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Showing codes 1154381952 — 1932169984
1154381952 -
AUDREY
JO
HANSEN
ATC
Other Name
:
Mailing Address
:
205 HORTON
NORMAL
IL
61790-5120
Phone
: 309-438-5366;
Fax
: 309-438-5559;
Practice Location Address
:
205 HORTON
,
, NORMAL
, IL
, 61790-5120
Practice Phone
: 309-438-5366;
Practice Fax
: 309-438-5559
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1063472868 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1972563773 -
MARK
EUGENE
LAREY
D.O.
Other Name
:
Mailing Address
:
PO BOX 21850
HOT SPRINGS
AR
71903-1850
Phone
: 501-525-9675;
Fax
: 501-525-7059;
Practice Location Address
:
100 MCGOWAN CT
,
, HOT SPRINGS NATIONAL PARK
, AR
, 71913-6452
Practice Phone
: 501-525-9675;
Practice Fax
: 501-525-7059
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1881654689 -
DR.
DR.
JANE
ELOISE
LACEY
MD
Other Name
:
Mailing Address
:
1525 VISTA LN
120
CARSON CITY
NV
89703-4626
Phone
: 775-885-9991;
Fax
: 775-883-0884;
Practice Location Address
:
1525 VISTA LN
, 120
, CARSON CITY
, NV
, 89703-4626
Practice Phone
: 775-885-9991;
Practice Fax
: 775-883-0884
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1699735498 -
RONALD
C
SWEET
M.D.
Other Name
:
Mailing Address
:
505 DUTCHMANS LN
EASTON
MD
21601-4302
Phone
: 410-822-3246;
Fax
: 410-822-0633;
Practice Location Address
:
505 DUTCHMANS LN
,
, EASTON
, MD
, 21601-4302
Practice Phone
: 410-822-3246;
Practice Fax
: 410-822-0633
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1508826306 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1417917212 -
THOMAS
S
LAYMAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 688
ATHENS
TN
37371-0688
Phone
: 423-745-2344;
Fax
: 423-745-2314;
Practice Location Address
:
719 COOK DR
, SUITE 110
, ATHENS
, TN
, 37303-3495
Practice Phone
: 423-745-2344;
Practice Fax
: 423-745-2314
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1326008129 -
DR.
DR.
DENNIS
PRAYTOR
OWENS
M.D.
Other Name
:
Mailing Address
:
2022 BROOKWOOD MEDICAL CTR DR
SUITE 313 ACC
BIRMINGHAM
AL
35209-6808
Phone
: 205-877-2910;
Fax
: 205-879-4649;
Practice Location Address
:
2022 BROOKWOOD MEDICAL CTR DR
, SUITE 313 ACC
, BIRMINGHAM
, AL
, 35209-6808
Practice Phone
: 205-877-2910;
Practice Fax
: 205-879-4649
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1235199035 -
DR.
DR.
SCOTT
S.
LEVY
MD
Other Name
:
Mailing Address
:
599 W STATE ST
SUITE 100
DOYLESTOWN
PA
18901-2567
Phone
: 215-348-8020;
Fax
: 215-348-7002;
Practice Location Address
:
599 W STATE ST
, SUITE 100
, DOYLESTOWN
, PA
, 18901-2567
Practice Phone
: 215-348-8020;
Practice Fax
: 215-348-7002
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1144280942 -
AMRIK
SINGH
CHATTHA
M.D.
Other Name
:
Mailing Address
:
485 COLLIERS WAY
SUITE C
WEIRTON
WV
26062-5012
Phone
: 304-723-4260;
Fax
: 304-723-4264;
Practice Location Address
:
485 COLLIERS WAY
, SUITE C
, WEIRTON
, WV
, 26062-5012
Practice Phone
: 304-723-4260;
Practice Fax
: 304-723-4264
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1053371856 -
SELECT PHYSICAL THERAPY HOLDINGS INC
Other Name
:
Mailing Address
:
462 MAIN ST
STE 1
SPRINGVALE
ME
04083-1818
Phone
: 207-324-5551;
Fax
: ;
Practice Location Address
:
462 MAIN ST
, STE 1
, SPRINGVALE
, ME
, 04083-1818
Practice Phone
: 207-324-5551;
Practice Fax
:
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1669432746 -
DR.
DR.
ANNA
LEV
BENTSIANOV
M.D.
Other Name
:
Mailing Address
:
40 W BRIGHTON AVE STE 103
SUITE 1E
BROOKLYN
NY
11224-4901
Phone
: 718-996-2260;
Fax
: 718-996-1123;
Practice Location Address
:
40 W BRIGHTON AVE STE 103
, SUITE 1E
, BROOKLYN
, NY
, 11224-4901
Practice Phone
: 718-996-2260;
Practice Fax
: 718-996-1123
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1578523650 -
BARBARA
ANN
REALL
CRNP
Other Name
:
Mailing Address
:
377 RIDGE RD
TELFORD
PA
18969-1335
Phone
: 215-534-1434;
Fax
: ;
Practice Location Address
:
377 RIDGE RD
,
, TELFORD
, PA
, 18969-1335
Practice Phone
: 215-534-1434;
Practice Fax
:
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1487614566 -
RALPH
L.
MAGNUSSON
MD
Other Name
:
Mailing Address
:
PO BOX 43
MR 10809
MINNEAPOLIS
MN
55440-0043
Phone
: 612-262-4813;
Fax
: 612-262-4194;
Practice Location Address
:
1540 LAKE ST S
,
, FOREST LAKE
, MN
, 55025-2628
Practice Phone
: 651-464-7100;
Practice Fax
: 651-982-5515
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1295795375 -
MS.
MS.
HEIDI
A
BERKE
LICSW
Other Name
:
Mailing Address
:
PO BOX 750063
ARLINGTON HEIGHTS
MA
02475-0063
Phone
: 617-504-6624;
Fax
: ;
Practice Location Address
:
200 GREAT RD
, SUITE 232
, BEDFORD
, MA
, 01730-2711
Practice Phone
: 617-504-6624;
Practice Fax
:
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1104886282 -
DR.
DR.
LEE
AYERS
ELIOT
D.D.S.
Other Name
:
Mailing Address
:
924 ROBTRICE CT
EDMOND
OK
73034-5714
Phone
: 405-340-5110;
Fax
: ;
Practice Location Address
:
924 ROBTRICE CT
,
, EDMOND
, OK
, 73034-5714
Practice Phone
: 405-340-5110;
Practice Fax
:
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1013977198 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1922068006 -
MARILYN
A
THOMPSON
MD
Other Name
:
Mailing Address
:
1 VETERANS DR
MINNEAPOLIS
MN
55417-2309
Phone
: 612-629-7005;
Fax
: 612-629-7280;
Practice Location Address
:
ONE VETERANS DRIVE
,
, MINNEAPOLIS
, MN
, 55417
Practice Phone
: 612-629-7499;
Practice Fax
: 612-629-7280
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1831159912 -
DR.
DR.
DAWN
W
NICHOLS
MD
Other Name
:
Mailing Address
:
939 E EMERALD AVE
SUITE 705
KNOXVILLE
TN
37917-4540
Phone
: 865-524-2547;
Fax
: 865-524-0224;
Practice Location Address
:
939 E EMERALD AVE
, SUITE 705
, KNOXVILLE
, TN
, 37917-4540
Practice Phone
: 865-524-2547;
Practice Fax
: 865-524-0224
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1740240829 -
JOHN
WILBUR
CALDER
M.D.
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: 800-994-0371;
Fax
: ;
Practice Location Address
:
810 W HIGHWAY 71
,
, MARBLE FALLS
, TX
, 78654-8602
Practice Phone
: 830-201-8000;
Practice Fax
: 830-201-8008
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1659331734 -
DR.
DR.
KALYAN
S
KRISHNAN
MD
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
115 WOODBINE LANE
,
, DANVILLE
, PA
, 17822-5208
Practice Phone
: 570-271-6621;
Practice Fax
: 570-271-5655
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1568422640 -
RICHARD
A
SPENCER
M.D.
Other Name
:
Mailing Address
:
497 MALL RD
OAK HILL
WV
25901-6216
Phone
: 304-292-5572;
Fax
: 304-292-5572;
Practice Location Address
:
497 MALL RD
,
, OAK HILL
, WV
, 25901-6216
Practice Phone
: 304-469-2905;
Practice Fax
: 304-469-5486
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1477513554 -
DEBRA
K.
MACE
CRNA
Other Name
:
Mailing Address
:
300 E MCBEE AVE FL 4
GREENVILLE
SC
29601-2842
Phone
: ;
Fax
: ;
Practice Location Address
:
TAYLOR AT MARION STREET
,
, COLUMBIA
, SC
, 29210-0000
Practice Phone
: 803-296-2548;
Practice Fax
: 803-296-2548
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1386604460 -
MELISSA
JANE
GREGORY
M.D.
Other Name
:
Mailing Address
:
4201 ST. ANTIONE UHC 6F MAILBOX# 226
UNIVERSITY PEDIATRICIANS
DETROIT
MI
48201
Phone
: 313-966-5051;
Fax
: 313-966-0665;
Practice Location Address
:
3901 BEAUBIEN
, CHILDREN'S HOSPITAL OF MI
, DETROIT
, MI
, 48201
Practice Phone
: 313-745-5604;
Practice Fax
: 313-966-0039
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1194785279 -
RALPH
S
BOVARD
MD
Other Name
:
Mailing Address
:
205 WABASHA ST S
ATTN: RALPH BOVARD HEALTHPARTNERS
SAINT PAUL
MN
55107-1805
Phone
: 651-293-8100;
Fax
: 651-293-8106;
Practice Location Address
:
205 S WABASHA ST
, MAIL STOP 31300A HEALTHPARTNERS ST. PAUL CLINIC
, ST. PAUL
, MN
, 55107-1805
Practice Phone
: 651-293-8100;
Practice Fax
: 651-293-8106
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1003876186 -
DR.
DR.
PANKAJA
ACHAR
MD
Other Name
:
PANKAJA
NAGANANDA
Mailing Address
:
815 NEW DOVER RD
EDISON
NJ
08820
Phone
: 732-662-7475;
Fax
: 973-623-1235;
Practice Location Address
:
194 CLINTON AVE FL 2
,
, NEWARK
, NJ
, 07108-2809
Practice Phone
: 973-273-1515;
Practice Fax
: 973-230-0883
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1255391355 -
HUY
NGUYEN
MD
Other Name
:
Mailing Address
:
1353 DORCHESTER AVE
DORCHESTER
MA
02122-2932
Phone
: 617-288-3230;
Fax
: 617-825-4972;
Practice Location Address
:
1353 DORCHESTER AVE
,
, DORCHESTER
, MA
, 02122-2932
Practice Phone
: 617-288-3230;
Practice Fax
: 617-825-4972
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1164482261 -
PAULA
R.
HUFFMAN
CRNA
Other Name
:
PAULA
GUTKOWSKI
Mailing Address
:
158 SANDY BRAE DR
CANONSBURG
PA
15317-4958
Phone
: 724-344-4312;
Fax
: ;
Practice Location Address
:
158 SANDY BRAE DR
,
, CANONSBURG
, PA
, 15317-4958
Practice Phone
: 724-344-4312;
Practice Fax
:
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1073573176 -
MRS.
MRS.
SUSAN
F.
SNYDER
LCSW
Other Name
:
Mailing Address
:
1059 RIDGEWOOD PL
JACKSON
MS
39211-2018
Phone
: 601-957-3211;
Fax
: 601-957-9753;
Practice Location Address
:
1059 RIDGEWOOD PL
,
, JACKSON
, MS
, 39211-2018
Practice Phone
: 601-957-3211;
Practice Fax
: 601-957-9753
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1982664082 -
LORI
L.
MILLER
DO
Other Name
:
Mailing Address
:
800 COLONIAL CIR
SUITE 200
NORWALK
IA
50211-9637
Phone
: 515-285-3200;
Fax
: 515-285-3232;
Practice Location Address
:
800 COLONIAL CIR
, SUITE 200
, NORWALK
, IA
, 50211-9637
Practice Phone
: 515-285-3200;
Practice Fax
: 515-285-3232
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1790745891 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1609836709 -
PRASANNA
RAMAN
MD
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
1001 NYGAARD ST
,
, STOUGHTON
, WI
, 53589-5495
Practice Phone
: 608-877-2660;
Practice Fax
: 608-877-2667
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1518927615 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1427018522 -
DANIEL
MORRIS
PA C
Other Name
:
Mailing Address
:
1301 PUNCHBOWL ST # 8D
HONOLULU
HI
96813-2402
Phone
: 808-691-7089;
Fax
: ;
Practice Location Address
:
4403 HARRISON BLVD STE 2400
,
, OGDEN
, UT
, 84403
Practice Phone
: 801-387-2750;
Practice Fax
: 801-387-2755
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1336109438 -
JACQUELINE
K
MACKNIS
M.D.
Other Name
:
Mailing Address
:
3601 W 13 MILE RD
400 FSC - PCS
ROYAL OAK
MI
48073-6769
Phone
: 248-898-5969;
Fax
: ;
Practice Location Address
:
3601 W 13 MILE RD
,
, ROYAL OAK
, MI
, 48073-6769
Practice Phone
: 248-423-3144;
Practice Fax
:
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1245290345 -
HEIDI
SARA
FOX
LCSW
Other Name
:
Mailing Address
:
264 W CENTER ST
OREM
UT
84057-4637
Phone
: 801-225-4027;
Fax
: ;
Practice Location Address
:
264 W CENTER ST
,
, OREM
, UT
, 84057-4637
Practice Phone
: 801-225-4027;
Practice Fax
:
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1154381259 -
DR.
DR.
SHERRI
STONE
BARCLAY
M.D.
Other Name
:
SHERRI
STONE
DRAYER
Mailing Address
:
1317 N. HILLCREST
SULPHUR SPRINGS
TX
75482
Phone
: 903-438-1110;
Fax
: 903-438-1107;
Practice Location Address
:
1317 N. HILLCREST
,
, SULPHUR SPRINGS
, TX
, 75482
Practice Phone
: 903-438-1110;
Practice Fax
: 903-438-1107
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1063472165 -
THEODOROS
VLACHOS
M.D.
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: ;
Fax
: ;
Practice Location Address
:
3535 W 13 MILE RD STE 329
,
, ROYAL OAK
, MI
, 48073-6770
Practice Phone
: 248-551-1399;
Practice Fax
:
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1972563070 -
NORTH MEDICAL PC
Other Name
:
Mailing Address
:
5112 W TAFT RD
SUITE L
LIVERPOOL
NY
13088-4868
Phone
: 315-452-2501;
Fax
: 315-000-0000;
Practice Location Address
:
5100 W TAFT RD
, (ONE OF 9 DBA'S FOR CORPORATION)
, LIVERPOOL
, NY
, 13088-3807
Practice Phone
: 315-452-2829;
Practice Fax
: 315-452-2870
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1881654986 -
PAUL
T
VON OEYEN
M.D.
Other Name
:
Mailing Address
:
3601 W 13 MILE RD
400 FSC - PCS
ROYAL OAK
MI
48073-6769
Phone
: ;
Fax
: ;
Practice Location Address
:
3535 W 13 MILE RD
, STE 329
, ROYAL OAK
, MI
, 48073-6769
Practice Phone
: 248-423-3144;
Practice Fax
:
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1699735795 -
DR.
DR.
CHESTER
ARTHUR
SPEARS
M.D.
Other Name
:
Mailing Address
:
PO BOX 801143
KANSAS CITY
MO
64180-1143
Phone
: 573-331-5583;
Fax
: 573-331-5079;
Practice Location Address
:
1008 N MAIN ST
,
, SIKESTON
, MO
, 63801-5044
Practice Phone
: 573-472-7672;
Practice Fax
:
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1508826603 -
EMILY
C.
TING
M.D.
Other Name
:
EMILY
TING
SUNG
Mailing Address
:
2700 WESTCHESTER AVE
PURCHASE
NY
10577-2547
Phone
: 914-682-6538;
Fax
: 914-457-1583;
Practice Location Address
:
210 WESTCHESTER AVE
,
, WHITE PLAINS
, NY
, 10604-2901
Practice Phone
: 914-682-0731;
Practice Fax
: 914-681-5289
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1417917519 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1326008426 -
WALESKA
M
DONATO
DPM
Other Name
:
Mailing Address
:
351 AVE HOSTOS STE 310
SUITE 310 MEDICAL EMPORIUM BUILDING
MAYAGUEZ
PR
00680-1504
Phone
: 787-806-1696;
Fax
: 787-833-6434;
Practice Location Address
:
351 HOSTOS AVE
, SUITE 310 MEDICAL EMPORIUM BUILDING
, MAYAGUEZ
, PR
, 00680
Practice Phone
: 787-806-1696;
Practice Fax
: 787-833-6434
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1235199332 -
RICHARD
M
CABOT
M.D.
Other Name
:
Mailing Address
:
165 POPLAR ST
SUITE 2
MILLINOCKET
ME
04462-1235
Phone
: 207-723-3003;
Fax
: 207-723-3006;
Practice Location Address
:
165 POPLAR ST
, SUITE 2
, MILLINOCKET
, ME
, 04462-1235
Practice Phone
: 207-723-3003;
Practice Fax
: 207-723-3006
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1669432688 -
WILLIAM
JAMES
BRENNER
MSPT
Other Name
:
Mailing Address
:
33900 HARPER AVE
SUITE 104
CLINTON TOWNSHIP
MI
48035-4258
Phone
: 586-416-9100;
Fax
: 586-416-9103;
Practice Location Address
:
1747 N CANTON CENTER RD
,
, CANTON
, MI
, 48187-2948
Practice Phone
: 734-738-0000;
Practice Fax
: 734-738-0038
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1578523593 -
KOUROSH
DASTGHEIB
MD
Other Name
:
Mailing Address
:
12665 GARDEN GROVE BLVD STE 301
GARDEN GROVE
CA
92843-1917
Phone
: 714-636-6282;
Fax
: 714-422-0960;
Practice Location Address
:
12665 GARDEN GROVE BLVD STE 301
,
, GARDEN GROVE
, CA
, 92843-1917
Practice Phone
: 909-581-6732;
Practice Fax
: 909-581-6737
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1487614400 -
PATRICIA
A
CONNOR
M.D.
Other Name
:
Mailing Address
:
453 WATERBURY CT
SUITE 220
GAHANNA
OH
43230-5309
Phone
: 614-471-0652;
Fax
: 614-509-6001;
Practice Location Address
:
453 WATERBURY CT
, SUITE 220
, GAHANNA
, OH
, 43230-5309
Practice Phone
: 614-471-0652;
Practice Fax
: 614-509-6001
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1295795219 -
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:
Mailing Address
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Phone
: ;
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: ;
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,
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: ;
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:
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1104886126 -
DR.
DR.
JEFF
D.
CHANCELLOR
M.D.
Other Name
:
Mailing Address
:
PO BOX 847408
DALLAS
TX
75284-7408
Phone
: 254-724-2111;
Fax
: ;
Practice Location Address
:
7700 FISH POND RD
,
, WACO
, TX
, 76710-1031
Practice Phone
: 254-741-4444;
Practice Fax
:
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1013977032 -
DR.
DR.
EDWARD
STEPHEN
BATISTA
PHD
Other Name
:
Mailing Address
:
3920 MARKET ST
CAMP HILL
PA
17011-4202
Phone
: 717-737-7332;
Fax
: 717-737-2732;
Practice Location Address
:
3920 MARKET ST
,
, CAMP HILL
, PA
, 17011-4202
Practice Phone
: 717-737-7332;
Practice Fax
: 717-737-2732
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1922068949 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1831159854 -
DR.
DR.
WESLEY
A
HARPER
DDS
Other Name
:
Mailing Address
:
4025 W BELL RD
STE 21
PHOENIX
AZ
85053-2749
Phone
: 602-978-2922;
Fax
: ;
Practice Location Address
:
4025 W BELL RD
, STE 21
, PHOENIX
, AZ
, 85053-2749
Practice Phone
: 602-978-2922;
Practice Fax
:
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1740240761 -
DR.
DR.
NAFYS
SAMANDARI
DDS
Other Name
:
Mailing Address
:
6945 E SAHUARO DR.
STE A-3
SCOTTSDALE
AZ
85254
Phone
: 480-951-3333;
Fax
: 480-951-0436;
Practice Location Address
:
6945 E SAHUARO DR.
, STE A-3
, SCOTTSDALE
, AZ
, 85254
Practice Phone
: 480-951-3333;
Practice Fax
: 480-951-0436
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1598725525 -
PATRICIA
SUE
KNIGHT
RN
Other Name
:
PATRICIA
SUE
COLLINS
Mailing Address
:
1003 GRAND AVENUE
WEST DES MOINES
IA
50265-3502
Phone
: 515-267-1003;
Fax
: 515-267-0100;
Practice Location Address
:
1003 GRAND AVENUE
,
, WEST DES MOINES
, IA
, 50265-3502
Practice Phone
: 515-267-1003;
Practice Fax
: 515-267-0100
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1407816432 -
BRAD
HENRY
GOODMAN
M. D.
Other Name
:
Mailing Address
:
505 EISENHOWER DR
SAVANNAH
GA
31406-2668
Phone
: 912-354-6190;
Fax
: 912-354-6172;
Practice Location Address
:
505 EISENHOWER DR
,
, SAVANNAH
, GA
, 31406-2668
Practice Phone
: 912-354-6190;
Practice Fax
: 912-354-6172
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1316907348 -
SHABBIR
AHMED
M.D.
Other Name
:
Mailing Address
:
4646 JOHN R ST
DETROIT
MI
48201-1916
Phone
: 313-576-3306;
Fax
: 313-576-1824;
Practice Location Address
:
4646 JOHN R ST
,
, DETROIT
, MI
, 48201-1916
Practice Phone
: 313-576-3306;
Practice Fax
: 313-576-1824
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1225098254 -
CHRISTOPHER
O
SHARKEY
MS, ATC
Other Name
:
Mailing Address
:
26559 N 1925 EAST RD
LEXINGTON
IL
61753-9590
Phone
: 309-747-3278;
Fax
: ;
Practice Location Address
:
303 N WILLIAM KUMPF BLVD
,
, PEORIA
, IL
, 61605-2507
Practice Phone
: 309-676-0604;
Practice Fax
: 309-676-5045
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1134189160 -
DR.
DR.
PATRICK
WAYNE
KELLY
MD
Other Name
:
Mailing Address
:
3801 S ELMWOOD AVE
SIOUX FALLS
SD
57105-6565
Phone
: 605-306-6140;
Fax
: 605-306-6500;
Practice Location Address
:
3801 S ELMWOOD AVE
,
, SIOUX FALLS
, SD
, 57105-6565
Practice Phone
: 605-306-6140;
Practice Fax
: 605-306-6500
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1043270077 -
DR.
DR.
MICHAEL
C.
BRICE
O.D.
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: 800-994-0371;
Fax
: ;
Practice Location Address
:
900 SCOTT AND WHITE DR
,
, COLLEGE STATION
, TX
, 77845-6419
Practice Phone
: 979-207-7400;
Practice Fax
:
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1407816440 -
MS.
MS.
EILEEN
THERESE
MCDERMOTT
NP
Other Name
:
Mailing Address
:
10947 S DRAKE AVE
CHICAGO
IL
60655
Phone
: 773-259-7846;
Fax
: ;
Practice Location Address
:
30 E 15TH ST
, SUITE 207
, CHICAGO HEIGHTS
, IL
, 60411
Practice Phone
: 708-756-5454;
Practice Fax
:
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1316907355 -
DR.
DR.
KRISNA
CHONGSIRIWATANA
M.D.
Other Name
:
Mailing Address
:
500 WALTER ST NE
SUITE 104
ALBUQUERQUE
NM
87102-2534
Phone
: 505-848-3730;
Fax
: ;
Practice Location Address
:
500 WALTER NE
, SUITE 104
, ALBUQUERQUE
, NM
, 87102
Practice Phone
: 505-848-3730;
Practice Fax
:
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1528028578 -
DR.
DR.
ABDUL
S.
KHAN
MD
Other Name
:
Mailing Address
:
711 TROY SCHENECTADY ROAD
SUITE 207
LATHAM
NY
12110-2442
Phone
: 518-867-3030;
Fax
: 518-867-3033;
Practice Location Address
:
711 TROY SCHENECTADY RD STE 207
,
, LATHAM
, NY
, 12110-2461
Practice Phone
: 518-867-3030;
Practice Fax
:
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1437119484 -
AARON
WAYNE
ENGELS
DDS
Other Name
:
Mailing Address
:
12229 MONTCLAIR BND
AUSTIN
TX
78732-1229
Phone
: 512-269-6374;
Fax
: ;
Practice Location Address
:
12229 MONTCLAIR BND
,
, AUSTIN
, TX
, 78732-1229
Practice Phone
: 512-269-6374;
Practice Fax
:
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1346200391 -
SANJAY
AGARWAL
MD
Other Name
:
Mailing Address
:
9910 FRANKLIN SQUARE DR # 2110
BALTIMORE
MD
21236-4902
Phone
: 551-206-7821;
Fax
: ;
Practice Location Address
:
8600 OLD GEORGETOWN RD
,
, BETHESDA
, MD
, 20814-1422
Practice Phone
: 301-896-7500;
Practice Fax
:
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1255391207 -
NILA
PATEL
MD
Other Name
:
Mailing Address
:
3768 RICHMOND AVE
STATEN ISLAND
NY
10312-3837
Phone
: 718-948-2633;
Fax
: 718-948-2833;
Practice Location Address
:
3768 RICHMOND AVE
,
, STATEN ISLAND
, NY
, 10312-3837
Practice Phone
: 718-948-2633;
Practice Fax
: 718-948-2833
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1164482113 -
GAYE
MCCAFFERTY
NP
Other Name
:
GAYE
BOSE
Mailing Address
:
314 S MANNING BLVD
ALBANY
NY
12208-1708
Phone
: 518-437-5963;
Fax
: 518-437-5965;
Practice Location Address
:
314 S MANNING BLVD
,
, ALBANY
, NY
, 12208-1708
Practice Phone
: 518-437-5963;
Practice Fax
: 518-437-5965
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1073573028 -
MS.
MS.
DAWN
M
FOSTER
Other Name
:
Mailing Address
:
BHC DEIGO GARCIA
PSC 466 BOX 3
FPO
AP
96595-0003
Phone
: ;
Fax
: ;
Practice Location Address
:
BHC DIEGO GARCIA
, PDC 466 BOX 3
, FPO
, AP
, 96595-0003
Practice Phone
: 11-220-4211;
Practice Fax
:
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1982664934 -
MARK
HERSKOVITS
DO PD
Other Name
:
Mailing Address
:
80 MARCUS DR
MELVILLE
NY
11747-4230
Phone
: 631-391-8366;
Fax
: 631-454-4163;
Practice Location Address
:
8900 VAN WYCK EXPRESSWAY
,
, JAMAICA
, NY
, 11418
Practice Phone
: 718-206-7794;
Practice Fax
: 718-206-6145
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1790745743 -
SCOTT
TREPETA
MD
Other Name
:
Mailing Address
:
888 OLD COUNTRY RD
PLAINVIEW
NY
11803-4914
Phone
: 516-719-2222;
Fax
: ;
Practice Location Address
:
888 OLD COUNTRY RD
,
, PLAINVIEW
, NY
, 11803-4914
Practice Phone
: 516-719-2222;
Practice Fax
:
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1609836659 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1518927565 -
STEVEN
R
INGLIS
MD
Other Name
:
Mailing Address
:
80 MARCUS DR
PROVIDER ENROLLMENT
MELVILLE
NY
11747-4230
Phone
: 631-391-8366;
Fax
: 631-454-4161;
Practice Location Address
:
8900 VAN WYCK EXPRESSWAY
,
, JAMAICA
, NY
, 11418
Practice Phone
: 718-206-7642;
Practice Fax
: 718-206-6786
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1427018472 -
KIMBERLY
A
MARTINEZ
CPNP
Other Name
:
Mailing Address
:
2910 CENTRE POINTE DRIVE
35 121A CHILDRENS HEALTH CARE
ROSEVILLE
MN
55113
Phone
: 651-855-2327;
Fax
: 651-855-2310;
Practice Location Address
:
347 NORTH SMITH AVENUE
, 401 MIDWEST CHILDRENS RESOURCE CENTER
, ST PAUL
, MN
, 55102
Practice Phone
: 651-220-6750;
Practice Fax
: 651-220-6770
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1336109388 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1245290295 -
RONALD
C
JONES
MD
Other Name
:
Mailing Address
:
3325 N UNIVERSITY AVE
STE 100
PROVO
UT
84604-4465
Phone
: 801-373-1275;
Fax
: 801-377-2779;
Practice Location Address
:
3325 N UNIVERSITY AVE
, STE 100
, PROVO
, UT
, 84604-4465
Practice Phone
: 801-373-1275;
Practice Fax
: 801-377-2779
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1154381101 -
DR.
DR.
ROBERT
WADE
BRANCH
Other Name
:
Mailing Address
:
PO BOX 9
506A OLD LEXINGTON HWY
CHAPIN
SC
29036-0009
Phone
: 803-345-3170;
Fax
: 803-233-2882;
Practice Location Address
:
506 OLD LEXINGTON HWY
, SUITE A
, CHAPIN
, SC
, 29036-9823
Practice Phone
: 803-345-3170;
Practice Fax
: 803-233-2882
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1063472017 -
CARL
K
GJERTSON
M.D.
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
, UROLOGY
, FARMINGTON
, CT
, 06030-6227
Practice Phone
: 860-679-4100;
Practice Fax
: 860-679-1390
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1316907363 -
DR.
DR.
HENRY
M
ASIN
D.P.M.
Other Name
:
Mailing Address
:
5401 N. PORTLAND AVE.
SUITE 395
OKLAHOMA CITY
OK
73112-2089
Phone
: 405-947-8041;
Fax
: 405-947-8043;
Practice Location Address
:
5401 N PORTLAND AVE
, SUITE 395
, OKLAHOMA CITY
, OK
, 73112-2082
Practice Phone
: 405-947-8041;
Practice Fax
: 405-947-8043
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1225098270 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1134189186 -
MARTINS POINT HEALTH CARE INC
Other Name
:
Mailing Address
:
331 VERANDA ST
PORTLAND
ME
04103-5545
Phone
: 207-774-5801;
Fax
: 207-828-2495;
Practice Location Address
:
901 WASHINGTON AVE
,
, PORTLAND
, ME
, 04103-2737
Practice Phone
: 207-774-5801;
Practice Fax
: 207-828-2483
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1043270093 -
MRS.
MRS.
JILL
ALANA
JACKSON
LMHC
Other Name
:
Mailing Address
:
709 COTTONWOOD RD
CRESTON
IA
50801-1911
Phone
: 641-278-1095;
Fax
: 641-278-1095;
Practice Location Address
:
709 COTTONWOOD RD
,
, CRESTON
, IA
, 50801-1911
Practice Phone
: 641-278-1095;
Practice Fax
: 641-278-1095
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1952361909 -
RAJESH
KUMAR
MD
Other Name
:
Mailing Address
:
2300 CHILDRENS PLAZA
#60 CHILDRENS MEMORIAL HOSPITAL
CHICAGO
IL
60614
Phone
: 312-227-6010;
Fax
: 312-227-9401;
Practice Location Address
:
2515 N CLARK ST
, CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTER
, CHICAGO
, IL
, 60614
Practice Phone
: 312-227-6010;
Practice Fax
: 312-227-9401
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1861452815 -
MRS.
MRS.
AMY
SUSAN
PALLER
MD
Other Name
:
AMY
SUSAN
COHEN
Mailing Address
:
BOX 107
2300 CHILDRENS PLAZA
CHICAGO
IL
60614-3394
Phone
: 312-227-6060;
Fax
: 312-227-9402;
Practice Location Address
:
2515 N CLARK
,
, CHICAGO
, IL
, 60614
Practice Phone
: 312-227-6060;
Practice Fax
:
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1770543720 -
DR.
DR.
DAVID
L
GROSSWALD
O.D.
Other Name
:
Mailing Address
:
1192 DOGWOOD DRIVE
CONYERS
GA
30012-5454
Phone
: 770-860-1919;
Fax
: 770-860-1607;
Practice Location Address
:
1192 DOGWOOD DRIVE
,
, CONYERS
, GA
, 30012-5454
Practice Phone
: 770-860-1919;
Practice Fax
: 770-860-1607
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1689634636 -
PETER
LU
MD
Other Name
:
Mailing Address
:
616 FM 1960 RD W
230
HOUSTON
TX
77090-3000
Phone
: 877-749-7428;
Fax
: 281-724-3100;
Practice Location Address
:
175 LANCASTER BLVD
,
, MECHANICSBURG
, PA
, 17055-3562
Practice Phone
: 717-691-4820;
Practice Fax
: 717-691-4819
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1497715445 -
AVANI
A
PATEL
MD
Other Name
:
Mailing Address
:
80 MARCUS DR
PROVIDER ENROLLMENT
MELVILLE
NY
11747-4230
Phone
: 631-391-7887;
Fax
: 631-454-4161;
Practice Location Address
:
13420 JAMAICA AVE
,
, JAMAICA
, NY
, 11418-2619
Practice Phone
: 718-206-6742;
Practice Fax
: 718-206-6905
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1306806351 -
JONATHAN
SCOTT
SELLMAN
MD
Other Name
:
Mailing Address
:
8170 33RD AVE S # MS 21110Q
BLOOMINGTON
MN
55425-4516
Phone
: ;
Fax
: ;
Practice Location Address
:
205 WABASHA ST S
,
, SAINT PAUL
, MN
, 55107-1805
Practice Phone
: 952-967-5584;
Practice Fax
: 651-293-8232
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1215997267 -
ROBERT
MENDELSON
MD
Other Name
:
Mailing Address
:
89-06 135 STREET
7L
JAMAICA
NY
11418
Phone
: 718-206-7820;
Fax
: 718-206-6786;
Practice Location Address
:
89-06 135 STREET
, 2T
, JAMAICA
, NY
, 11418
Practice Phone
: 718-206-6742;
Practice Fax
: 718-206-6905
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1124088174 -
JOYCE
CLARK
RD CDN
Other Name
:
Mailing Address
:
400 EAST MAIN STREET
NORTHERN WESTCHESTER HOSPITAL ATTN MEDICAL AFFAIRS
MT KISCO
NY
10549
Phone
: 914-242-8318;
Fax
: 914-666-1965;
Practice Location Address
:
400 EAST MAIN STREET
, NORTHERN WESTCHESTER HOSPITAL NUTRIONAL SERVICES DEPT
, MT KISCO
, NY
, 10549
Practice Phone
: 914-666-1465;
Practice Fax
: 914-666-1787
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1033179080 -
NILESH
PATEL
MD
Other Name
:
Mailing Address
:
13420 JAMAICA AVE
1ST FLOOR
JAMAICA
NY
11418-2619
Phone
: 718-206-6742;
Fax
: 718-206-6905;
Practice Location Address
:
13420 JAMAICA AVE
, 1ST FLOOR
, JAMAICA
, NY
, 11418-2619
Practice Phone
: 718-206-6742;
Practice Fax
: 718-206-6905
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1942260997 -
DR.
DR.
EVAN
ZACHARY
KAPP
DO, MPH
Other Name
:
Mailing Address
:
8322 VINTAGE DR NE
ALBUQUERQUE
NM
87122-2646
Phone
: 505-385-6098;
Fax
: ;
Practice Location Address
:
8322 VINTAGE DR NE
,
, ALBUQUERQUE
, NM
, 87122-2646
Practice Phone
: 505-385-6098;
Practice Fax
:
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1851351803 -
BRADFORD
WALTERS
M.D.
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: ;
Fax
: ;
Practice Location Address
:
3601 W 13 MILE RD
, EC
, ROYAL OAK
, MI
, 48073-6769
Practice Phone
: 248-423-3144;
Practice Fax
:
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1760442719 -
AY-MING
WANG
M.D.
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: 947-522-1865;
Fax
: 947-522-0307;
Practice Location Address
:
3601 W 13 MILE RD
,
, ROYAL OAK
, MI
, 48073-6769
Practice Phone
: 248-423-3144;
Practice Fax
:
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1679533624 -
ERROL
S
MCKENZIE
MD
Other Name
:
Mailing Address
:
212 HIGHBRIDGE ST STE C
FAYETTEVILLE
NY
13066-1981
Phone
: 315-637-0477;
Fax
: 315-637-0559;
Practice Location Address
:
212 HIGHBRIDGE ST STE C
,
, FAYETTEVILLE
, NY
, 13066-1981
Practice Phone
: 315-637-0477;
Practice Fax
: 315-637-0559
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1588624530 -
DR.
DR.
LEA
WROBEL
MD
Other Name
:
Mailing Address
:
39182 TREASURY CTR
CHICAGO
IL
60694-9000
Phone
: 630-734-0200;
Fax
: ;
Practice Location Address
:
120 N OAK ST
,
, HINSDALE
, IL
, 60521-3829
Practice Phone
: 630-856-6700;
Practice Fax
:
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1396705349 -
PSY-CARE INC
Other Name
:
Mailing Address
:
2980 BELMONT AVE
YOUNGSTOWN
OH
44505-1834
Phone
: 330-759-2310;
Fax
: 330-759-0018;
Practice Location Address
:
2980 BELMONT AVE
,
, YOUNGSTOWN
, OH
, 44505-1834
Practice Phone
: 330-759-2310;
Practice Fax
: 330-759-0018
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1205896255 -
PRN NURSINGS SERVICES, INC
Other Name
:
Mailing Address
:
770 PONCE DE LEON BLVD
SUITE# 304
CORAL GABLES
FL
33134-2065
Phone
: 305-265-4482;
Fax
: 305-265-7622;
Practice Location Address
:
770 PONCE DE LEON BLVD
, SUITE# 304
, CORAL GABLES
, FL
, 33134-2065
Practice Phone
: 305-265-4482;
Practice Fax
: 305-265-7622
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1114987161 -
FAIRVIEW HAVEN INC
Other Name
:
Mailing Address
:
605 N 4TH ST
PO BOX 20
FAIRBURY
IL
61739-1210
Phone
: 815-692-2572;
Fax
: 815-692-4257;
Practice Location Address
:
605 N 4TH ST
,
, FAIRBURY
, IL
, 61739-1210
Practice Phone
: 815-692-2572;
Practice Fax
: 815-692-4257
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1023078078 -
HEART INSTITUTE OF BROWNSVILLE,LLP
Other Name
:
Mailing Address
:
213 HEART DR
BROWNSVILLE
TX
78520-3602
Phone
: 956-504-3278;
Fax
: 956-504-3287;
Practice Location Address
:
213 HEART DR
,
, BROWNSVILLE
, TX
, 78520-3602
Practice Phone
: 956-504-3278;
Practice Fax
: 956-504-3287
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1932169984 -
DR.
DR.
KERRY
TYSON
SANCHEZ
OD
Other Name
:
Mailing Address
:
1445 AVENUE B
BILLINGS
MT
59102-3146
Phone
: 406-259-2567;
Fax
: 406-259-9858;
Practice Location Address
:
1445 AVENUE B
,
, BILLINGS
, MT
, 59102-3146
Practice Phone
: 406-259-2567;
Practice Fax
: 406-259-9858
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