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Showing codes 1083689350 — 1306812482
1083689350 -
MARY
N
MOYNIHAN
Other Name
:
Mailing Address
:
100 HIGHTOWER BLVD
SUITE 201
PITTSBURGH
PA
15205-1134
Phone
: 412-787-1180;
Fax
: 412-787-1156;
Practice Location Address
:
100 HIGHTOWER BLVD
, SUITE 201
, PITTSBURGH
, PA
, 15205-1134
Practice Phone
: 412-787-1180;
Practice Fax
: 412-787-1156
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1871568147 -
EMILY
PATTERSON
Other Name
:
Mailing Address
:
100 HIGHTOWER BLVD
SUITE 201
PITTSBURGH
PA
15205-1134
Phone
: 412-787-1180;
Fax
: 412-787-1156;
Practice Location Address
:
100 HIGHTOWER BLVD
, SUITE 201
, PITTSBURGH
, PA
, 15205-1134
Practice Phone
: 412-787-1180;
Practice Fax
: 412-787-1156
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1306811682 -
MS.
MS.
SUSAN
C
BORRELLI
LCPC,LMFT,CMADC,MPS
Other Name
:
Mailing Address
:
7200 N OSCEOLA AVE
CHICAGO
IL
60631-4353
Phone
: 773-763-4999;
Fax
: 773-763-0449;
Practice Location Address
:
7200 N OSCEOLA AVE
,
, CHICAGO
, IL
, 60631-4353
Practice Phone
: 773-763-4999;
Practice Fax
: 773-763-0449
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1588639306 -
MR.
MR.
JOSHUA
D
ADAMS
MLT/ HS
Other Name
:
Mailing Address
:
8202 SOLANO BAY LOOP
APT 324
TAMPA
FL
33635-9557
Phone
: 813-298-0406;
Fax
: ;
Practice Location Address
:
USCG HQ, COMDT
, (CG-1122) 2100 2ND STREET, RM 5314
, WASHINGTON
, DC
, 20593-0001
Practice Phone
: 860-701-6999;
Practice Fax
:
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1912972233 -
DR.
DR.
LINDA
GAZZILLO
DIAZ
ED.D., ATC, LMT
Other Name
:
Mailing Address
:
115 LAUREL AVE
POMPTON LAKES
NJ
07442-2410
Phone
: 973-835-5858;
Fax
: 973-835-5858;
Practice Location Address
:
WILLIAM PATERSON UNIVERSITY OF NEW JERSEY
, DEPARTMENT OF EXERCISE AND MOVEMENT SCIENCES
, WAYNE
, NJ
, 07470
Practice Phone
: 973-720-2364;
Practice Fax
: 973-720-2034
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1568437697 -
MR.
MR.
MARK
RICHARD
SHALTRY
OTR CHT
Other Name
:
Mailing Address
:
170 E STONEWATER CT
EAGLE
ID
83706
Phone
: 208-323-9747;
Fax
: 208-323-9752;
Practice Location Address
:
554 N STEELHEAD WAY
, STE 162
, BOISE
, ID
, 83704
Practice Phone
: 208-323-9747;
Practice Fax
: 208-323-9752
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1831164045 -
JOEL
ROMINES
PT, ATC
Other Name
:
Mailing Address
:
1203 COLUMBIA DR
MILLEDGEVILLE
GA
31061-2395
Phone
: 478-452-6200;
Fax
: 478-452-6212;
Practice Location Address
:
1203 COLUMBIA DR
,
, MILLEDGEVILLE
, GA
, 31061-2395
Practice Phone
: 478-452-6200;
Practice Fax
: 478-452-6212
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1972579720 -
DR.
DR.
HARRY
H.
RINEHART
M.D.
Other Name
:
Mailing Address
:
PO BOX 176
WHEELER
OR
97147-0176
Phone
: 503-368-5182;
Fax
: 503-368-5590;
Practice Location Address
:
230 ROWE
,
, WHEELER
, OR
, 97147
Practice Phone
: 503-368-5182;
Practice Fax
:
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1306812169 -
JODY
FAY
SWEENEY
MS, LMHC, NCC, CSP
Other Name
:
JODY
MARIE
FAY
Mailing Address
:
1124 W RIVERSIDE AVE
SUITE 400
SPOKANE
WA
99201-1132
Phone
: 509-455-8819;
Fax
: 509-455-8903;
Practice Location Address
:
1124 W RIVERSIDE AVE
, SUITE 400
, SPOKANE
, WA
, 99201-1132
Practice Phone
: 509-455-8819;
Practice Fax
: 509-455-8903
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1093780355 -
DR.
DR.
WOLFGANG
SCHRAUT
MD
Other Name
:
Mailing Address
:
200 LOTHROP ST
DIGESTIVE DISORDERS CENTER, 3RD FLOOR
PITTSBURGH
PA
15213-2546
Phone
: 412-647-0132;
Fax
: ;
Practice Location Address
:
200 LOTHROP ST
, DIGESTIVE DISORDERS CENTER, 3RD FLOOR
, PITTSBURGH
, PA
, 15213-2546
Practice Phone
: 412-647-0132;
Practice Fax
:
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1912972282 -
JENNIFER
H
MARONE
Other Name
:
Mailing Address
:
100 HIGHTOWER BLVD
SUITE 201
PITTSBURGH
PA
15205-1134
Phone
: 412-787-1180;
Fax
: 412-787-1156;
Practice Location Address
:
100 HIGHTOWER BLVD
, SUITE 201
, PITTSBURGH
, PA
, 15205-1134
Practice Phone
: 412-787-1180;
Practice Fax
: 412-787-1156
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|
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1639144900 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104891480 -
TONYA
A
BLICKENDERFER
Other Name
:
Mailing Address
:
100 HIGHTOWER BLVD
SUITE 201
PITTSBURGH
PA
15205-1134
Phone
: 412-787-1180;
Fax
: 412-787-1156;
Practice Location Address
:
100 HIGHTOWER BLVD
, SUITE 201
, PITTSBURGH
, PA
, 15205-1134
Practice Phone
: 412-787-1180;
Practice Fax
: 412-787-1156
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|
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1902871288 -
BETH
A
O'BRIEN
Other Name
:
Mailing Address
:
100 HIGHTOWER BLVD
SUITE 201
PITTSBURGH
PA
15205-1134
Phone
: 412-787-1180;
Fax
: 412-787-1156;
Practice Location Address
:
100 HIGHTOWER BLVD
, SUITE 201
, PITTSBURGH
, PA
, 15205-1134
Practice Phone
: 412-787-1180;
Practice Fax
: 412-787-1156
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|
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1184699365 -
JOEL
K
SEARS
M.D.
Other Name
:
Mailing Address
:
4014 E OLMSTED RD
SPOKANE
WA
99223-9434
Phone
: 509-456-7414;
Fax
: 509-624-0763;
Practice Location Address
:
1807 N HUTCHINSON RD
,
, SPOKANE VALLEY
, WA
, 99212-2444
Practice Phone
: 509-456-7414;
Practice Fax
: 509-624-0763
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1659346690 -
VICKI
JAYME
KRAL
BHP
Other Name
:
VICKI
JAYME
LUNDIN
Mailing Address
:
642 DAMERON DR
PRESCOTT
AZ
86301-2411
Phone
: 928-445-5211;
Fax
: 928-776-8484;
Practice Location Address
:
345 N WINDSONG
,
, PRESCOTT VALLEY
, AZ
, 86314
Practice Phone
: 928-445-5211;
Practice Fax
: 928-776-8484
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1225003189 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1558336628 -
DR.
DR.
CHRISTINA
MARIE
WOMACK
O.D.
Other Name
:
Mailing Address
:
3885 COCHRAN ST
SUITE L
SIMI VALLEY
CA
93063-2369
Phone
: 805-522-7007;
Fax
: 805-522-7886;
Practice Location Address
:
3885 COCHRAN ST
, SUITE L
, SIMI VALLEY
, CA
, 93063-2369
Practice Phone
: 805-522-7007;
Practice Fax
: 805-522-7886
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1093780165 -
DR.
DR.
ROGER
JAMES
NAGY
M.D.
Other Name
:
Mailing Address
:
2222 N NEVADA AVE
SUITE 5017
COLORADO SPRINGS
CO
80907-6819
Phone
: 719-635-2501;
Fax
: 719-632-1062;
Practice Location Address
:
2222 N NEVADA AVE
, SUITE 5017
, COLORADO SPRINGS
, CO
, 80907-6831
Practice Phone
: 719-776-6810;
Practice Fax
: 719-776-6820
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1174598247 -
PETER
DUPONT
CAHILL
MD
Other Name
:
Mailing Address
:
751 S BASCOM AVE
SAN JOSE
CA
95128-2604
Phone
: 408-885-5000;
Fax
: ;
Practice Location Address
:
751 S BASCOM AVE
, GENERAL SURGERY DEPT
, SAN JOSE
, CA
, 95128-2604
Practice Phone
: 408-885-6560;
Practice Fax
:
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1235104456 -
DR.
DR.
JOSEPH
BRAUFMAN
STEIN
M.D.
Other Name
:
Mailing Address
:
4065 3RD AVE
SUITE 101
SAN DIEGO
CA
92103-2184
Phone
: 619-296-3800;
Fax
: ;
Practice Location Address
:
4065 3RD AVE
, SUITE 101
, SAN DIEGO
, CA
, 92103-2184
Practice Phone
: 619-296-3800;
Practice Fax
:
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1962479816 -
DR.
DR.
MANOJ
K
MATHEW
M.D.
Other Name
:
Mailing Address
:
11600 INDIAN HILLS RD
STE. 200
MISSION HILLS
CA
91345-1225
Phone
: 818-838-4587;
Fax
: 818-838-7570;
Practice Location Address
:
11600 INDIAN HILLS RD
, STE. 200
, MISSION HILLS
, CA
, 91345-1225
Practice Phone
: 818-838-4587;
Practice Fax
: 818-838-7570
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1073580742 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1588630594 -
MR.
MR.
DONALD
L
HOWARD
ATC, PTA
Other Name
:
Mailing Address
:
1120 W CLAYTON RD
CARBONDALE
IL
62901-7106
Phone
: 618-521-0106;
Fax
: ;
Practice Location Address
:
200 N EMERALD LN
, SUITE 1A
, CARBONDALE
, IL
, 62901-2100
Practice Phone
: 618-549-9449;
Practice Fax
:
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1720055601 -
DR.
DR.
BRIAIN
DONOUGH
MACNEILL
MBBCH
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT STREET
, GRB 852B
, BOSTON
, MA
, 02114-2696
Practice Phone
: 617-724-8052;
Practice Fax
: 617-724-0697
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1245207158 -
MR.
MR.
THOMAS
PATRICK
SEBORA
MSW
Other Name
:
Mailing Address
:
E1952 NELSON RD
WAUPACA
WI
54981-7545
Phone
: 715-467-2168;
Fax
: ;
Practice Location Address
:
214 E SUMMER ST
,
, APPLETON
, WI
, 54911-4814
Practice Phone
: 920-734-2601;
Practice Fax
: 920-727-1081
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1689641474 -
MRS.
MRS.
SHARON
RENEE
CAHN
LPC
Other Name
:
Mailing Address
:
PO BOX 159
1650 HWY 18 SOUTH
SPARTA
NC
28675-0159
Phone
: 336-372-4095;
Fax
: 828-262-5687;
Practice Location Address
:
1650 HWY 18 SOUTH
,
, SPARTA
, NC
, 28675
Practice Phone
: 336-372-4095;
Practice Fax
: 828-262-5687
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1326014283 -
MR.
MR.
JOSEPH
CHRISTOPHER
KARASEK
R.N., ATC
Other Name
:
Mailing Address
:
25 SAGEBROOK DR
READING
PA
19606-9175
Phone
: 610-779-8658;
Fax
: ;
Practice Location Address
:
25 SAGEBROOK DR
,
, READING
, PA
, 19606-9175
Practice Phone
: 610-779-8658;
Practice Fax
:
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1336115211 -
ALBERT
THOMAS
LEWIS
LMSW, LCADC
Other Name
:
Mailing Address
:
31169 CONLEYS CHAPEL RD
LEWES
DE
19958-5512
Phone
: 760-270-1279;
Fax
: ;
Practice Location Address
:
MENTAL HEALTH, DEWITT ARMY HOSPITAL 9501 FARRELL RD.
,
, FORT BELVIOR
, VA
, 22060
Practice Phone
: 703-805-0599;
Practice Fax
:
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1124095047 -
MR.
MR.
CHAD
MARTIN
KAYS
PHARM D
Other Name
:
Mailing Address
:
9012 GENEVA CIR
PROSPECT
KY
40059-8582
Phone
: 502-412-9832;
Fax
: ;
Practice Location Address
:
9012 GENEVA CIR
,
, PROSPECT
, KY
, 40059-8582
Practice Phone
: 502-412-9832;
Practice Fax
:
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1023085735 -
ANDREA
WASYLOW
PT/ATC/LAT
Other Name
:
Mailing Address
:
18 JUNIPER LN
REHOBOTH
MA
02769-1906
Phone
: ;
Fax
: ;
Practice Location Address
:
2005 BAY ST
,
, TAUNTON
, MA
, 02780-1085
Practice Phone
: 508-828-7265;
Practice Fax
:
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1003883729 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1659347557 -
DR.
DR.
AMY
L
PRICE-NEFF
MD
Other Name
:
Mailing Address
:
300 20TH AVE N STE 403
NASHVILLE
TN
37203-2131
Phone
: 629-888-5125;
Fax
: 629-888-5135;
Practice Location Address
:
791 OLD HICKORY BLVD
,
, BRENTWOOD
, TN
, 37027
Practice Phone
: 629-888-5125;
Practice Fax
: 629-888-5135
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1184690547 -
MS.
MS.
LOIS
ANGELO
APRN
Other Name
:
Mailing Address
:
11 SPENCER ST
LEXINGTON
MA
02420-3912
Phone
: ;
Fax
: ;
Practice Location Address
:
11 SPENCER ST
,
, LEXINGTON
, MA
, 02420-3912
Practice Phone
: 781-863-0986;
Practice Fax
:
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1770550659 -
MRS.
MRS.
FRANCES
BEARD
MD
Other Name
:
Mailing Address
:
1455 UNION AVENUE
MEMPHIS
TN
38104-6727
Phone
: 901-726-6655;
Fax
: 901-726-9056;
Practice Location Address
:
1455 UNION AVENUE
,
, MEMPHIS
, TN
, 38104-6727
Practice Phone
: 901-726-6655;
Practice Fax
: 901-726-9056
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1871560649 -
DR.
DR.
THOMAS
HARRY
PYRITZ
DDS
Other Name
:
Mailing Address
:
8580 UNIVERSITY PKWY
PENSACOLA
FL
32514-4905
Phone
: 850-478-2998;
Fax
: ;
Practice Location Address
:
8580 UNIVERSITY PKWY
,
, PENSACOLA
, FL
, 32514-4905
Practice Phone
: 850-478-2998;
Practice Fax
:
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1083681886 -
MONICA
T
SCHULMAN
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
228 BILLERICA RD
,
, CHELMSFORD
, MA
, 01824-3604
Practice Phone
: 978-250-6000;
Practice Fax
: 978-250-6460
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1528035326 -
SHEILA
S
SOUTHERLAND
MD
Other Name
:
Mailing Address
:
PO BOX 5007
CORDELE
GA
31010
Phone
: 229-271-4656;
Fax
: 229-271-4654;
Practice Location Address
:
902 N 7TH ST
,
, CORDELE
, GA
, 31015
Practice Phone
: 229-276-3200;
Practice Fax
:
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1255307179 -
DR.
DR.
H
WALTER
KAESS
MD
Other Name
:
Mailing Address
:
100 CAMP ST
HYANNIS
MA
02601-3007
Phone
: 508-775-1984;
Fax
: 508-790-1897;
Practice Location Address
:
100 CAMP ST
,
, HYANNIS
, MA
, 02601-3007
Practice Phone
: 508-775-1984;
Practice Fax
: 508-790-1897
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1609843531 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1205802501 -
DR.
DR.
SUSAN
M
BRIGGS
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
HAWTHORNE PLACE
, HO8 114 HO8 114
, BOSTON
, MA
, 02114
Practice Phone
: 617-726-3597;
Practice Fax
:
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1205802972 -
DR.
DR.
DAVID
L
HUNSTAD
MD
Other Name
:
Mailing Address
:
3601 W 13 MILE RD
ROYAL OAK
MI
48073
Phone
: 248-723-1635;
Fax
: 248-723-1681;
Practice Location Address
:
3601 W 13 MILE RD
,
, ROYAL OAK
, MI
, 48073
Practice Phone
: 248-723-1635;
Practice Fax
: 248-723-1681
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1710953484 -
DR.
DR.
JAMES
DOAK
STANTON
DO
Other Name
:
Mailing Address
:
BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DR
FORT CAMPBEL
KY
42223-5349
Phone
: 270-798-8210;
Fax
: 270-798-8205;
Practice Location Address
:
BLANCHFIELD ARMY COMMUNITY HOSPITAL
, 650 JOEL DR
, FORT CAMPBEL
, KY
, 42223-5349
Practice Phone
: 270-798-8372;
Practice Fax
:
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1790751477 -
VICKI
GAYLE
PT DC
Other Name
:
Mailing Address
:
423 FIRST ST
ITHACA
NY
14850
Phone
: 607-277-5449;
Fax
: 607-277-5606;
Practice Location Address
:
423 FIRST ST
,
, ITHACA
, NY
, 14850
Practice Phone
: 607-277-5449;
Practice Fax
: 607-277-5606
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1114993896 -
DR.
DR.
IDA
MARY
SANTIAGO-MALDONADO
MD
Other Name
:
IDA
MARY
S-M-LOPEZ
Mailing Address
:
2817 REILLY ROAD MCXC-COD CREDENTIALS
WOMACK ARMY MEDICAL CENTER
FORT BRAGG
NC
28310
Phone
: 910-907-8922;
Fax
: 910-907-6069;
Practice Location Address
:
2817 REILLY ROAD MCXC-COD CREDENTIALS
, WOMACK ARMY MEDICAL CENTER
, FORT BRAGG
, NC
, 28310
Practice Phone
: 910-907-8922;
Practice Fax
: 910-907-6069
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1598731101 -
MS.
MS.
EVELYN
WILMA
LAMON
LCSW
Other Name
:
Mailing Address
:
PO BOX 270927
SAN DIEGO
CA
92198-0927
Phone
: 619-993-7508;
Fax
: 858-679-7510;
Practice Location Address
:
11665 AVENA PLACE
, SUITE 108
, SAN DIEGO
, CA
, 92128
Practice Phone
: 858-668-6454;
Practice Fax
: 858-679-7510
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1033185640 -
DR.
DR.
DONNAH
M
NICKERSON-RETI
M.D.
Other Name
:
Mailing Address
:
55 FIFER LN
LEXINGTON
MA
02420-1225
Phone
: 781-308-1600;
Fax
: ;
Practice Location Address
:
55 FIFER LN
,
, LEXINGTON
, MA
, 02420-1225
Practice Phone
: 781-308-1600;
Practice Fax
:
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1225004369 -
DR.
DR.
SALIM
A
DAHLVANI
MD
Other Name
:
Mailing Address
:
PO BOX 91734
RICHMOND
VA
23291-1734
Phone
: 804-358-6100;
Fax
: 804-342-7619;
Practice Location Address
:
1250 E MARSHALL ST
, PSYCHIATRY
, RICHMOND
, VA
, 23298-5051
Practice Phone
: 804-828-4570;
Practice Fax
: 804-828-7814
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1497721534 -
LINDA
LOU
BANAYOTE
Other Name
:
Mailing Address
:
6950 HILLSDALE CT
CAROL GORBETT
INDIANAPOLIS
IN
46250-2040
Phone
: ;
Fax
: ;
Practice Location Address
:
145 W GREEN MEADOWS DR
,
, GREENFIELD
, IN
, 46140-4001
Practice Phone
: 317-482-1481;
Practice Fax
:
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1437125671 -
BRAD
NOVAK
M.D.
Other Name
:
Mailing Address
:
1301 RALSTON AVE
BUILDING E, SUITE C
BELMONT
CA
94002-1960
Phone
: 650-591-2345;
Fax
: 650-594-9299;
Practice Location Address
:
1301 RALSTON AVE
, BUILDING E, SUITE C
, BELMONT
, CA
, 94002-1960
Practice Phone
: 650-591-2345;
Practice Fax
: 650-594-9299
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1023084191 -
ANNE
CARTER
PHD
Other Name
:
Mailing Address
:
115 SIMPSON RD
XXXXX
ARDMORE
PA
19003-2813
Phone
: 215-776-2222;
Fax
: 865-589-3805;
Practice Location Address
:
1845 WALNUT ST
, SUITE 2323
, PHILADELPHIA
, PA
, 19103-4708
Practice Phone
: 215-776-2222;
Practice Fax
: 856-589-3805
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1154398915 -
MS.
MS.
SYLVIA
L
GARBUTT
NP
Other Name
:
Mailing Address
:
117 OSBORN STREET
KEYPORT
NJ
07735
Phone
: 732-888-7869;
Fax
: 718-245-5637;
Practice Location Address
:
451 CLARKSON AVE
, E BUILDING KCHC
, BROOKLYN
, NY
, 11203
Practice Phone
: 718-245-5493;
Practice Fax
: 718-245-5637
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1881661643 -
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:
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: ;
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: ;
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:
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: ;
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:
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1386611168 -
BRENDA
MARIE
WILSON
M.S.
Other Name
:
Mailing Address
:
12009 133RD ST E
PUYALLUP
WA
98374-4698
Phone
: 253-845-3028;
Fax
: ;
Practice Location Address
:
12009 133RD ST E
,
, PUYALLUP
, WA
, 98374-4698
Practice Phone
: 253-845-3028;
Practice Fax
:
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1851367437 -
DR.
DR.
CHRISTINE
KINCAID
M.D.
Other Name
:
Mailing Address
:
PO BOX 897
MORGANTOWN
WV
26507-0897
Phone
: 304-293-7401;
Fax
: 304-293-6963;
Practice Location Address
:
1 MEDICAL CENTER DRIVE
,
, MORGANTOWN
, WV
, 26506
Practice Phone
: 304-598-4800;
Practice Fax
: 304-293-6963
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1841266731 -
HERBERT
BRUCE
DANIELS
III
MD
Other Name
:
Mailing Address
:
907 THURMAN ST
CLEBURNE
TX
76033-5933
Phone
: 817-641-4558;
Fax
: ;
Practice Location Address
:
201 WALLS DR
,
, CLEBURNE
, TX
, 76033-4008
Practice Phone
: 817-556-5587;
Practice Fax
: 817-556-5599
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1154397198 -
LOKESH
SHARMA
MD
Other Name
:
Mailing Address
:
1100 SHAMES DR
WESTBURY
NY
11590-1765
Phone
: 516-693-0700;
Fax
: ;
Practice Location Address
:
254 CRANBURY HALF ACRE RD
,
, MONROE TWP
, NJ
, 08831-3746
Practice Phone
: 609-520-9392;
Practice Fax
:
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1700852647 -
DR.
DR.
GERARD
CARL
HELLMAN
MD
Other Name
:
Mailing Address
:
184 EAST 70TH ST
NEW YORK
NY
10021-5154
Phone
: 212-628-9860;
Fax
: 212-585-2880;
Practice Location Address
:
184 EAST 70TH ST
,
, NEW YORK
, NY
, 10021-5154
Practice Phone
: 212-628-9860;
Practice Fax
: 212-585-2880
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1063488906 -
MS.
MS.
ANDREA
LEE
GOAD
OTRL CHT
Other Name
:
Mailing Address
:
3704 NW 69TH
OKLAHOMA CITY
OK
73116
Phone
: 405-948-8686;
Fax
: 405-948-8603;
Practice Location Address
:
3613 NW 56TH SUITE 202
, METRO HAND REHABILITATION SERVICES
, OKLAHOMA CITY
, OK
, 73112
Practice Phone
: 405-948-8686;
Practice Fax
: 405-948-8603
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1073580734 -
DALE
FLORID
STEHNO
EDD
Other Name
:
Mailing Address
:
12617 GLACIAL CREST DR
WHITEWATER
WI
53190-3124
Phone
: 262-473-6036;
Fax
: ;
Practice Location Address
:
1 S MAIN ST
,
, JANESVILLE
, WI
, 53545-3922
Practice Phone
: 608-757-0404;
Practice Fax
:
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1730155342 -
DR.
DR.
LONG
T
LE
D.C.
Other Name
:
Mailing Address
:
3580 CALIFORNIA ST
SUITE # 102
SAN FRANCISCO
CA
94118-1725
Phone
: 415-921-6200;
Fax
: 415-921-6206;
Practice Location Address
:
3580 CALIFORNIA ST
, SUITE # 102
, SAN FRANCISCO
, CA
, 94118-1725
Practice Phone
: 415-921-6200;
Practice Fax
: 415-921-6206
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1194791772 -
DR.
DR.
TYLER
S
JUNG
M.D.
Other Name
:
Mailing Address
:
1223 S HELBERTA AVE
REDONDO BEACH
CA
90277-5129
Phone
: 310-784-8770;
Fax
: 310-784-4991;
Practice Location Address
:
3330 LOMITA BLVD
,
, TORRANCE
, CA
, 90505-5002
Practice Phone
: 310-784-8770;
Practice Fax
: 310-784-4991
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1184690695 -
MR.
MR.
JAMES
RAY
LARZALERE
MD
Other Name
:
Mailing Address
:
1233 N MAIN
MCPHERSON
KS
67460
Phone
: 620-241-4272;
Fax
: 620-241-5101;
Practice Location Address
:
1233 N MAIN
,
, MCPHERSON
, KS
, 67460
Practice Phone
: 620-241-4272;
Practice Fax
: 620-241-5101
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1053387555 -
JANICE
MARIE
MICALE
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
165 DARTMOUTH ST
,
, BOSTON
, MA
, 02116-5123
Practice Phone
: 617-859-5000;
Practice Fax
: 617-859-5425
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1376519058 -
DR.
DR.
JAMES
STEWART
CAMPBELL
MD.
Other Name
:
Mailing Address
:
3705 SAPONA TRL
PFAFFTOWN
NC
27040-9427
Phone
: 336-945-4546;
Fax
: 336-945-2498;
Practice Location Address
:
3705 SAPONA TRL
,
, PFAFFTOWN
, NC
, 27040-9427
Practice Phone
: 336-945-4546;
Practice Fax
: 336-945-2498
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1558337097 -
MS.
MS.
BARBARA
RUTH
GREEN
LCSW
Other Name
:
Mailing Address
:
PO BOX 40406
CENTERSTONE ASSOC
NASHVILLE
TN
37204-0406
Phone
: 615-463-6600;
Fax
: 615-463-6603;
Practice Location Address
:
2105 EDWARD CURD LANE
,
, FRANKLIN
, TN
, 37067
Practice Phone
: 615-599-7680;
Practice Fax
: 615-599-3780
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1992771430 -
PETER
JOHN
HENRY
MD
Other Name
:
Mailing Address
:
523 N 3RD ST
BRAINERD
MN
56401-3054
Phone
: 218-828-7494;
Fax
: 218-828-7611;
Practice Location Address
:
523 N 3RD ST
,
, BRAINERD
, MN
, 56401-3054
Practice Phone
: 218-828-7494;
Practice Fax
: 218-828-7611
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1982670428 -
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:
Mailing Address
:
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: ;
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: ;
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:
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: ;
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:
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1518933175 -
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:
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:
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: ;
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: ;
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:
,
,
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,
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: ;
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:
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1942276506 -
ROGER
RAMOS
M.D.
Other Name
:
Mailing Address
:
PO BOX 25164
MIAMI
FL
33102-5164
Phone
: 305-503-6320;
Fax
: 305-503-6329;
Practice Location Address
:
5301 S CONGRESS AVE
,
, ATLANTIS
, FL
, 33462-1149
Practice Phone
: 561-548-3727;
Practice Fax
: 561-548-1238
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1659347219 -
MR.
MR.
ELLIS
J.
HOOVER
Other Name
:
Mailing Address
:
650 JOEL DRIVE
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FT. CAMPBELL
KY
42223-5349
Phone
: 270-798-8372;
Fax
: 270-956-0180;
Practice Location Address
:
650 JOEL DRIVE
, BLANCHFIELD ARMY COMMUNITY HOSPITAL
, FT. CAMPBELL
, KY
, 42223-5349
Practice Phone
: 270-798-8372;
Practice Fax
: 270-956-0180
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1104892728 -
DR.
DR.
DANILO
E
PONCE
M.D.
Other Name
:
Mailing Address
:
1456A AUNAUNA ST
KAILUA
HI
96734-4134
Phone
: 808-261-2315;
Fax
: 808-230-8737;
Practice Location Address
:
1 JARRETT WHITE RD
,
, TRIPLER AMC
, HI
, 96859-5001
Practice Phone
: 808-433-2538;
Practice Fax
: 808-433-7433
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1083680607 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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,
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: ;
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:
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1285600650 -
DR.
DR.
VIVIAN
E
SHIH
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST YAW 6
, PEDIATRIC MEDICINE
, BOSTON
, MA
, 02114-2696
Practice Phone
: 617-726-3884;
Practice Fax
: 617-726-5739
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1730155219 -
ROBERTA
L.
FUSON
MA/CCC-A
Other Name
:
Mailing Address
:
34800 BOB WILSON DR
NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO
CA
92134-1098
Phone
: 619-532-6460;
Fax
: 619-532-6299;
Practice Location Address
:
34800 BOB WILSON DR
, NMCSD, ATTN: MEDICAL STAFF SERVICES
, SAN DIEGO
, CA
, 92134-1098
Practice Phone
: 619-532-6460;
Practice Fax
: 619-532-6299
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1750357323 -
EDNA
L
MAYER
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
2 ESSEX CENTER DR
,
, PEABODY
, MA
, 01960-2902
Practice Phone
: 978-977-4000;
Practice Fax
:
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1043286354 -
MS.
MS.
KEISHA
LACHANDA
COHEN
PA-C
Other Name
:
Mailing Address
:
63 FIRST COLEMAN RD
SAINT HELENA ISLAND
SC
29920-6343
Phone
: 843-271-1118;
Fax
: ;
Practice Location Address
:
2817 REILLY ROAD MCXC-COD CREDENTIALS
, WOMACK ARMY MEDICAL CENTER
, FORT BRAGG
, NC
, 28310
Practice Phone
: 910-907-8922;
Practice Fax
: 910-907-6069
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1073589305 -
MR.
MR.
ROBERT
A
HAMILTON
CRNA
Other Name
:
Mailing Address
:
PO BOX 16068
HIGH POINT
NC
27261-6068
Phone
: 336-882-4615;
Fax
: ;
Practice Location Address
:
310 25TH AVE N
,
, NASHVILLE
, TN
, 37203-1515
Practice Phone
: 615-329-9023;
Practice Fax
:
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1144296401 -
SUSAN
L
BLANCHETTE
RN
Other Name
:
Mailing Address
:
6 ALDEN RD
MILTON
MA
02186-5402
Phone
: 617-698-8056;
Fax
: ;
Practice Location Address
:
333 LONGWOOD AVE
, FLOOR 3
, BOSTON
, MA
, 02115-5711
Practice Phone
: 617-355-8855;
Practice Fax
:
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1366418857 -
DR.
DR.
SHARON
LYNN
MCNEELY
PH.D.
Other Name
:
Mailing Address
:
PO BOX 34421
6315 W. ADDISON STREET
CHICAGO
IL
60634-0421
Phone
: 773-736-2340;
Fax
: 773-736-7033;
Practice Location Address
:
6315 W ADDISON ST
,
, CHICAGO
, IL
, 60634-4002
Practice Phone
: 773-736-2340;
Practice Fax
: 773-736-7033
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1003882424 -
DR.
DR.
DENNIS
WARREN
ROSS
MD
Other Name
:
Mailing Address
:
753 JOHNNIE DODDS BLVD
MT PLEASANT
SC
29464-3054
Phone
: 843-284-3400;
Fax
: 843-284-3401;
Practice Location Address
:
3333 SILAS CREEK PKWY
,
, WINSTON-SALEM
, NC
, 27103-3013
Practice Phone
: 336-718-3737;
Practice Fax
: 336-718-9545
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1790751113 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1073589578 -
DR.
DR.
PHILIP
CRAWFORD
AMREIN
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT ST YAW 7
, HEMATOLOGY ONCOLOGY
, BOSTON
, MA
, 02114
Practice Phone
: 617-726-8748;
Practice Fax
: 617-643-1915
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1326014846 -
MS.
MS.
SHARON
S.
O'QUINN
CRN, ARNP
Other Name
:
Mailing Address
:
BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DR
FT. CAMPBELL
KY
42223-5349
Phone
: 270-798-8372;
Fax
: 270-956-0180;
Practice Location Address
:
BLANCHFIELD ARMY COMMUNITY HOSPITAL
, 650 JOEL DR
, FT. CAMPBELL
, KY
, 42223-5349
Practice Phone
: 270-798-8372;
Practice Fax
: 270-956-0180
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1235105438 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1407822836 -
JOHN
E
DUGAW
JR.
MD
Other Name
:
Mailing Address
:
14743 CHANNEL DR
LA CONNER
WA
98257-4728
Phone
: 360-466-5596;
Fax
: ;
Practice Location Address
:
14743 CHANNEL DR
,
, LA CONNER
, WA
, 98257-4728
Practice Phone
: 360-466-5596;
Practice Fax
:
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1487620811 -
MS.
MS.
DOREEN
MARIE
KRUPP
M.ED.
Other Name
:
Mailing Address
:
7 PONDSIDE LN
ROCKY HILL
CT
06067-1146
Phone
: 860-529-8600;
Fax
: 860-667-2408;
Practice Location Address
:
1268 MAIN ST
, SUITE 101
, NEWINGTON
, CT
, 06111-3038
Practice Phone
: 860-559-6557;
Practice Fax
: 860-667-2408
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1477529808 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1932175379 -
DR.
DR.
CYNTHIA
ANNE
KORZELIUS
M.D.
Other Name
:
Mailing Address
:
2014 WASHINGTON ST # 2N
NEWTON
MA
02462-1607
Phone
: 617-243-6433;
Fax
: 617-243-5148;
Practice Location Address
:
2014 WASHINGTON ST
, NEWTON WELLESLEY HOSPITAL, HOSPITALIST SUITE, 2 NORTH
, NEWTON
, MA
, 02462-1607
Practice Phone
: 617-243-6433;
Practice Fax
: 617-243-5148
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1225004781 -
DR.
DR.
RICHARD
JOSEPH
HUMBLE
MS DMIN LPC LMFT
Other Name
:
Mailing Address
:
PO BOX 543
LEXINGTON
MO
64067
Phone
: 660-232-4004;
Fax
: 660-259-2921;
Practice Location Address
:
406A N 4TH
,
, ODESSA
, MO
, 64076
Practice Phone
: 660-232-4004;
Practice Fax
: 660-259-2921
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1699741967 -
MS.
MS.
ZARENE
DEKRAAI
MA, LPC, CACIII
Other Name
:
Mailing Address
:
1650 COCHRANE CIRCLE, EVANS 4W
FT. CARSON
CO
80913-4604
Phone
: 719-526-2862;
Fax
: 719-526-0608;
Practice Location Address
:
1650 COCHRANE CIRCLE,
, 4 WEST
, FT. CARSON
, CO
, 80913-4604
Practice Phone
: 719-526-2862;
Practice Fax
: 719-526-0608
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1679549844 -
MR.
MR.
STEPHEN
PETER
KUBISZEWSKI
LMHC, MAC, CEAP
Other Name
:
Mailing Address
:
ONE BROADWAY S.
C-307
TACOMA
WA
98402-4121
Phone
: 253-383-2588;
Fax
: ;
Practice Location Address
:
1 BROADWAY
, C 307
, TACOMA
, WA
, 98402-4117
Practice Phone
: 253-383-2588;
Practice Fax
:
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1750357919 -
DR.
DR.
JOSEPH
Z
LUX
M.D.
Other Name
:
Mailing Address
:
462 1ST AVE
17-SOUTH #21
NEW YORK
NY
10016-9196
Phone
: 212-562-2283;
Fax
: 212-562-8985;
Practice Location Address
:
462 1ST AVE
, 17-SOUTH #21
, NEW YORK
, NY
, 10016-9196
Practice Phone
: 212-562-2283;
Practice Fax
: 212-562-8985
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1992771059 -
MR.
MR.
MILTON
DANIEL
PERRY
CRNP
Other Name
:
Mailing Address
:
794 WEDGEWOOD CT
PRATTVILLE
AL
36067-8415
Phone
: 334-361-8503;
Fax
: 334-241-5281;
Practice Location Address
:
4258 U.S. HIGHWAY 80 WEST
,
, SELMA
, AL
, 36701-6949
Practice Phone
: 334-847-8800;
Practice Fax
: 334-874-7700
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1891761193 -
JANET
A
NAGY
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
291 INDEPENDENCE DR
,
, CHESTNUT HILL
, MA
, 02467-3628
Practice Phone
: 617-325-2800;
Practice Fax
: 617-541-7500
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1821064148 -
SHERI
LYNN
BELL-O'GARA
Other Name
:
Mailing Address
:
8180 CLEARVISTA PKWY
230
INDIANAPOLIS
IN
46256-5629
Phone
: ;
Fax
: ;
Practice Location Address
:
145 W GREEN MEADOWS DR
,
, GREENFIELD
, IN
, 46140-4001
Practice Phone
: 317-462-1481;
Practice Fax
:
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1558337873 -
IFTIKHAR
KHAN
MD
Other Name
:
Mailing Address
:
1 GUSTAVE L LEVY PL
BOX 1263
NEW YORK
NY
10029-6574
Phone
: 212-241-7646;
Fax
: 212-534-4079;
Practice Location Address
:
5 EAST 98TH ST
, 14TH FL
, NEW YORK
, NY
, 10029-6574
Practice Phone
: 212-241-7646;
Practice Fax
: 212-534-4079
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1295701696 -
MR.
MR.
KEVIN
JAMES
MCKENZIE
LCSW LMHP
Other Name
:
Mailing Address
:
8021 CHICAGO STREET
KEVIN J. MCKENZIE, LLC
OMAHA
NE
68114-3533
Phone
: 402-502-1024;
Fax
: 402-502-1555;
Practice Location Address
:
8021 CHICAGO ST
, KEVIN J. MCKENZIE, LLC
, OMAHA
, NE
, 68114-3533
Practice Phone
: 402-502-1024;
Practice Fax
: 402-502-1555
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1548236946 -
DR.
DR.
RALPH
RAINER
BOHN
D.P.M.
Other Name
:
Mailing Address
:
12017 BROOKMOOR DR
LOUISVILLE
KY
40243-2051
Phone
: 502-244-0705;
Fax
: 502-244-3247;
Practice Location Address
:
1736 DIXIE HWY
,
, LOUISVILLE
, KY
, 40210-2311
Practice Phone
: 502-774-3133;
Practice Fax
:
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1306812482 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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