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Showing codes 1033182977 — 1316910201
1033182977 -
DR.
DR.
SANDRA
R
AVILES
MD
Other Name
:
Mailing Address
:
PO BOX 4346
HOUSTON
TX
77210-4346
Phone
: 210-558-6288;
Fax
: 210-558-6289;
Practice Location Address
:
520 MADISON OAK DR
,
, SAN ANTONIO
, TX
, 78258-3913
Practice Phone
: 210-297-9640;
Practice Fax
: 210-297-9640
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1942273883 -
KELLY
J
RIFE
NP
Other Name
:
Mailing Address
:
1005 BROADWAY ST
QUINCY
IL
62301-2834
Phone
: 217-223-8400;
Fax
: ;
Practice Location Address
:
3200 BROADWAY ST
,
, QUINCY
, IL
, 62301-3712
Practice Phone
: 217-223-8400;
Practice Fax
:
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1063485910 -
AMY
NOEL
HOLLEMAN
LPC
Other Name
:
Mailing Address
:
2006 BREMO RD
SUITE 101
RICHMOND
VA
23226-2438
Phone
: 804-288-1881;
Fax
: 804-282-6413;
Practice Location Address
:
2006 BREMO RD
, SUITE 101
, RICHMOND
, VA
, 23226-2438
Practice Phone
: 804-288-1881;
Practice Fax
: 804-282-6413
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1972576825 -
TASHA
SUNITA
PTA
Other Name
:
TASHA
LORGE
Mailing Address
:
17280 W NORTH AVE
#104
BROOKFIELD
WI
53045-4366
Phone
: 262-780-0707;
Fax
: ;
Practice Location Address
:
17280 W NORTH AVE
, #104
, BROOKFIELD
, WI
, 53045-4366
Practice Phone
: 262-780-0707;
Practice Fax
:
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1881667731 -
DR.
DR.
CHRISTINE
ANN
SECRIST
PHD, LMFT
Other Name
:
Mailing Address
:
4713 PANORAMA DR
PANORA
IA
50216-8632
Phone
: 515-229-9587;
Fax
: ;
Practice Location Address
:
600 1ST AVE
,
, PERRY
, IA
, 50220-1803
Practice Phone
: 515-465-5739;
Practice Fax
: 515-465-5744
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1699748541 -
SAN WAN, MDPC
Other Name
:
Mailing Address
:
8 WILDFLOWER LN
WESTON
MA
02493-1167
Phone
: 781-647-9863;
Fax
: ;
Practice Location Address
:
340 WOOD RD
,
, BRAINTREE
, MA
, 02184-2401
Practice Phone
: 781-849-1111;
Practice Fax
:
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1508839457 -
GEORGE
WM.
BENSCH
M.D.
Other Name
:
Mailing Address
:
4628 GEORGETOWN PL
STOCKTON
CA
95207-6204
Phone
: 209-478-6177;
Fax
: 209-478-6219;
Practice Location Address
:
4628 GEORGETOWN PL
,
, STOCKTON
, CA
, 95207-6204
Practice Phone
: 209-478-6177;
Practice Fax
: 209-478-6219
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1417920364 -
DR.
DR.
CRAIG
STANTON
RADNAY
Other Name
:
Mailing Address
:
13020 N TELECOM PKWY
TEMPLE TERRACE
FL
33637-0925
Phone
: 813-978-9700;
Fax
: 813-558-6185;
Practice Location Address
:
13020 N TELECOM PKWY
,
, TEMPLE TERRACE
, FL
, 33637-0915
Practice Phone
: 813-978-9700;
Practice Fax
: 813-558-6185
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1326011271 -
NEAL
HOLZUM
MD
Other Name
:
Mailing Address
:
PO BOX 1125
MARYLAND HEIGHTS
MO
63043-0125
Phone
: 314-432-2580;
Fax
: 314-432-0223;
Practice Location Address
:
2 PROGRESS POINT CT
, STE 101A
, O FALLON
, MO
, 63368-2208
Practice Phone
: 636-236-9945;
Practice Fax
:
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1235102187 -
DR.
DR.
ALVIN
ABAQUETA
M.D.
Other Name
:
Mailing Address
:
8401 MEDICAL PLAZA DR
STE 365
CHARLOTTE
NC
28262-8797
Phone
: 704-944-0975;
Fax
: 704-943-3699;
Practice Location Address
:
8401 MEDICAL PLAZA DR
, STE 365
, CHARLOTTE
, NC
, 28262-8797
Practice Phone
: 704-944-0975;
Practice Fax
: 704-943-3699
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1144293093 -
DR.
DR.
ALICIA
WEKSLER
Other Name
:
Mailing Address
:
PO BOX 1168
DALTON
GA
30722-1168
Phone
: 706-529-3245;
Fax
: 706-272-6077;
Practice Location Address
:
1012 BURLEYSON RD
,
, DALTON
, GA
, 30720-8340
Practice Phone
: 706-529-3245;
Practice Fax
: 706-272-6077
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1053384909 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962475814 -
JOSE
PILATOVSKY
MD
Other Name
:
Mailing Address
:
11910 GREENVILLE AVE
#500
DALLAS
TX
75243-3596
Phone
: 214-572-1124;
Fax
: 214-572-7724;
Practice Location Address
:
5076 W PLANO PKWY
,
, PLANO
, TX
, 75093-4471
Practice Phone
: 972-733-0095;
Practice Fax
: 972-733-4072
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1871566729 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1780657635 -
DR.
DR.
MITCHELL
P
ROSS
M.D.
Other Name
:
Mailing Address
:
PO BOX 27340
PHOENIX
AZ
85061-7340
Phone
: 602-943-9200;
Fax
: 602-216-3000;
Practice Location Address
:
350 W THOMAS RD
, ATTN: PICU
, PHOENIX
, AZ
, 85013-4409
Practice Phone
: 602-406-3241;
Practice Fax
:
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1598738445 -
DR.
DR.
JENIFER
KARINE
GUNTHER
MD
Other Name
:
JENIFER
KARINE
DRINKWINE
Mailing Address
:
3001 GREEN BAY RD
NORTH CHICAGO
IL
60064-3048
Phone
: 224-610-5787;
Fax
: ;
Practice Location Address
:
3001 GREEN BAY RD
,
, NORTH CHICAGO
, IL
, 60064-3048
Practice Phone
: 224-610-5787;
Practice Fax
:
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1407829351 -
WENDY
S
BUGOS
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
:
300 LONGWOOD AVE
, CHILDREN'S HOSPITAL
, BOSTON
, MA
, 02115-5724
Practice Phone
: 617-355-7953;
Practice Fax
:
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1316910268 -
PETER
B
BRANDENHOFF
MSW LICSW
Other Name
:
Mailing Address
:
8100 34TH AVE S
21110Q
BLOOMINGTON
MN
55425-1672
Phone
: 952-883-7961;
Fax
: 952-883-5395;
Practice Location Address
:
1811 WEIR DRIVE
, SUITE 355 MAIL STOP 13701A
, WOODBURY
, MN
, 55125-2273
Practice Phone
: 651-730-6151;
Practice Fax
: 651-730-1700
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1225001175 -
DR.
DR.
JOHN
KENDALL
HACKBARTH
DDS
Other Name
:
Mailing Address
:
1708 N AMBURN RD
SUITE A
TEXAS CITY
TX
77591-2436
Phone
: 409-935-2111;
Fax
: ;
Practice Location Address
:
1708 N AMBURN RD
, SUITE A
, TEXAS CITY
, TX
, 77591-2436
Practice Phone
: 409-935-2111;
Practice Fax
:
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1134192081 -
DR.
DR.
STEPHEN
POWELL
OD
Other Name
:
Mailing Address
:
5033B TREXLER AVE
HOLLYWOOD
SC
29449-5810
Phone
: 803-571-2161;
Fax
: ;
Practice Location Address
:
1230 AMELIA ST
,
, ORANGEBURG
, SC
, 29115-5478
Practice Phone
: 803-531-0061;
Practice Fax
: 803-531-0095
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1043283997 -
DR.
DR.
KENNETH
R
HALLOWS
PHD,MD
Other Name
:
Mailing Address
:
2020 ZONAL AVE # IRD806
LOS ANGELES
CA
90089-0121
Phone
: 323-442-1040;
Fax
: ;
Practice Location Address
:
2020 ZONAL AVE # IRD806
,
, LOS ANGELES
, CA
, 90089-0121
Practice Phone
: 323-442-1040;
Practice Fax
: 323-442-2881
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1295708154 -
GEORGEANNE
THEGZE
CROFT
CNM
Other Name
:
GEORGEANNE
T
CROFT
Mailing Address
:
8100 34 AVE S
21110Q
BLOOMINGTON
MN
55425-1672
Phone
: 952-883-7961;
Fax
: 952-883-5395;
Practice Location Address
:
2220 RIVERSIDE AVE S
, MAIL STOP 31700A
, MINNEAPOLIS
, MN
, 55454-1321
Practice Phone
: 612-371-1600;
Practice Fax
: 612-371-1732
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1104899061 -
DR.
DR.
DENNIS
DAVID
KNOWLES
O.D.
Other Name
:
Mailing Address
:
979 SIMON LN
CHILLICOTHEE
OH
45601-2161
Phone
: 740-772-1218;
Fax
: 740-772-1218;
Practice Location Address
:
921 E MAIN ST
,
, CHILLICOTHEE
, OH
, 45601-2843
Practice Phone
: 740-772-2100;
Practice Fax
: 740-772-2100
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1013980978 -
DR.
DR.
RONALD
LEE
HAMILTON
MD
Other Name
:
Mailing Address
:
200 LOTHROP ST
PITTSBURGH
PA
15213-2546
Phone
: 412-383-7498;
Fax
: ;
Practice Location Address
:
200 LOTHROP ST
,
, PITTSBURGH
, PA
, 15213-2546
Practice Phone
: 412-383-7498;
Practice Fax
:
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1922071885 -
DR.
DR.
MICHAEL
A
NAIDOFF
M.D.
Other Name
:
Mailing Address
:
40 MONUMENT RD
STE 104
BALA CYNWYD
PA
19004-1700
Phone
: 610-660-0446;
Fax
: 484-434-2793;
Practice Location Address
:
1100 WALNUT ST
,
, PHILA
, PA
, 19107-5563
Practice Phone
: 215-922-2455;
Practice Fax
: 484-434-2793
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1831162791 -
THEODORE
T
WAGNER
III
MD
Other Name
:
Mailing Address
:
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
46845-1701
Phone
: ;
Fax
: ;
Practice Location Address
:
11141 PARKVIEW PLAZA DR STE 325
,
, FORT WAYNE
, IN
, 46845-1714
Practice Phone
: 260-425-5400;
Practice Fax
: 260-425-5417
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1740253608 -
CAROLYN
JEAN
FLYNN
DO
Other Name
:
CAROLYN
JEAN
BLEAU
Mailing Address
:
190 CAMPUS BLVD
WINCHESTER
VA
22601
Phone
: 540-536-4334;
Fax
: 540-536-4333;
Practice Location Address
:
190 CAMPUS BLVD
,
, WINCHESTER
, VA
, 22601
Practice Phone
: 540-536-4334;
Practice Fax
: 540-536-4333
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1659344513 -
NATHAN
S.
UEBELHOER
D.O.
Other Name
:
Mailing Address
:
34800 BOB WILSON DR
#106
SAN DIEGO
CA
92134-0001
Phone
: 858-525-1439;
Fax
: 207-768-4456;
Practice Location Address
:
10666 N TORREY PINES RD
,
, LA JOLLA
, CA
, 92037-1027
Practice Phone
: 858-455-9100;
Practice Fax
: 858-784-5933
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1568435428 -
PETER
ANGELOS
Other Name
:
Mailing Address
:
150 HARVESTER DR
SUITE 300
BURR RIDGE
IL
60527-5919
Phone
: ;
Fax
: ;
Practice Location Address
:
5841 S MARYLAND AVE
,
, CHICAGO
, IL
, 60637-1443
Practice Phone
: 888-824-0200;
Practice Fax
:
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1477526333 -
NATIONAL SEATING & MOBILITY, INC.
Other Name
:
Mailing Address
:
5959 SHALLOWFORD RD
SUITE 443
CHATTANOOGA
TN
37421-2285
Phone
: 423-756-2268;
Fax
: 423-266-9690;
Practice Location Address
:
9494 KIRBY DR
,
, HOUSTON
, TX
, 77054-2521
Practice Phone
: 713-791-9080;
Practice Fax
: 713-791-9084
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1386617249 -
LIONEL
JOE
SMITH
MD
Other Name
:
Mailing Address
:
1025 MAINE ST
QUINCY
IL
62301-4038
Phone
: 217-222-6550;
Fax
: ;
Practice Location Address
:
1603 MORGAN ST
, SUITE 3
, KEOKUK
, IA
, 52632-3430
Practice Phone
: 217-222-6550;
Practice Fax
:
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1194798058 -
MR.
MR.
CHARLES
W
THOMPSON
IV
PAC
Other Name
:
Mailing Address
:
8449 W BELLFORT ST
STE 140-A
HOUSTON
TX
77071
Phone
: 713-777-8100;
Fax
: 713-777-8103;
Practice Location Address
:
8449 W BELLFORT ST
, STE 140-A
, HOUSTON
, TX
, 77071
Practice Phone
: 713-777-8100;
Practice Fax
: 713-777-8103
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1003889965 -
MRS.
MRS.
PAULA
BETH
ROACH
RN CNNP
Other Name
:
Mailing Address
:
4304 CRICKLEWOOD ST
LUMBERTON
NC
28358-2405
Phone
: 910-671-9289;
Fax
: ;
Practice Location Address
:
BLDG 4-2817 REILLY ROAD
,
, FORT BRAGG
, NC
, 28310-0001
Practice Phone
: 910-907-7626;
Practice Fax
: 910-907-8645
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1912970872 -
COOK AREA HEALTH SERVICES, INC
Other Name
:
SCENIC RIVERS HEALTH SERVICES
Mailing Address
:
135 PINE TREE DR
PO BOX 135
BIGFORK
MN
56628-0135
Phone
: 218-743-3232;
Fax
: 218-743-4223;
Practice Location Address
:
410 SECOND ST NW
, BOX 218
, BIG FALLS
, MN
, 56627-0218
Practice Phone
: 218-276-2403;
Practice Fax
: 218-276-2302
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1821061789 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1730152695 -
DR.
DR.
VINITA
AGARWAL
M.D.
Other Name
:
Mailing Address
:
159 BARNEGAT RD
POUGHKEEPSIE
NY
12601-5401
Phone
: 845-595-4914;
Fax
: 845-595-4914;
Practice Location Address
:
159 BARNEGAT RD
,
, POUGHKEEPSIE
, NY
, 12601-5401
Practice Phone
: 845-595-4914;
Practice Fax
: 845-595-4914
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1649243502 -
DR.
DR.
ALLEN
ANTHONY
CIUFFO
M.D.
Other Name
:
Mailing Address
:
844 KEMPSVILLE RD STE 204
NORFOLK
VA
23502-3927
Phone
: 757-261-0700;
Fax
: ;
Practice Location Address
:
844 KEMPSVILLE RD STE 204
,
, NORFOLK
, VA
, 23502-3927
Practice Phone
: 757-261-0700;
Practice Fax
:
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1558334417 -
DR.
DR.
MEERA
V
NATHAN
MD
Other Name
:
Mailing Address
:
2 PENN BLVD
SUITE 103
PHILA
PA
19144
Phone
: 215-842-0406;
Fax
: 215-842-3215;
Practice Location Address
:
2 PENN BLVD
, SUITE 103
, PHILA
, PA
, 19144-1416
Practice Phone
: 215-842-0406;
Practice Fax
: 215-842-3215
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1467425322 -
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Other Name
:
UNIVERSITY OF ILLINOIS MEDICAL SERVICE PLAN AT PEORIA
Mailing Address
:
1 ILLINI DR
PEORIA
IL
61605-2576
Phone
: 309-671-8472;
Fax
: 309-671-8513;
Practice Location Address
:
1 ILLINI DR
,
, PEORIA
, IL
, 61605-2576
Practice Phone
: 309-680-8649;
Practice Fax
: 309-671-8513
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1376516237 -
ANA
J
DELATORRE
DMD
Other Name
:
Mailing Address
:
URB. ROYAL TOWN
A-20 CALLE 13
BAYAMON
PR
00956
Phone
: 787-799-1170;
Fax
: 787-799-5052;
Practice Location Address
:
URB. ROYAL TOWN
, CALLE 13 A-20
, BAYAMON
, PR
, 00956
Practice Phone
: 787-799-1170;
Practice Fax
: 787-799-5052
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1285607143 -
DR.
DR.
RUSSELL
EUGENE
REES
M.D.
Other Name
:
Mailing Address
:
1 GUTHRIE SQ
SAYRE
PA
18840-1625
Phone
: 570-888-5858;
Fax
: ;
Practice Location Address
:
1 GUTHRIE SQ
,
, SAYRE
, PA
, 18840-1625
Practice Phone
: 570-888-5858;
Practice Fax
: 570-887-2904
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1093788952 -
KATHERINE
M
MOORE
M.D.
Other Name
:
Mailing Address
:
200 1ST ST SW
ROCHESTER
MN
55905-0001
Phone
: 507-284-2511;
Fax
: ;
Practice Location Address
:
200 1ST ST SW
,
, ROCHESTER
, MN
, 55905-0001
Practice Phone
: 507-284-2511;
Practice Fax
:
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1902879869 -
DR.
DR.
MAXIM
DANIEL
HAMMER
MD
Other Name
:
Mailing Address
:
1000 BOWER HILL ROAD
ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING
PITTSBURGH
PA
15243-1873
Phone
: 412-942-2548;
Fax
: ;
Practice Location Address
:
2000 OXFORD DR STE 405
,
, BETHEL PARK
, PA
, 15102-1841
Practice Phone
: 724-228-4011;
Practice Fax
:
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1811960776 -
ELVIN
DEAN
SIEBERT
LISW
Other Name
:
Mailing Address
:
3215 BELVEDERE BLVD
OMAHA
NE
68111-1235
Phone
: 402-453-9088;
Fax
: ;
Practice Location Address
:
136 S 7TH ST
,
, COUNCIL BLUFFS
, IA
, 51501-4133
Practice Phone
: 712-325-1136;
Practice Fax
: 712-325-1152
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|
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1720051683 -
DR.
DR.
JAVED
H
TUNIO
MD
Other Name
:
Mailing Address
:
3200 PLEASANT VALLEY RD
DIVISION OF CARDIOLOGY
WEST BEND
WI
53095-9274
Phone
: 262-836-7300;
Fax
: 262-836-7301;
Practice Location Address
:
3200 PLEASANT VALLEY RD
, DIVISION OF CARDIOLOGY
, WEST BEND
, WI
, 53095-9274
Practice Phone
: 262-836-7300;
Practice Fax
: 262-836-7301
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1639142599 -
DR.
DR.
TAIWO
AYILEKA
MD
Other Name
:
Mailing Address
:
PO BOX 1814
MADISON
AL
35758-5410
Phone
: 256-429-5196;
Fax
: 256-429-4573;
Practice Location Address
:
1 HOSPITAL DR SW
,
, HUNTSVILLE
, AL
, 35801-6455
Practice Phone
: 256-429-5196;
Practice Fax
:
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1548233406 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1457324311 -
LIDIA
MARIA
ANDRUSZYN
DNP, FPA APRN, CPC
Other Name
:
Mailing Address
:
6348 N MILWAUKEE AVE # 370
CHICAGO
IL
60646-3728
Phone
: 847-507-1548;
Fax
: 773-792-0946;
Practice Location Address
:
6348 N MILWAUKEE AVE # 370
,
, CHICAGO
, IL
, 60646-3728
Practice Phone
: 847-507-1548;
Practice Fax
: 773-792-0946
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1366415226 -
SUZANNE
H
BURLEIGH
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: ;
Fax
: ;
Practice Location Address
:
111 GROSSMAN DR
,
, BRAINTREE
, MA
, 02184-4997
Practice Phone
: 781-849-1000;
Practice Fax
:
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1275506131 -
ELIZABETH
A
REEVE
MD
Other Name
:
Mailing Address
:
8170 33RD AVE S
MS21110Q
MINNEAPOLIS
MN
55425-4516
Phone
: 952-883-5375;
Fax
: 651-254-9426;
Practice Location Address
:
640 JACKSON ST
, MAIL STOP 11302C HEALTHPARTNERS REGIONS BEHAVIORAL HEAL
, ST. PAUL
, MN
, 55101-2502
Practice Phone
: 651-254-4786;
Practice Fax
: 651-254-9426
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1184697047 -
TONYA
ELIZABETH
FIFE
FNP
Other Name
:
Mailing Address
:
2804 N LOOP 289
LUBBOCK
TX
79415-1410
Phone
: 806-744-7223;
Fax
: 806-740-3325;
Practice Location Address
:
2412 50TH ST
, SUITE 202
, LUBBOCK
, TX
, 79412-2504
Practice Phone
: 806-744-7223;
Practice Fax
: 806-740-3325
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1992778856 -
MICHAEL
WEINRAUCH
MD
Other Name
:
Mailing Address
:
PO BOX 416457
PRACTICE ASSOCIATES MEDICAL GROUP
BOSTON
MA
02241-6457
Phone
: 973-656-6280;
Fax
: 973-290-7495;
Practice Location Address
:
211 MOUNTAIN AVE
, ASSOCIATES IN CARDIOVASCULAR DISEASE, LLC
, SPRINGFIELD
, NJ
, 07081-2221
Practice Phone
: 973-467-0005;
Practice Fax
: 973-912-8989
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1538132410 -
DR.
DR.
ROSANN
MARIE
PIEPER
PH.D.
Other Name
:
Mailing Address
:
27520 NE 46TH ST
CAMAS
WA
98607-8781
Phone
: 360-834-3705;
Fax
: ;
Practice Location Address
:
1104 MAIN ST
, SUITE 500
, VANCOUVER
, WA
, 98660-2999
Practice Phone
: 360-993-5352;
Practice Fax
: 360-735-9116
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1447223326 -
DR.
DR.
SCOTT
EDWARD
MUSINSKI
M.D.
Other Name
:
Mailing Address
:
3160 W CANYON AVE
SAN DIEGO
CA
92123-5428
Phone
: 760-583-0924;
Fax
: 844-352-6658;
Practice Location Address
:
3160 W CANYON AVE
,
, SAN DIEGO
, CA
, 92123-5428
Practice Phone
: 760-583-0924;
Practice Fax
:
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1356314231 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1265405146 -
LABORATORIO CLINICO CANOVANAS
Other Name
:
Mailing Address
:
PO BOX 1182
CANOVANAS
PR
00729-1182
Phone
: 787-256-2422;
Fax
: 787-256-2459;
Practice Location Address
:
4 CALLE CALDERON MUJICA
,
, CANOVANAS
, PR
, 00729-3213
Practice Phone
: 787-256-2422;
Practice Fax
: 787-256-2459
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1174596050 -
DR.
DR.
ROBERT
JAMES
SUMMERLEE
M.D.
Other Name
:
Mailing Address
:
11715 RANGELAND PKWY
BRADENTON
FL
34211-9529
Phone
: 941-538-0092;
Fax
: 941-538-0093;
Practice Location Address
:
11715 RANGELAND PKWY
,
, BRADENTON
, FL
, 34211-9529
Practice Phone
: 941-538-0092;
Practice Fax
: 941-538-0093
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1083687966 -
RONALD
GLICK
Other Name
:
Mailing Address
:
3811 OHARA ST
SUITE 1135-E
PITTSBURGH
PA
15213-2593
Phone
: ;
Fax
: ;
Practice Location Address
:
3811 OHARA ST
, SUITE 1135-E
, PITTSBURGH
, PA
, 15213-2561
Practice Phone
: 412-624-1000;
Practice Fax
:
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1891768776 -
GREGORY
GODLA
Other Name
:
Mailing Address
:
5230 CENTRE AVE
SUITE 205
PITTSBURGH
PA
15232-1304
Phone
: ;
Fax
: ;
Practice Location Address
:
5230 CENTRE AVE
, SUITE 205
, PITTSBURGH
, PA
, 15232-1304
Practice Phone
: 412-623-2167;
Practice Fax
:
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1700859683 -
DR.
DR.
BAIJU
CHIMAN
GOHIL
M.D.
Other Name
:
Mailing Address
:
221 JERICHO TPKE
SYOSSET
NY
11791-4515
Phone
: 516-496-6467;
Fax
: 516-496-2771;
Practice Location Address
:
221 JERICHO TPKE
,
, SYOSSET
, NY
, 11791-4515
Practice Phone
: 516-496-6467;
Practice Fax
: 516-496-2771
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1619940590 -
DR.
DR.
MELISSA
ANNE
WOLF
MD
Other Name
:
MELISSA
ANNE
AUGUSTYN
Mailing Address
:
905 HIGHLAND BLVD
SUITE 4440
BOZEMAN
MT
59715-6901
Phone
: 406-556-5150;
Fax
: 406-556-5155;
Practice Location Address
:
905 HIGHLAND BLVD
, SUITE 4440
, BOZEMAN
, MT
, 59715-6901
Practice Phone
: 406-556-5150;
Practice Fax
: 406-556-5155
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1528031408 -
DR.
DR.
JEFFREY
R
LEVENSON
M.D.
Other Name
:
Mailing Address
:
1700 66TH ST N
SUITE 510
SAINT PETERSBURG
FL
33710-5544
Phone
: 727-384-2479;
Fax
: 727-384-3573;
Practice Location Address
:
1700 66TH ST N
, SUITE 510
, SAINT PETERSBURG
, FL
, 33710-5544
Practice Phone
: 727-384-2479;
Practice Fax
: 727-384-3573
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1437122314 -
DR.
DR.
KARL
T
HARTMANN
MD
Other Name
:
Mailing Address
:
94 CONNECTICUT BLVD
EAST HARTFORD
CT
06108-3013
Phone
: 860-528-1359;
Fax
: ;
Practice Location Address
:
94 CONNECTICUT BLVD
,
, EAST HARTFORD
, CT
, 06108-3013
Practice Phone
: 860-528-1359;
Practice Fax
:
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1346213220 -
DR.
DR.
LORENZO
KEITH
SAMPSON
MD
Other Name
:
Mailing Address
:
367 S. GULPH RD
ATT: IPM CREDENTIALING
KING OF PRUSSIA
PA
19406-3121
Phone
: 803-648-1318;
Fax
: ;
Practice Location Address
:
410 UNIVERSITY PKWY STE 2310
,
, AIKEN
, SC
, 29801-6835
Practice Phone
: 803-648-1318;
Practice Fax
: 803-642-7803
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1255304135 -
SHEREE
FEDDER
NNP
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: ;
Fax
: ;
Practice Location Address
:
700 SCOTT AND WHITE DR
,
, COLLEGE STATION
, TX
, 77845-6441
Practice Phone
: 979-207-0100;
Practice Fax
: 979-207-2161
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1164495040 -
DR.
DR.
THOMAS
PRESTON
DAVIS
M.D.
Other Name
:
Mailing Address
:
1148 KINGSBURY DR
CHESAPEAKE
VA
23322-4264
Phone
: 757-546-8013;
Fax
: ;
Practice Location Address
:
1148 KINGSBURY DR
,
, CHESAPEAKE
, VA
, 23322-4264
Practice Phone
: 757-546-8013;
Practice Fax
:
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1073586954 -
DR.
DR.
FRANCIS
J
MAGUIRE
M.D.
Other Name
:
Mailing Address
:
3114 CROASDAILE DR
SUITE 200
DURHAM
NC
27705-2508
Phone
: 919-425-1565;
Fax
: 919-425-0478;
Practice Location Address
:
502 W HIGHLAND BLVD
, EMERGENCY DEPARTMENT
, INVERNESS
, FL
, 34452-4720
Practice Phone
: 352-726-1551;
Practice Fax
: 919-425-0478
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1982677860 -
SUSAN
G.
RAY-LAMOND
MD
Other Name
:
Mailing Address
:
179 NORTHAMPTON ST
#A
EASTHAMPTON
MA
01027-1057
Phone
: 413-529-0600;
Fax
: 413-529-1919;
Practice Location Address
:
179 NORTHAMPTON ST
, #A
, EASTHAMPTON
, MA
, 01027-1057
Practice Phone
: 413-529-0600;
Practice Fax
: 413-529-1919
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1790758670 -
DR.
DR.
MICHAEL
C
NELSEN
DDS
Other Name
:
Mailing Address
:
2372 MAIN ST
FERNDALE
WA
98248-9212
Phone
: 360-384-5902;
Fax
: ;
Practice Location Address
:
2372 MAIN ST
,
, FERNDALE
, WA
, 98248-9212
Practice Phone
: 360-384-5902;
Practice Fax
:
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1609849587 -
DR.
DR.
SHARON
LYNN
GOLDSTEIN
MD
Other Name
:
Mailing Address
:
134 INDUSTRIAL PARK RD STE 1500
GREENSBURG
PA
15601-8153
Phone
: 724-850-6933;
Fax
: 724-522-4002;
Practice Location Address
:
8775 NORWIN AVE STE C
,
, NORTH HUNTINGDON
, PA
, 15642-2718
Practice Phone
: 724-765-1163;
Practice Fax
: 724-765-1173
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1518930494 -
LINDA
GERMAINE-MILLER
RD
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT, 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8051;
Fax
: ;
Practice Location Address
:
485 ARSENAL ST
,
, WATERTOWN
, MA
, 02472-5091
Practice Phone
: 617-629-6444;
Practice Fax
:
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1427021302 -
DR.
DR.
SARASWATHI
GOLLA
MD
Other Name
:
Mailing Address
:
200 LOTHROP ST
ROOM 3950 CHP CMT
PITTSBURGH
PA
15213-2546
Phone
: 412-647-3553;
Fax
: ;
Practice Location Address
:
200 LOTHROP ST
, ROOM 3950 CHP CMT
, PITTSBURGH
, PA
, 15213-2546
Practice Phone
: 412-647-3553;
Practice Fax
:
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1336112218 -
ANGELA
KAJTSA
P.T.
Other Name
:
Mailing Address
:
1900 OGDEN AVE
SUITE 205
AURORA
IL
60504-4273
Phone
: 630-978-6218;
Fax
: ;
Practice Location Address
:
728 E.VETERANS PKWY.
, SUITE 107
, YORKVILLE
, IL
, 60560-1095
Practice Phone
: 630-978-6218;
Practice Fax
:
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1245203124 -
ROBERT
U
OKORO
MBBS
Other Name
:
Mailing Address
:
3500 TOWER AVE
SUPERIOR
WI
54880
Phone
: 715-395-5400;
Fax
: ;
Practice Location Address
:
3500 TOWER AVE
,
, SUPERIOR
, WI
, 54880
Practice Phone
: 715-395-5400;
Practice Fax
:
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1154394039 -
MICHAEL
DARREN
JACKSON
P.A.
Other Name
:
Mailing Address
:
5000 HOPYARD ROAD, SUITE 100
TEAM HEALTH, INC.
PLEASANTON
CA
94588
Phone
: 800-617-7717;
Fax
: 304-523-2241;
Practice Location Address
:
6644 E. BAYWOOD AVE.
, BANNER BAYWOOD EMERGENCY DEPARTMENT
, MESA
, AZ
, 85206
Practice Phone
: 480-321-0183;
Practice Fax
: 480-321-0402
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1063485944 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1972576858 -
DR.
DR.
DANIEL
ERIC
COHEN
MD
Other Name
:
Mailing Address
:
7 HAVILAND ST
BOSTON
MA
02115-2683
Phone
: ;
Fax
: ;
Practice Location Address
:
7 HAVILAND ST
,
, BOSTON
, MA
, 02115-2683
Practice Phone
: 617-927-6100;
Practice Fax
:
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1881667764 -
ENRIQUE
CORVALAN-SCHMIDT
MD
Other Name
:
Mailing Address
:
2891 ROUTE 22
PATTERSON
NY
12563-2228
Phone
: 845-306-0910;
Fax
: 845-306-0911;
Practice Location Address
:
2891 ROUTE 22
,
, PATTERSON
, NY
, 12563-2228
Practice Phone
: 845-306-0910;
Practice Fax
: 845-306-0911
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1699748574 -
DR.
DR.
JOHN
F.
COKE
D.D.S.
Other Name
:
Mailing Address
:
90 VANDENBERG DR
HANSCOM AFB
MA
01731-2104
Phone
: 781-377-8028;
Fax
: 781-377-3823;
Practice Location Address
:
90 VANDENBERG DR
,
, HANSCOM AFB
, MA
, 01731-2104
Practice Phone
: 781-377-8028;
Practice Fax
: 781-377-3823
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1508839481 -
DR.
DR.
PAUL
WANG
MD
Other Name
:
Mailing Address
:
104 W 18TH AVE
COAL VALLEY
IL
61240-9337
Phone
: 309-799-7518;
Fax
: 309-799-3886;
Practice Location Address
:
104 W 18TH AVE
,
, COAL VALLEY
, IL
, 61240-9337
Practice Phone
: 309-799-7518;
Practice Fax
: 309-799-3886
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1417920398 -
DR.
DR.
DAVID
A.
PFISTERER
M.D.
Other Name
:
Mailing Address
:
1 GUTHRIE SQ
SAYRE
PA
18840-1625
Phone
: 570-888-5858;
Fax
: ;
Practice Location Address
:
110 PLAZA LN
,
, WELLSBORO
, PA
, 16901-1773
Practice Phone
: 570-724-4241;
Practice Fax
:
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1326011206 -
DR.
DR.
ALDAMARIA
RIBEIRO
GONZAGA
MD
Other Name
:
Mailing Address
:
3459 5TH AVE
MUH 9 SOUTH
PITTSBURGH
PA
15213-3236
Phone
: 412-692-4888;
Fax
: ;
Practice Location Address
:
3459 5TH AVE
, MUH 9 SOUTH
, PITTSBURGH
, PA
, 15213-3236
Practice Phone
: 412-692-4888;
Practice Fax
:
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1235102112 -
ASHLEY
M
STOREY
MD
Other Name
:
Mailing Address
:
565 COAL VALLEY RD
JEFFERSON HILLS
PA
15025-3703
Phone
: 412-469-5000;
Fax
: 412-469-7174;
Practice Location Address
:
565 COAL VALLEY RD
,
, JEFFERSON HILLS
, PA
, 15025-3703
Practice Phone
: 412-469-5000;
Practice Fax
: 412-469-7174
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1144293028 -
DR.
DR.
ROBERT
D
GUNNINK
DO
Other Name
:
Mailing Address
:
187 BALLARDVALE ST
SUITE 202
WILMINGTON
MA
01887-1082
Phone
: 978-774-7243;
Fax
: 978-774-7421;
Practice Location Address
:
215 S POWER RD
, SUITE 205
, MESA
, AZ
, 85206-5235
Practice Phone
: 480-991-0480;
Practice Fax
: 480-991-0478
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1053384933 -
DAVID
O
PETERFREUND
M.D.
Other Name
:
Mailing Address
:
1055 S FORT HARRISON AVE
CLEARWATER
FL
33756-3905
Phone
: 727-447-7786;
Fax
: 727-447-5978;
Practice Location Address
:
1055 S FORT HARRISON AVE
,
, CLEARWATER
, FL
, 33756-3905
Practice Phone
: 727-447-7786;
Practice Fax
: 727-447-5978
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1962475848 -
DR.
DR.
WILLIAM
P
WRIGHT
JR.
MD
Other Name
:
Mailing Address
:
13303 TESSON FERRY RD
SUITE 55
SAINT LOUIS
MO
63128-4062
Phone
: 314-270-3260;
Fax
: 314-270-3259;
Practice Location Address
:
13303 TESSON FERRY RD
, SUITE 55
, SAINT LOUIS
, MO
, 63128-4062
Practice Phone
: 314-270-3260;
Practice Fax
: 314-270-3259
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1871566752 -
DR.
DR.
DANIEL
HART
LANGE
SR.
M.D.
Other Name
:
Mailing Address
:
1650 COCHRANE CIR
FT CARSON
CO
80913-4603
Phone
: 719-524-4068;
Fax
: 719-526-7132;
Practice Location Address
:
1650 COCHRANE CIR
,
, FT CARSON
, CO
, 80913-4603
Practice Phone
: 719-524-4068;
Practice Fax
: 719-526-7132
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1598738478 -
MR.
MR.
ANDREW
J
BURKE
JR.
MSPT
Other Name
:
Mailing Address
:
57 STAFFORD ST
PLYMOUTH
MA
02360-2911
Phone
: 508-747-5372;
Fax
: 508-746-7211;
Practice Location Address
:
110 LONG POND RD
, SUITE 111
, PLYMOUTH
, MA
, 02360-2642
Practice Phone
: 508-746-6922;
Practice Fax
: 508-746-7211
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1407829385 -
DR.
DR.
WILLIAM
KIM
M.D.
Other Name
:
WILLIAM
W.
KIM
Mailing Address
:
5980 S RAINBOW BLVD STE 100
LAS VEGAS
NV
89118-4202
Phone
: 702-765-7246;
Fax
: 702-765-7227;
Practice Location Address
:
2435 FIRE MESA ST STE 110A
,
, LAS VEGAS
, NV
, 89128-9009
Practice Phone
: 702-968-2437;
Practice Fax
: 702-479-1796
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1316910292 -
JASON
ANDREW
SEDIVY
HS
Other Name
:
Mailing Address
:
PO BOX 5000
SOUTHWEST HARBOR
ME
04679-5000
Phone
: 207-244-4678;
Fax
: 207-244-4679;
Practice Location Address
:
184 CLARK POINT RD
,
, SOUTHWEST HARBOR
, ME
, 04679-4414
Practice Phone
: 207-244-4678;
Practice Fax
: 207-244-4679
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1225001100 -
MARC
F
METCALFE
MD
Other Name
:
Mailing Address
:
4800 FRIENDSHIP AVE
PITTSBURGH
PA
15224-1722
Phone
: 412-578-5323;
Fax
: 412-578-4981;
Practice Location Address
:
4800 FRIENDSHIP AVE
,
, PITTSBURGH
, PA
, 15224-1722
Practice Phone
: 412-578-5323;
Practice Fax
: 412-578-4981
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1134192016 -
DR.
DR.
JOSEPH
C
YANG
D.D.S.
Other Name
:
Mailing Address
:
1855 FOXSTONE DR
VIENNA
VA
22182-2147
Phone
: 703-938-1265;
Fax
: ;
Practice Location Address
:
8901 WISCONSIN AVE.
,
, BETHESDA
, MD
, 20889-0001
Practice Phone
: 301-295-0077;
Practice Fax
:
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1043283922 -
NIRANJAN
N
PATEL
MD
Other Name
:
Mailing Address
:
6674 TIPPECANOE RD
SUITE 6
CANFIELD
OH
44406-9149
Phone
: 330-533-2900;
Fax
: 330-533-2904;
Practice Location Address
:
6674 TIPPECANOE RD
, SUITE 6
, CANFIELD
, OH
, 44406-9149
Practice Phone
: 330-533-2900;
Practice Fax
: 330-533-2904
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1952374837 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1861465742 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1770556656 -
MS.
MS.
KANTA
C
SHAH
M.D.
Other Name
:
Mailing Address
:
4600 4TH STREET NORTH
ALL FLORIDA ORTHOPAEDIC ASSOCIATES
ST PETERSBURG
FL
33703-3802
Phone
: 727-527-5272;
Fax
: 727-522-7412;
Practice Location Address
:
4600 4TH STREET NORTH
,
, ST PETERSBURG
, FL
, 33703-3802
Practice Phone
: 727-527-5272;
Practice Fax
: 727-522-7412
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1689647562 -
DR.
DR.
SHYLAJA
PRABHAKAR
M.D.
Other Name
:
Mailing Address
:
2618 RIDGEWOOD LN
ALBANY
GA
31707-3057
Phone
: 229-431-0998;
Fax
: ;
Practice Location Address
:
2025 PALMYRA RD
,
, ALBANY
, GA
, 31701-1576
Practice Phone
: 229-888-7332;
Practice Fax
: 229-888-2426
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1598738486 -
SONRISAS DENTAL CARE
Other Name
:
Mailing Address
:
28 CALLE PALMER
BAYAMON
PR
00961-6334
Phone
: 787-798-8888;
Fax
: 787-779-2707;
Practice Location Address
:
28 CALLE PALMER
,
, BAYAMON
, PR
, 00961-6334
Practice Phone
: 787-798-8888;
Practice Fax
: 787-779-2707
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1407829393 -
DR.
DR.
RACHEL
ILANA
LOVINS
MD
Other Name
:
Mailing Address
:
590 COURT ST
KEENE
NH
03431-1719
Phone
: ;
Fax
: ;
Practice Location Address
:
590 COURT ST
,
, KEENE
, NH
, 03431-1719
Practice Phone
: 603-650-8380;
Practice Fax
:
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1316910201 -
DR.
DR.
MARK
J
SCHULTE
D.M.D.
Other Name
:
Mailing Address
:
4515 CHURCHMAN AVE
LOUISVILLE
KY
40215-1109
Phone
: 502-361-0637;
Fax
: 502-361-0636;
Practice Location Address
:
4515 CHURCHMAN AVE
,
, LOUISVILLE
, KY
, 40215-1109
Practice Phone
: 502-361-0637;
Practice Fax
: 502-361-0636
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