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Showing codes 1972572212 — 1831168186
1972572212 -
DR.
DR.
STEVEN
J
GRADOWSKI
OD
Other Name
:
Mailing Address
:
14760 W CENTER RD
OMAHA
NE
68144-2035
Phone
: 402-334-9100;
Fax
: 402-330-4906;
Practice Location Address
:
14760 W CENTER RD
,
, OMAHA
, NE
, 68144-2035
Practice Phone
: 402-334-9100;
Practice Fax
: 402-330-4906
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1881663128 -
MR.
MR.
RICHARD
O
YOUNG
CRNA
Other Name
:
Mailing Address
:
732 FALCON DR
MADISON
TN
37115-2561
Phone
: 615-865-0944;
Fax
: 615-868-1100;
Practice Location Address
:
500 HOSPITAL DR
,
, MADISON
, TN
, 37115-5031
Practice Phone
: 615-865-0300;
Practice Fax
:
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1699744938 -
DR.
DR.
JAMES
GLENN
BARGER
DC
Other Name
:
Mailing Address
:
231 BLUE RAVINE RD
SUITE 200
FOLSOM
CA
95630-3893
Phone
: 916-984-9999;
Fax
: 916-351-0776;
Practice Location Address
:
231 BLUE RAVINE RD
, SUITE 200
, FOLSOM
, CA
, 95630-3893
Practice Phone
: 916-984-9999;
Practice Fax
: 916-351-0776
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1508835844 -
DR.
DR.
IRENE
S.T.
CHAO
M.D.
Other Name
:
Mailing Address
:
101 SW CARY PKWY
SUITE 270
CARY
NC
27511-5562
Phone
: 919-467-5543;
Fax
: 919-469-2391;
Practice Location Address
:
101 SW CARY PKWY
, SUITE 270
, CARY
, NC
, 27511-5562
Practice Phone
: 919-467-5543;
Practice Fax
: 919-469-2391
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1942279187 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1851360093 -
DR.
DR.
RAE
LORAINE
BANIGAN
PH D CCC SLP
Other Name
:
Mailing Address
:
7 CHRISTINE ST
PALMER
MA
01069-2206
Phone
: 413-283-9240;
Fax
: ;
Practice Location Address
:
7 CHRISTINE ST
,
, PALMER
, MA
, 01069-2206
Practice Phone
: 413-283-9240;
Practice Fax
:
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1760451900 -
WOODLANDS CARE CENTER OF CITRUS COUNTY, INC.
Other Name
:
WOODLAND TERRACE OF CITRUS COUNTY
Mailing Address
:
124 W NORVELL BRYANT HWY
HERNANDO
FL
34442-5105
Phone
: 352-249-3100;
Fax
: 352-746-0748;
Practice Location Address
:
124 W NORVELL BRYANT HWY
,
, HERNANDO
, FL
, 34442-5105
Practice Phone
: 352-249-3100;
Practice Fax
: 352-746-0748
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1679542815 -
VIRGINIA
C
MCKENNA
MD
Other Name
:
Mailing Address
:
1821 S STOUGHTON RD
DEAN MEDICAL CENTER
MADISON
WI
53716-2257
Phone
: 608-260-6000;
Fax
: 608-260-6939;
Practice Location Address
:
1821 S STOUGHTON RD
,
, MADISON
, WI
, 53716-2257
Practice Phone
: 608-260-6000;
Practice Fax
: 608-260-6366
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1588633721 -
MRS.
MRS.
MELANIE
BAINBRIDGE
APRN
Other Name
:
MELANIE
SMITH
Mailing Address
:
4785 S DURANGO DR STE 101
LAS VEGAS
NV
89147-8167
Phone
: 702-889-8444;
Fax
: 702-889-8454;
Practice Location Address
:
4785 S DURANGO DR STE 101
,
, LAS VEGAS
, NV
, 89147-8167
Practice Phone
: 702-889-8444;
Practice Fax
: 702-889-8454
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1497724645 -
DR.
DR.
ANTHONY
SHANE
BLACK
DC
Other Name
:
Mailing Address
:
PO BOX 6853
DOTHAN
AL
36302-6853
Phone
: 334-673-1488;
Fax
: 334-673-8798;
Practice Location Address
:
1491 HARTFORD HWY
,
, DOTHAN
, AL
, 36301-3349
Practice Phone
: 334-673-1488;
Practice Fax
: 334-673-8798
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1306815550 -
DAVID
JOSEPH
WENDLING
MD
Other Name
:
Mailing Address
:
601 JOHN ST
BOX 42
KALAMAZOO
MI
49007-5341
Phone
: 269-423-7028;
Fax
: 269-423-8282;
Practice Location Address
:
319 W DELAWARE ST
,
, DECATUR
, MI
, 49045-1106
Practice Phone
: 269-423-7028;
Practice Fax
: 269-423-8282
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1215906466 -
SCOTT
JARED
HOUWMAN
PT
Other Name
:
Mailing Address
:
2100 NORTH KIMBALL ST
MITCHELL
SD
57301
Phone
: 605-996-8712;
Fax
: 605-996-7513;
Practice Location Address
:
2100 NORTH KIMBALL ST
,
, MITCHELL
, SD
, 57301
Practice Phone
: 605-996-8712;
Practice Fax
: 605-996-7513
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1124097373 -
DR.
DR.
STANLEY
J
FARR
DC
Other Name
:
Mailing Address
:
PO BOX 186
VALLEY FALLS
KS
66088
Phone
: 785-945-3261;
Fax
: 785-945-3419;
Practice Location Address
:
HWY 16 @ WALNUT STREET
,
, VALLEY FALLS
, KS
, 66088
Practice Phone
: 785-345-3261;
Practice Fax
: 785-945-3419
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1033188289 -
KITAE
KIM
MD
Other Name
:
Mailing Address
:
2657 WINDMILL PKWY # 685
HENDERSON
NV
89074-3384
Phone
: 702-629-3771;
Fax
: 702-438-6666;
Practice Location Address
:
3061 S MARYLAND PKWY STE 104
,
, LAS VEGAS
, NV
, 89109-6226
Practice Phone
: 702-629-3771;
Practice Fax
: 702-438-6666
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1942279195 -
MARY
M
HAGERTY
MD
Other Name
:
Mailing Address
:
420 W JUBAL EARLY DR STE 104
WINCHESTER
VA
22601-6435
Phone
: 540-667-6232;
Fax
: 540-667-6036;
Practice Location Address
:
420 W JUBAL EARLY DR STE 104
,
, WINCHESTER
, VA
, 22601-6435
Practice Phone
: 540-667-6232;
Practice Fax
: 540-667-6036
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1851360002 -
DR.
DR.
LINDY
LOUISE
DUGAN
M.D.
Other Name
:
LINDY
LOUISE
SILLINS
Mailing Address
:
99 CENTRAL AVE
ASHLAND
OR
97520-1787
Phone
: 541-482-9741;
Fax
: ;
Practice Location Address
:
99 CENTRAL AVE
,
, ASHLAND
, OR
, 97520-1787
Practice Phone
: 541-482-9741;
Practice Fax
:
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1760451918 -
DR.
DR.
ERIN
STEENBURGH THANIK
M.D.
Other Name
:
Mailing Address
:
300 MERCER ST
APT 30 N
NEW YORK
NY
10003-6724
Phone
: 212-353-2766;
Fax
: ;
Practice Location Address
:
506 LENOX AVE
,
, NEW YORK
, NY
, 10037-1802
Practice Phone
: 212-353-2766;
Practice Fax
:
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1679542823 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1588633739 -
JULIE
WANG
M.D.
Other Name
:
Mailing Address
:
1 GUSTAVE L LEVY PL
BOX 1200
NEW YORK
NY
10029-6500
Phone
: 212-241-9464;
Fax
: ;
Practice Location Address
:
1 GUSTAVE L LEVY PL
, BOX 1198
, NEW YORK
, NY
, 10029-6500
Practice Phone
: 212-241-9464;
Practice Fax
:
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1396714549 -
DR.
DR.
JEFFERY
E
SCOTT
PHARM.D, CPH. C.G.P.
Other Name
:
Mailing Address
:
2517 WATERVIEW PL
WINDERMERE
FL
34786-8330
Phone
: 321-239-6826;
Fax
: ;
Practice Location Address
:
6251 CHANCELLOR DR
, SUITE 101
, ORLANDO
, FL
, 32809-5501
Practice Phone
: 877-985-6337;
Practice Fax
:
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1710956156 -
JOYCE
LIPORACE
MD
Other Name
:
Mailing Address
:
701 E MARSHALL ST
WEST CHESTER
PA
19380-4412
Phone
: 610-431-5000;
Fax
: ;
Practice Location Address
:
701 E MARSHALL ST
,
, WEST CHESTER
, PA
, 19380-4412
Practice Phone
: 610-431-5000;
Practice Fax
:
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1073582417 -
DR.
DR.
JESSE
C.
KRAKAUER
MD
Other Name
:
Mailing Address
:
1695 12 MILE RD STE 200
BERKLEY
MI
48072-2100
Phone
: 248-548-9090;
Fax
: 248-548-8460;
Practice Location Address
:
1695 12 MILE RD STE 200
,
, BERKLEY
, MI
, 48072-2100
Practice Phone
: 248-548-9090;
Practice Fax
: 248-548-8060
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1982673323 -
REHAB INC
Other Name
:
Mailing Address
:
PO BOX 1075
SAN ANTONIO
FL
33576-1075
Phone
: 352-518-0505;
Fax
: 866-291-4106;
Practice Location Address
:
37937 HEATHER PL
,
, DADE CITY
, FL
, 33525-5420
Practice Phone
: 352-518-0505;
Practice Fax
: 866-291-4106
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1790754133 -
ALONZO
RICHARD
BURBA
M.D.
Other Name
:
Mailing Address
:
PO BOX 34113
LITTLE ROCK
AR
72203-4113
Phone
: 501-224-1281;
Fax
: 501-224-8633;
Practice Location Address
:
223 SUNNYMEADE DR
,
, LITTLE ROCK
, AR
, 72205-4736
Practice Phone
: 501-224-6611;
Practice Fax
: 501-224-6619
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1609845049 -
SHALLOTTE MEDICAL CENTER INC
Other Name
:
Mailing Address
:
PO BOX 2561
SHALLOTTE MEDICAL CENTER INC
SHALLOTTE
NC
28459
Phone
: 910-754-8731;
Fax
: 910-754-3153;
Practice Location Address
:
341-A WHITEVILLE RD
,
, SHALLOTTE
, NC
, 28470
Practice Phone
: 910-754-8731;
Practice Fax
: 910-754-3153
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1518936954 -
STEPHEN
G.
RICE
MD
Other Name
:
Mailing Address
:
51-02 DAVIS AVE
NEPTUNE
NJ
07753-4401
Phone
: 732-776-2433;
Fax
: 732-776-4403;
Practice Location Address
:
51-02 DAVIS AVE
,
, NEPTUNE
, NJ
, 07753-4401
Practice Phone
: 732-776-2433;
Practice Fax
: 732-776-4403
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1427027861 -
DR.
DR.
JAMES
M.
WYNALDA
M.D.
Other Name
:
Mailing Address
:
8485 ALGOMA AVE
P.O.BOX 346
ROCKFORD
MI
49341
Phone
: 616-863-6220;
Fax
: 616-863-6221;
Practice Location Address
:
840 BROOKVILLE PLAZA SE
,
, GRAND RAPIDS
, MI
, 49508
Practice Phone
: 616-243-5707;
Practice Fax
: 616-243-1170
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1336118777 -
PETER
M
GRAVES
CRNA
Other Name
:
Mailing Address
:
47 NEW SCOTLAND AVE
ALBANY
NY
12208-3412
Phone
: 518-262-4300;
Fax
: 518-262-4736;
Practice Location Address
:
47 NEW SCOTLAND AVE
,
, ALBANY
, NY
, 12208-3412
Practice Phone
: 518-262-4300;
Practice Fax
: 518-262-4736
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1245209683 -
MRS.
MRS.
MARY ANN
FLOYD
LANGSTON
ANP
Other Name
:
Mailing Address
:
4301 W MARKHAM ST
SLOT #783
LITTLE ROCK
AR
72205-7101
Phone
: 501-614-2125;
Fax
: 501-526-6562;
Practice Location Address
:
4301 W MARKHAM ST
, SLOT #783
, LITTLE ROCK
, AR
, 72205-7101
Practice Phone
: 501-614-2125;
Practice Fax
: 501-526-6562
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1154390599 -
DAVID
J
LYDON
D.O.
Other Name
:
Mailing Address
:
PO BOX 743070
ATLANTA
GA
30374-3070
Phone
: 864-560-4304;
Fax
: 864-560-4413;
Practice Location Address
:
722 HYATT ST
,
, GAFFNEY
, SC
, 29341-2643
Practice Phone
: 864-489-2400;
Practice Fax
: 864-488-3987
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1063481406 -
PAMELA
A
CRIPPEN
Other Name
:
Mailing Address
:
2921 TELESTAR CT
SUITE 140
FALLS CHURCH
VA
22042-1205
Phone
: 703-280-5858;
Fax
: 703-280-2654;
Practice Location Address
:
2921 TELESTAR CT
, SUITE 140
, FALLS CHURCH
, VA
, 22042-1205
Practice Phone
: 703-280-5858;
Practice Fax
: 703-280-2654
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1972572311 -
MRS.
MRS.
WENDY
L
REES
MA NCC LMHC
Other Name
:
Mailing Address
:
1410 N OLIVEWOOD CT
MUNCIE
IN
47304-9408
Phone
: 765-288-5032;
Fax
: ;
Practice Location Address
:
3645 N BRIARWOOD LN
, SUITE C
, MUNCIE
, IN
, 47304
Practice Phone
: 765-289-5520;
Practice Fax
: 765-289-5840
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1881663227 -
CHICORA MEDICAL GROUP PA
Other Name
:
BRUNSWICK SPECIALITY SERVICES
Mailing Address
:
PO BOX 2528
SHALLOTTE
NC
28459
Phone
: 910-754-8600;
Fax
: 910-755-2364;
Practice Location Address
:
20 MEDICAL CAMPUS DR
, STE 106B
, SUPPLY
, NC
, 28462
Practice Phone
: 910-754-8600;
Practice Fax
: 910-755-2364
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1699744037 -
DR.
DR.
MICHAEL
B
HARRIS
M.D.
Other Name
:
Mailing Address
:
233 MAPLE ST
ENGLEWOOD
NJ
07631-3703
Phone
: 201-871-0136;
Fax
: 201-487-7340;
Practice Location Address
:
HACKENSACK UNIVERSITY MEDICAL CENTER, PC116
, 30 PROSPECT AVE
, HACKENSACK
, NJ
, 07601
Practice Phone
: 551-996-5437;
Practice Fax
: 201-487-7340
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1508835943 -
DR.
DR.
STEPHEN
NATHAN
ABRAMSON
M.D.
Other Name
:
Mailing Address
:
8001 FRANKLIN FARMS DR
SUITE 130
RICHMOND
VA
23229-5108
Phone
: 804-521-5800;
Fax
: 804-545-4340;
Practice Location Address
:
5875 BREMO RD
, SUITE 505
, RICHMOND
, VA
, 23226-1934
Practice Phone
: 804-282-2685;
Practice Fax
: 804-282-0780
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1417926858 -
JOANNE
G
CRANTZ
M.D.
Other Name
:
Mailing Address
:
8316 ARLINGTON BLVD
SUITE 615
FAIRFAX
VA
22031-5207
Phone
: 703-560-8877;
Fax
: 706-560-8869;
Practice Location Address
:
8316 ARLINGTON BLVD
, SUITE 615
, FAIRFAX
, VA
, 22031-5207
Practice Phone
: 703-560-8877;
Practice Fax
: 706-560-8869
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1326017765 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1235108671 -
ANNEMARIE
T
CHRISTINO
APRN, CRNA
Other Name
:
Mailing Address
:
PO BOX 919473
ORLANDO
FL
32891-9473
Phone
: 941-360-1566;
Fax
: 941-358-9818;
Practice Location Address
:
1501 PASADENA AVE S
,
, SOUTH PASADENA
, FL
, 33707-3717
Practice Phone
: 727-341-7662;
Practice Fax
: 941-358-9818
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1144299587 -
DR.
DR.
ROBERT
ALAN
BEASLEY
MD
Other Name
:
Mailing Address
:
102 DUNHILL PLACE
CLEVELAND
TN
37311
Phone
: 423-472-1567;
Fax
: 423-476-7918;
Practice Location Address
:
1940 NORTH JACKSON STREET
, SUITE 150
, TULLAHOMA
, TN
, 37388
Practice Phone
: 931-563-8003;
Practice Fax
:
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1598734931 -
JAMI
SMALL
MD
Other Name
:
Mailing Address
:
4600 INVESTMENT DR
STE 300
TROY
MI
48098
Phone
: 248-267-5000;
Fax
: 248-267-5001;
Practice Location Address
:
4600 INVESTMENT DR
, STE 300
, TROY
, MI
, 48098
Practice Phone
: 248-267-5000;
Practice Fax
: 248-267-5001
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1407825847 -
MRS.
MRS.
SARAH
ANN
OWERS
CRNA
Other Name
:
Mailing Address
:
894 THOMPSON BAY LOOP
NEW BLAINE
AR
72851
Phone
: 479-938-1030;
Fax
: 479-938-7734;
Practice Location Address
:
ONE CHOCTAW WAY
,
, TALIHINA
, OK
, 74571
Practice Phone
: 918-567-7000;
Practice Fax
: 918-567-7090
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1316916752 -
ROBERT
WOOLLEN
MUELLER
MD
Other Name
:
Mailing Address
:
1717 W MAIN ST
SUITE 201
NEWARK
OH
43055-1347
Phone
: 220-564-2900;
Fax
: 220-564-2901;
Practice Location Address
:
1717 W MAIN ST
, SUITE 201
, NEWARK
, OH
, 43055-1347
Practice Phone
: 220-564-2900;
Practice Fax
: 220-564-2901
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1225007669 -
LUCKY
FLORES
M.D.
Other Name
:
Mailing Address
:
1750 W 46TH ST APT 439
HIALEAH
FL
33012-2877
Phone
: 305-801-6671;
Fax
: ;
Practice Location Address
:
1140 W 50TH ST STE 301
,
, HIALEAH
, FL
, 33012-3411
Practice Phone
: 305-827-0208;
Practice Fax
: 305-827-0280
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1134198575 -
DAVID
SEKONS
M.D.
Other Name
:
Mailing Address
:
2800 BARTONS BLUFF LN
#713
AUSTIN
TX
78746-7948
Phone
: 646-232-3440;
Fax
: ;
Practice Location Address
:
2800 BARTONS BLUFF LN
, #713
, AUSTIN
, TX
, 78746-7948
Practice Phone
: 646-232-3440;
Practice Fax
:
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1043289481 -
DR.
DR.
MARJORIE
WOOD
BARNDT
D.M.D., MDSC
Other Name
:
MARJORIE
COWEE
WOOD
Mailing Address
:
7 MAYWOOD DR
OLD LYME
CT
06371-1544
Phone
: 843-986-4144;
Fax
: ;
Practice Location Address
:
112 CROSS ROAD
, COASTAL CT DENTISTRY
, WATERFORD
, CT
, 06385
Practice Phone
: 860-447-1787;
Practice Fax
:
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1952370397 -
BRIAN
T
PAQUETTE
DO
Other Name
:
Mailing Address
:
201 PENNSYLVANIA PKWY
STE 200
INDIANAPOLIS
IN
46280-1393
Phone
: 317-805-5500;
Fax
: ;
Practice Location Address
:
201 PENNSYLVANIA PKWY
, STE 200
, INDIANAPOLIS
, IN
, 46280-1393
Practice Phone
: 317-805-5500;
Practice Fax
:
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1861461204 -
UCB PROPERTIES LLC
Other Name
:
CHICORA URGENT CARE
Mailing Address
:
PO BOX 2528
CHICORA URGENT CARE
SHALLOTTE
NC
28459
Phone
: 910-755-6300;
Fax
: 910-755-2364;
Practice Location Address
:
20 MEDICAL CAMPUS DR
,
, SUPPLY
, NC
, 28462
Practice Phone
: 910-755-6300;
Practice Fax
: 910-755-2364
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1770552119 -
CHICORA MEDICAL GROUP PA
Other Name
:
Mailing Address
:
PO BOX 2528
SHALLOTTE
NC
28459
Phone
: 910-754-8731;
Fax
: 910-754-3153;
Practice Location Address
:
341-B WHITEVILLE RD
,
, SHALLOTTE
, NC
, 28470
Practice Phone
: 910-754-8731;
Practice Fax
: 910-754-3153
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1689643025 -
DR.
DR.
RADHA
R.
IYER
MD
Other Name
:
Mailing Address
:
601 ELMWOOD AVE
PO BOX 648
ROCHESTER
NY
14642-8648
Phone
: 585-487-3319;
Fax
: 585-273-1033;
Practice Location Address
:
601 ELMWOOD AVE
,
, ROCHESTER
, NY
, 14642-8648
Practice Phone
: 585-487-3319;
Practice Fax
: 585-273-1033
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1497724835 -
DENISE
R
BAUER
N.P.
Other Name
:
DENISE
MARIE
BAUER
Mailing Address
:
3621 S STATE ST
700 KMS PLACE
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
1500 E MEDICAL CENTER DR
, 7TH FLOOR MOTT RM F7830
, ANN ARBOR
, MI
, 48109-5223
Practice Phone
: 734-763-7354;
Practice Fax
:
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1306815741 -
SHALLOTTE MEDICAL CENTER INC
Other Name
:
HOLDEN BEACH MEDICAL CENTER
Mailing Address
:
PO BOX02561
HOLDEN BEACH MEDICAL CENTER
SHALLOTTE
NC
28459
Phone
: 910-842-5991;
Fax
: 910-842-5994;
Practice Location Address
:
2930 HOLDEN BEACH RD
,
, SUPPLY
, NC
, 28462
Practice Phone
: 910-842-5991;
Practice Fax
: 910-842-5994
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1215906656 -
GRANT COUNTY FIRE DISTRICT NO. 8
Other Name
:
GRANT COUNTY FIRE DISTRICT 8
Mailing Address
:
20643 RD 22.5 SW
MATTAWA
WA
99349
Phone
: 509-932-4777;
Fax
: 509-932-4747;
Practice Location Address
:
20643 RD 22.5 SW
,
, MATTAWA
, WA
, 99349
Practice Phone
: 509-932-4777;
Practice Fax
: 509-932-4747
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1124097563 -
MEDICAL ENDOSCOPY PROFESSIONALS, PA
Other Name
:
Mailing Address
:
2631 FOREST DR
COLUMBIA
SC
29204-2363
Phone
: 803-254-8449;
Fax
: 803-254-8984;
Practice Location Address
:
2631 FOREST DR
,
, COLUMBIA
, SC
, 29204-2363
Practice Phone
: 803-254-8449;
Practice Fax
: 803-254-8984
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1033188479 -
JAMES
N
MARKER
DDS
Other Name
:
Mailing Address
:
1605 SE 29TH ST
TOPEKA
KS
66605
Phone
: ;
Fax
: ;
Practice Location Address
:
1605 SE 29TH ST
,
, TOPEKA
, KS
, 66605
Practice Phone
: 785-266-9100;
Practice Fax
: 785-266-7717
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1942279385 -
RINGGOLD MEDICAL CENTER
Other Name
:
DR PATRICK L TSUI DO
Mailing Address
:
886 LAFAYETTE ST
RINGGOLD
GA
30736
Phone
: 706-935-4020;
Fax
: 706-965-8228;
Practice Location Address
:
886 LAFAYETTE ST
,
, RINGGOLD
, GA
, 30736
Practice Phone
: 706-935-4020;
Practice Fax
: 706-965-8228
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1851360291 -
ESTATE DENTAL PA
Other Name
:
LINDA L CHENG DDS
Mailing Address
:
3825 W SPRING CREEK PKWY
SUITE 200
PLANO
TX
75023-3849
Phone
: 972-867-7768;
Fax
: 972-867-0800;
Practice Location Address
:
3825 W SPRING CREEK PKWY
, SUITE 200
, PLANO
, TX
, 75023-3849
Practice Phone
: 972-867-7768;
Practice Fax
: 972-867-0800
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1760451108 -
BARBARA
J
DONNELLY
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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1679542013 -
DR.
DR.
VICTOR
M
MCMILLAN
Other Name
:
Mailing Address
:
119 W HILL ST
THOMASVILLE
GA
31792-6618
Phone
: 229-225-1900;
Fax
: 229-225-3493;
Practice Location Address
:
119 W HILL ST
,
, THOMASVILLE
, GA
, 31792-6618
Practice Phone
: 229-225-1900;
Practice Fax
: 229-225-3493
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1588633929 -
GASTON-LINCOLN-CLEVELAND MENTAL HEALTH SUBSTANCE ABUSE DD
Other Name
:
PATHWAYS MHDDSAS
Mailing Address
:
901 S NEW HOPE RD
GASTONIA
NC
28054-5829
Phone
: 704-884-2501;
Fax
: 704-884-2513;
Practice Location Address
:
2505 COURT DR
,
, GASTONIA
, NC
, 28054-2140
Practice Phone
: 704-884-2501;
Practice Fax
: 704-884-2513
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1396714739 -
VALLEY REHAB SERVICES, INC.
Other Name
:
Mailing Address
:
25826 BROWNING PL
STEVENSON RANCH
CA
91381-1225
Phone
: 661-618-8224;
Fax
: 661-222-9283;
Practice Location Address
:
25826 BROWNING PL
,
, STEVENSON RANCH
, CA
, 91381-1225
Practice Phone
: 661-618-8224;
Practice Fax
: 661-222-9283
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1205805645 -
MARY
E
ARMOSINO-HODERLEIN
P.A.
Other Name
:
MARYELLEN
ARMOSINO-HODERLEIN
Mailing Address
:
100 KINGS HWY S
ROCHESTER
NY
14617-5504
Phone
: 585-922-0553;
Fax
: ;
Practice Location Address
:
222 ALEXANDER ST
, SUITE 5000
, ROCHESTER
, NY
, 14607-4039
Practice Phone
: 585-922-8003;
Practice Fax
:
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1114996550 -
MARTHA
EDMONDS
LCSW
Other Name
:
Mailing Address
:
2865 WALLS BRANCH RD
BLACKSBURG
VA
24060-3737
Phone
: ;
Fax
: ;
Practice Location Address
:
2900 TYLER RD
,
, CHRISTIANSBURG
, VA
, 24073-6374
Practice Phone
: 540-731-7311;
Practice Fax
:
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1023087467 -
SANDRA
EVELYN
LANE
MD
Other Name
:
SANDRA
LANE
JOSEPH
Mailing Address
:
315 E OLYMPIA AVE UNIT 211
PUNTA GORDA
FL
33950-3823
Phone
: 941-637-2663;
Fax
: 941-637-6872;
Practice Location Address
:
315 E OLYMPIA AVE UNIT 211
,
, PUNTA GORDA
, FL
, 33950-3823
Practice Phone
: 941-637-2663;
Practice Fax
: 941-637-6872
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1932178373 -
KEITH
ALAN
LADU
DO
Other Name
:
Mailing Address
:
70 S CLEVELAND AVE
WESTERVILLE
OH
43081-1397
Phone
: 614-890-6555;
Fax
: 614-823-8881;
Practice Location Address
:
6785 BOBCAT WAY STE 300
,
, DUBLIN
, OH
, 43016-1443
Practice Phone
: 614-890-6555;
Practice Fax
: 614-823-8881
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1841269289 -
DR.
DR.
LEO
OLLECH
OD
Other Name
:
Mailing Address
:
1231 E 10 ST
BROOKLYN
NY
11230
Phone
: 718-253-6071;
Fax
: 718-253-6071;
Practice Location Address
:
1552 CONEY ISLAND AVE
,
, BROOKLYN
, NY
, 11230
Practice Phone
: 718-258-0315;
Practice Fax
: 718-258-6622
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1750350195 -
DR.
DR.
GARY
LEONARD
JOHNSON
JR.
DDS
Other Name
:
Mailing Address
:
2730 COHASSET RD
CHICO
CA
95973-0977
Phone
: 530-343-5587;
Fax
: 530-343-5824;
Practice Location Address
:
2730 COHASSET RD
,
, CHICO
, CA
, 95973-0977
Practice Phone
: 530-343-5587;
Practice Fax
: 530-343-5824
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1669441002 -
MR.
MR.
JEFFREY
J
REYNOLDS
OTR/L
Other Name
:
Mailing Address
:
55 ARNOLD DR
AUGUSTA
KS
67010-2367
Phone
: 316-775-5645;
Fax
: 316-804-6265;
Practice Location Address
:
NEWTON MEDICAL CENTER
, 600 MEDICAL CENTER DR
, NEWTON
, KS
, 67114-0308
Practice Phone
: 316-804-6080;
Practice Fax
: 316-804-6265
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1578532917 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1487623823 -
HEALTH SERVICES OF CLARION, INC.
Other Name
:
A-C VALLEY MEDICAL CENTER
Mailing Address
:
121 DOCTORS LANE
CLARION
PA
16214-8515
Phone
: 814-226-3470;
Fax
: 814-226-3479;
Practice Location Address
:
855 ROUTE 58
, SUITE 1
, PARKER
, PA
, 16049-7029
Practice Phone
: 724-659-5601;
Practice Fax
: 724-659-3544
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1295704633 -
LIANA
SANCHEZ
MD
Other Name
:
Mailing Address
:
635 1ST ST N
WINTER HAVEN
FL
33881-4129
Phone
: 863-294-0670;
Fax
: 863-298-3200;
Practice Location Address
:
101 AVENUE C NW
,
, WINTER HAVEN
, FL
, 33881-4527
Practice Phone
: 863-294-0670;
Practice Fax
: 863-298-3200
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1104895549 -
DR.
DR.
DAVID
LEON
MOODY
JR.
D.C.
Other Name
:
Mailing Address
:
9511 DELEGATES ROW
INDIANAPOLIS
IN
46240-3807
Phone
: 317-571-1480;
Fax
: ;
Practice Location Address
:
9511 DELEGATES ROW
,
, INDIANAPOLIS
, IN
, 46240-3807
Practice Phone
: 317-571-1480;
Practice Fax
: 317-571-1481
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1013986454 -
MS.
MS.
MELISSA
MARIE
JONES
ATC
Other Name
:
Mailing Address
:
4328 NUTMEG LN
211
LISLE
IL
60532-1167
Phone
: 612-396-1663;
Fax
: ;
Practice Location Address
:
4328 NUTMEG LN
, 211
, LISLE
, IL
, 60532-1167
Practice Phone
: 612-396-1663;
Practice Fax
:
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1922077361 -
STEPHEN
K
YOUNG
DDS
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 STANTON L YOUNG BLVD
, STE. 451
, OKLAHOMA CITY
, OK
, 73104-5020
Practice Phone
: 405-271-2422;
Practice Fax
:
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1831168277 -
RICHARD
ALAN
WILMOT
MD
Other Name
:
Mailing Address
:
2 EXECUTIVE PARK DR
ALBANY
NY
12203-3700
Phone
: 518-435-9831;
Fax
: 518-435-9169;
Practice Location Address
:
2 EXECUTIVE PARK DR
,
, ALBANY
, NY
, 12203-3700
Practice Phone
: 518-435-9831;
Practice Fax
: 518-435-9169
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1740259183 -
DR.
DR.
ROBERT
ANTHONY
MCPEAKE
MD
Other Name
:
Mailing Address
:
73211 FRED WARING
SUITE 100
PALM DESERT
CA
92260
Phone
: 760-568-4939;
Fax
: 760-773-0001;
Practice Location Address
:
73211 FRED WARING
, SUITE 100
, PALM DESERT
, CA
, 92260
Practice Phone
: 760-568-4939;
Practice Fax
: 760-773-0001
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1659340099 -
JANELLE
VANZANDT
M.D.
Other Name
:
Mailing Address
:
1699 HARRISON ST
SUITE D
BATESVILLE
AR
72501-7318
Phone
: 870-307-0488;
Fax
: 870-307-0916;
Practice Location Address
:
1699 HARRISON ST
, SUITE D
, BATESVILLE
, AR
, 72501-7318
Practice Phone
: 870-307-0488;
Practice Fax
: 870-307-0916
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1568431906 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1477522811 -
KAREN KORZELIUS
Other Name
:
SENSORY PLAYGROUND OT CLINIC
Mailing Address
:
50042 HORSESHOE TRL
ALBEMARLE
NC
28001-7628
Phone
: 704-986-2472;
Fax
: 704-986-2472;
Practice Location Address
:
24807 S BUSINESS 52
,
, ALBEMARLE
, NC
, 28001-8180
Practice Phone
: 704-796-5493;
Practice Fax
: 704-986-2472
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1386613727 -
LEONARD
G
CLOW
DO
Other Name
:
Mailing Address
:
57 WATER ST
BLUE HILL
ME
04614-5231
Phone
: 207-374-3473;
Fax
: 207-374-3989;
Practice Location Address
:
57 WATER ST
,
, BLUE HILL
, ME
, 04614-5231
Practice Phone
: 207-374-3473;
Practice Fax
: 207-374-3989
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1295704641 -
DR.
DR.
JAMES
W
FALCONER
Other Name
:
Mailing Address
:
119 W HILL ST
THOMASVILLE
GA
31792-6618
Phone
: 229-225-1900;
Fax
: 229-225-3493;
Practice Location Address
:
119 W HILL ST
,
, THOMASVILLE
, GA
, 31792-6618
Practice Phone
: 229-225-1900;
Practice Fax
: 229-225-3493
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1104895556 -
WALTER
PETER
MUTTER
M.D.
Other Name
:
Mailing Address
:
NEWTON WELLESLEY HOSPITAL, GREEN 460
NEWTON WELLESLEY PHYSICIANS NEPHROLOGY
NEWTON
MA
20462
Phone
: 617-243-5420;
Fax
: ;
Practice Location Address
:
NEWTON WELLESLEY PHYSICIANS NEPHROLOGY
, NEWTON WELLESLEY HOSPITAL, GREEN 460
, NEWTON
, MA
, 20462
Practice Phone
: 617-243-5420;
Practice Fax
:
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1013986462 -
KASS
SADRI
MD
Other Name
:
Mailing Address
:
510 E 86TH TREET
NEW YORK
NY
10028
Phone
: 212-570-6564;
Fax
: 212-517-4348;
Practice Location Address
:
510 E 86TH ST
,
, NEW YORK
, NY
, 10028-7504
Practice Phone
: 212-570-6564;
Practice Fax
: 212-517-4348
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1922077379 -
DR.
DR.
REID
WILSON
PH.D.
Other Name
:
Mailing Address
:
3011 JONES FERRY RD
CHAPEL HILL
NC
27516-5587
Phone
: 919-942-0700;
Fax
: ;
Practice Location Address
:
3011 JONES FERRY RD
,
, CHAPEL HILL
, NC
, 27516-5587
Practice Phone
: 919-942-0700;
Practice Fax
:
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1831168285 -
MS.
MS.
JAN
K
HERSHEY
MSED
Other Name
:
Mailing Address
:
1421 PARKVIEW AVE
ROCKFORD
IL
61107-1819
Phone
: 815-395-4581;
Fax
: ;
Practice Location Address
:
5510 E STATE ST
,
, ROCKFORD
, IL
, 61108-2381
Practice Phone
: 815-395-4505;
Practice Fax
:
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1740259191 -
PARMOD
JINDAL
MD
Other Name
:
Mailing Address
:
2114 EUREKA RD
WYANDOTTE
MI
48192
Phone
: 734-282-2400;
Fax
: 734-282-2420;
Practice Location Address
:
2114 EUREKA RD
,
, WYANDOTTE
, MI
, 48192
Practice Phone
: 734-282-2400;
Practice Fax
: 734-282-2420
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1659340008 -
MARK
W
SHABLA
MD
Other Name
:
Mailing Address
:
635 1ST ST N
WINTER HAVEN
FL
33881-4129
Phone
: 863-294-0670;
Fax
: 863-298-3200;
Practice Location Address
:
635 1ST ST N
,
, WINTER HAVEN
, FL
, 33881-4129
Practice Phone
: 863-294-0670;
Practice Fax
: 863-298-3200
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1568431914 -
DR.
DR.
KEVIN
SKOLE
MD
Other Name
:
Mailing Address
:
5 PLAINSBORO ROAD
SUITE 300
PLAINSBORO
NJ
08536
Phone
: 609-853-7272;
Fax
: 609-853-7271;
Practice Location Address
:
5 PLAINSBORO ROAD
, SUITE 300
, PLAINSBORO
, NJ
, 08536
Practice Phone
: 609-853-7272;
Practice Fax
: 609-853-7271
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1477522829 -
MR.
MR.
GERALD
DENNIS
SAMMARTANO
LCSW
Other Name
:
Mailing Address
:
12 DEEP GORGE RD
GREENWICH
CT
06831-4232
Phone
: 203-531-6553;
Fax
: ;
Practice Location Address
:
150 PURCHASE ST
, SUITE 11F
, RYE
, NY
, 10580-2141
Practice Phone
: 914-921-3000;
Practice Fax
:
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1386613735 -
DR.
DR.
SHAFQAT
HAMZA
ASHAI
M.D.
Other Name
:
Mailing Address
:
PO BOX 1385
AHOSKIE
NC
27910-1385
Phone
: 252-209-3148;
Fax
: 252-209-3146;
Practice Location Address
:
500 ACADEMY ST S
,
, AHOSKIE
, NC
, 27910-3248
Practice Phone
: 252-209-3148;
Practice Fax
: 252-209-3146
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1194794545 -
RICHARD
JAMES
HALDEMAN
III
PA
Other Name
:
Mailing Address
:
47 NEW SCOTLAND AVE
ALBANY
NY
12208-3412
Phone
: 518-262-3773;
Fax
: 518-262-3236;
Practice Location Address
:
47 NEW SCOTLAND AVE
,
, ALBANY
, NY
, 12208-3412
Practice Phone
: 518-262-3773;
Practice Fax
: 518-262-3236
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1003885450 -
MISS
MISS
MARSHA
JORDAN
HOLLOWAY
D.M.D.,M.S.
Other Name
:
Mailing Address
:
200 12TH ST W
SUITE F
TIFTON
GA
31794-3978
Phone
: 229-386-1616;
Fax
: 229-386-4828;
Practice Location Address
:
200 12TH ST W
, SUITE F
, TIFTON
, GA
, 31794-3978
Practice Phone
: 229-386-1616;
Practice Fax
: 229-386-4828
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1912976366 -
OAKHILL MEDICAL ASSOCIATES, INC.
Other Name
:
Mailing Address
:
4879 US HIGHWAY 68 S
WEST LIBERTY
OH
43357-9525
Phone
: 937-599-5175;
Fax
: 937-465-9945;
Practice Location Address
:
4879 US HIGHWAY 68 S
,
, WEST LIBERTY
, OH
, 43357-9525
Practice Phone
: 937-599-5175;
Practice Fax
: 937-465-9945
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1821067273 -
DR.
DR.
CHRISTOPHER
VINSANT
MD
Other Name
:
Mailing Address
:
501 20TH ST
SUITE 606
KNOXVILLE
TN
37916-1809
Phone
: 865-546-8040;
Fax
: ;
Practice Location Address
:
501 20TH ST
, SUITE 606
, KNOXVILLE
, TN
, 37916-1809
Practice Phone
: 865-546-8040;
Practice Fax
: 865-541-2787
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1730158189 -
THOMAS
DAVID
GAZDA
M.D.
Other Name
:
Mailing Address
:
3101 N CENTRAL AVE STE 550
PHOENIX
AZ
85012-2635
Phone
: 602-230-7373;
Fax
: 602-682-7455;
Practice Location Address
:
3033 N CENTRAL AVE STE 700
,
, PHOENIX
, AZ
, 85012-2806
Practice Phone
: 602-230-7373;
Practice Fax
: 602-257-8029
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1487623732 -
ARKANSAS NEURODIAGNOSTIC CENTER, P. A.
Other Name
:
Mailing Address
:
PO BOX 34113
LITTLE ROCK
AR
72203-4113
Phone
: 501-224-6625;
Fax
: 501-224-6619;
Practice Location Address
:
223 SUNNYMEADE DR
,
, LITTLE ROCK
, AR
, 72205-4736
Practice Phone
: 501-224-6625;
Practice Fax
: 501-224-6619
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1295704542 -
DR.
DR.
NANCY
J
DAVIS
D.D.S.
Other Name
:
Mailing Address
:
300 NORTHLAKE DR
PEACHTREE CITY
GA
30269-3524
Phone
: 770-487-8298;
Fax
: 770-487-5372;
Practice Location Address
:
300 NORTHLAKE DR
,
, PEACHTREE CITY
, GA
, 30269-3524
Practice Phone
: 770-487-8298;
Practice Fax
: 770-487-5372
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1104895457 -
AMY
REBECCA
PAUL
MS, NCC, LPC
Other Name
:
Mailing Address
:
215 E VILLAGE RD
HOLLAND
PA
18966-2520
Phone
: 215-354-0161;
Fax
: 215-504-0661;
Practice Location Address
:
720 SECOND STREET PIKE
, 202A
, SOUTHAMPTON
, PA
, 18966-5902
Practice Phone
: 215-354-0161;
Practice Fax
: 215-504-0661
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1013986363 -
KAREN
A
HUTCHINSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 5246
BRIDGEPORT
CT
06610-0246
Phone
: 203-384-3873;
Fax
: 203-384-3829;
Practice Location Address
:
226 MILL HILL AVE
, 3RD FLOOR
, BRIDGEPORT
, CT
, 06610-2811
Practice Phone
: 203-384-3873;
Practice Fax
: 203-384-3829
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1922077270 -
WILLIAM
W
NEAL
MD
Other Name
:
Mailing Address
:
915 GREEN TREE LN
DUNCANVILLE
TX
75137-2923
Phone
: 214-769-0576;
Fax
: ;
Practice Location Address
:
1230 BROWN TRL
,
, BEDFORD
, TX
, 76022-8028
Practice Phone
: 817-353-1230;
Practice Fax
: 817-920-6494
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1831168186 -
DR.
DR.
ANTHONY
A
BEARDMORE
MD
Other Name
:
Mailing Address
:
777 BANNOCK ST
DENVER
CO
80204-4507
Phone
: 303-602-1590;
Fax
: ;
Practice Location Address
:
777 BANNOCK ST
,
, DENVER
, CO
, 80204-4507
Practice Phone
: 303-602-1590;
Practice Fax
:
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