CROSSVILLE
, TN
, 38555-4901
Practice Phone
: 931-484-3344;
Practice Fax
: 931-456-3671
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1649271610 -
DR.
DR.
MATTHEW
RICHARD
DEROSIER
D.C.
Other Name
:
Mailing Address
:
1921 N 13TH ST
BISMARCK
ND
58501-1973
Phone
: 701-222-2252;
Fax
: 701-222-3645;
Practice Location Address
:
1921 N 13TH ST
,
, BISMARCK
, ND
, 58501-1973
Practice Phone
: 701-222-2252;
Practice Fax
: 701-222-3645
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1366443335 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1275534240 -
DR.
DR.
A
D
WALKER
JR.
M.D. APMC
Other Name
:
Mailing Address
:
PO BOX 3655
HOUMA
LA
70361-3655
Phone
: 985-868-7566;
Fax
: 985-851-4778;
Practice Location Address
:
869 VERRET ST
,
, HOUMA
, LA
, 70360-4635
Practice Phone
: 985-868-7566;
Practice Fax
: 985-851-4778
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1184625154 -
DR.
DR.
LYLE
R
VAN HEMERT
DC
Other Name
:
Mailing Address
:
3508 S WESTERN AVE
SIOUX FALLS
SD
57105-6111
Phone
: 605-331-4220;
Fax
: ;
Practice Location Address
:
3508 S WESTERN AVE
,
, SIOUX FALLS
, SD
, 57105-6111
Practice Phone
: 605-331-4220;
Practice Fax
:
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1992706964 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1801897871 -
DR.
DR.
BERNARD
SOROFMAN
RPH
Other Name
:
Mailing Address
:
115 GRAND AVENUE CT
COLLEGE OF PHARMACY SUITE S511 PHAR
IOWA CITY
IA
52246-2508
Phone
: 319-335-8878;
Fax
: 319-353-5646;
Practice Location Address
:
115 GRAND AVENUE CT
, COLLEGE OF PHARMACY SUITE S511 PHAR
, IOWA CITY
, IA
, 52246-2508
Practice Phone
: 319-335-8878;
Practice Fax
: 319-353-5646
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1710988787 -
CHARLES
JOSEAPH
LUCERO
DDS
Other Name
:
Mailing Address
:
1751 N STOCKTON HILL RD
STE# A
KINGMAN
AZ
86401-6601
Phone
: 928-718-8668;
Fax
: 928-718-2106;
Practice Location Address
:
1751 N STOCKTON HILL RD
, STE# A
, KINGMAN
, AZ
, 86401-6601
Practice Phone
: 928-718-8668;
Practice Fax
: 928-718-2106
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1629079694 -
KAREN
P
SELIGMAN
MD
Other Name
:
Mailing Address
:
19 BRADHURST AVE
STE 1400
HAWTHORNE
NY
10532-2140
Phone
: 914-594-4370;
Fax
: 914-594-4513;
Practice Location Address
:
19 BRADHURST AVE
, STE. 1400
, HAWTHORNE
, NY
, 10532-2140
Practice Phone
: 914-594-4370;
Practice Fax
: 914-594-4513
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1538160502 -
STEVE
NEIL
BRECKENRIDGE
Other Name
:
Mailing Address
:
48 W 1500 N
NEPHI
UT
84648-8900
Phone
: ;
Fax
: ;
Practice Location Address
:
48 W 1500 N
,
, NEPHI
, UT
, 84648-8900
Practice Phone
: 435-623-3040;
Practice Fax
:
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1447251418 -
JAMES
J
ROWLAND
MD
Other Name
:
Mailing Address
:
535 SMITHFIELD ST STE 1030
PITTSBURGH
PA
15222-2307
Phone
: 412-281-7313;
Fax
: 412-281-2030;
Practice Location Address
:
535 SMITHFIELD ST STE 1030
,
, PITTSBURGH
, PA
, 15222-2307
Practice Phone
: 412-281-7313;
Practice Fax
: 412-281-2030
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1356342323 -
ALLEN
MANSFIELD
DENNISON
M.D.
Other Name
:
Mailing Address
:
1180 HOPE ST
BRISTOL
RI
02809-1126
Phone
: 401-253-8900;
Fax
: 401-253-3131;
Practice Location Address
:
286 MAPLE AVE
,
, BARRINGTON
, RI
, 02806-3437
Practice Phone
: 404-247-0610;
Practice Fax
: 401-245-7362
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1336140326 -
RAGOOR
K
REDDY
M.D.
Other Name
:
Mailing Address
:
506 ATHENA DR
DELMONT
PA
15626-1005
Phone
: 724-468-6869;
Fax
: 724-468-6207;
Practice Location Address
:
6303 ROUTE 30
,
, GREENSBURG
, PA
, 15601-6398
Practice Phone
: 724-527-1440;
Practice Fax
: 724-527-6520
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1245231232 -
DR.
DR.
DMITRIY
VAYSMAN
MD
Other Name
:
Mailing Address
:
655 DEER PARK AVE
BABYLON
NY
11702-1314
Phone
: 631-321-2100;
Fax
: 631-321-2246;
Practice Location Address
:
655 DEER PARK AVE
,
, BABYLON
, NY
, 11702-1314
Practice Phone
: 631-321-2100;
Practice Fax
: 631-321-2246
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1154322147 -
NISHA
DESHPANDE
PA
Other Name
:
Mailing Address
:
370 SUMMIT ST
ELGIN
IL
60120-3843
Phone
: 847-608-1344;
Fax
: 847-608-0672;
Practice Location Address
:
370 SUMMIT ST
,
, ELGIN
, IL
, 60120-3843
Practice Phone
: 847-608-1344;
Practice Fax
: 847-608-0672
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1063413052 -
NARESH
J
PATEL
DO
Other Name
:
Mailing Address
:
7964 W. JEFFERSON BLVD.
FORT WAYNE
IN
46804-4140
Phone
: 260-436-5670;
Fax
: 260-436-4706;
Practice Location Address
:
7964 W. JEFFERSON BLVD.
,
, FORT WAYNE
, IN
, 46804-4140
Practice Phone
: 260-436-5670;
Practice Fax
: 260-436-4706
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1972504967 -
JACQUELINE
R
CARRUTHERS
M.D.
Other Name
:
Mailing Address
:
600 N SAM HOUSTON PKWY W STE 650
HOUSTON
TX
77067-4336
Phone
: 281-654-4500;
Fax
: 281-654-4501;
Practice Location Address
:
600 N SAM HOUSTON PKWY W STE 650
,
, HOUSTON
, TX
, 77067-4336
Practice Phone
: 281-654-4500;
Practice Fax
: 281-654-4501
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1881695872 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1699776682 -
DR.
DR.
SCOTT
M
SUROWIEC
MD
Other Name
:
Mailing Address
:
100 KINGS HWY S
ROCHESTER
NY
14617-5504
Phone
: ;
Fax
: ;
Practice Location Address
:
2655 RIDGEWAY AVE STE 240
,
, ROCHESTER
, NY
, 14626-4296
Practice Phone
: 585-723-7060;
Practice Fax
:
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1508867599 -
DR.
DR.
STEWART
ALAN
BERGMAN
D.D.S.
Other Name
:
Mailing Address
:
650 W BALTIMORE ST
SUITE 414
BALTIMORE
MD
21201-1510
Phone
: 410-706-6195;
Fax
: ;
Practice Location Address
:
650 W BALTIMORE ST
, SUITE 414
, BALTIMORE
, MD
, 21201-1510
Practice Phone
: 410-706-6195;
Practice Fax
:
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1417958406 -
DR.
DR.
JAMES
C.
KNEFF
PHD
Other Name
:
Mailing Address
:
4 ALLEGHENY CTR
8TH FL AGH NEUROPSYCH TESTING
PITTSBURGH
PA
15212-5255
Phone
: 412-330-4000;
Fax
: 412-330-4366;
Practice Location Address
:
4 ALLEGHENY CTR
, 8TH FL AGH NEUROPSYCH TESTING
, PITTSBURGH
, PA
, 15212-5255
Practice Phone
: 412-330-4000;
Practice Fax
: 412-330-4366
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1326049313 -
SUSAN
E
FANTA
MD
Other Name
:
Mailing Address
:
1104 W 8TH ST
YANKTON
SD
57078-3306
Phone
: 605-665-7841;
Fax
: 605-665-0546;
Practice Location Address
:
1104 W 8TH ST
,
, YANKTON
, SD
, 57078-3306
Practice Phone
: 605-665-7841;
Practice Fax
: 605-665-0546
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1235130220 -
MR.
MR.
JAMES
BYRON
RISING
RPH
Other Name
:
Mailing Address
:
17403 VICTORIA LAKES CIR
SPRING
TX
77379-8503
Phone
: 281-370-2732;
Fax
: 281-655-4559;
Practice Location Address
:
17403 VICTORIA LAKES CIR
,
, SPRING
, TX
, 77379-8503
Practice Phone
: 281-370-2732;
Practice Fax
: 281-655-4559
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1144221136 -
DR.
DR.
CHRISTIANA
MARIE
LIETZKE
MD
Other Name
:
Mailing Address
:
1431 CENTERPOINT BLVD STE 100
TEAMHEALTH
KNOXVILLE
TN
37932-1983
Phone
: 800-539-0173;
Fax
: ;
Practice Location Address
:
1431 CENTERPOINT BLVD STE 100
, TEAMHEALTH
, KNOXVILLE
, TN
, 37932-1983
Practice Phone
: 800-539-0173;
Practice Fax
:
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1053312041 -
MR.
MR.
JOHN
M
FOX
MD
Other Name
:
Mailing Address
:
2620 WILHITE DR
LEXINGTON
KY
40503-3385
Phone
: 859-278-6031;
Fax
: 859-277-7015;
Practice Location Address
:
2620 WILHITE DR
,
, LEXINGTON
, KY
, 40503-3385
Practice Phone
: 859-278-6031;
Practice Fax
: 859-277-7015
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1962403956 -
ROLAND HOLLIS MD
Other Name
:
Mailing Address
:
400 HIGHWAY 49 N
SUITE 2
PARAGOULD
AR
72450-4007
Phone
: 870-236-1014;
Fax
: 870-236-9669;
Practice Location Address
:
400 HIGHWAY 49 N
, SUITE 2
, PARAGOULD
, AR
, 72450-4007
Practice Phone
: 870-236-1014;
Practice Fax
: 870-236-9669
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1871594861 -
MR.
MR.
MARK
ANTHONY
HICKS
R.PH., B.C.P.S.
Other Name
:
Mailing Address
:
929 AUSTIN BRIDGE RD
DOUGLASVILLE
GA
30134-5138
Phone
: 770-656-3082;
Fax
: 678-715-6113;
Practice Location Address
:
929 AUSTIN BRIDGE RD
,
, DOUGLASVILLE
, GA
, 30134-5138
Practice Phone
: 770-656-3082;
Practice Fax
: 678-715-6113
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1780685776 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1598766586 -
RUSSELL
GENE
HELLER
D.C.
Other Name
:
Mailing Address
:
528 N 4TH ST
DAVID CITY
NE
68632-1624
Phone
: 402-367-6061;
Fax
: 402-367-4220;
Practice Location Address
:
528 N 4TH ST
,
, DAVID CITY
, NE
, 68632-1624
Practice Phone
: 402-367-6061;
Practice Fax
: 402-367-4220
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1407857493 -
CAREGIVERS PLUS HOME HEALTH CARE INC.
Other Name
:
Mailing Address
:
56 DUTCH LN
HERMITAGE
PA
16148-2744
Phone
: 724-347-2124;
Fax
: 724-347-0506;
Practice Location Address
:
56 DUTCH LN
,
, HERMITAGE
, PA
, 16148-3305
Practice Phone
: 724-347-2124;
Practice Fax
: 724-347-0506
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