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Showing codes 1578511325 — 1013965946
1578511325 -
MR.
MR.
JUSTIN
HARLE
P.T.
Other Name
:
Mailing Address
:
15899 SW BALER WAY
SHERWOOD
OR
97140-8833
Phone
: 503-625-2217;
Fax
: 503-925-1469;
Practice Location Address
:
15899 SW BALER WAY
,
, SHERWOOD
, OR
, 97140-8833
Practice Phone
: 503-625-2217;
Practice Fax
: 503-925-1469
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1487602231 -
HISPANIC MEDICAL CENTER, SC
Other Name
:
Mailing Address
:
3527 W NATIONAL AVE
MILWAUKEE
WI
53215-1024
Phone
: 414-384-8930;
Fax
: ;
Practice Location Address
:
3527 W NATIONAL AVE
,
, MILWAUKEE
, WI
, 53215-1024
Practice Phone
: 414-384-8930;
Practice Fax
:
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1295783041 -
HELEN
DONNA
MENGE
CNM, NP
Other Name
:
Mailing Address
:
237 GRAY RD
MAYFIELD
NY
12117-3504
Phone
: 518-661-5273;
Fax
: 518-220-9263;
Practice Location Address
:
951 ALBANY SHAKER RD
,
, LATHAM
, NY
, 12110-1409
Practice Phone
: 518-220-2022;
Practice Fax
: 518-220-9263
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1104874957 -
DR.
DR.
WILLIAM
CHARLES
TOMPKINS
JR.
M.D.
Other Name
:
Mailing Address
:
2900 SAINT MICHAEL DR STE 307
TEXARKANA
TX
75503-2343
Phone
: 903-614-5356;
Fax
: 903-735-5399;
Practice Location Address
:
1801 GALLERIA OAKS DR
,
, TEXARKANA
, TX
, 75503-4616
Practice Phone
: 903-614-4495;
Practice Fax
: 903-614-5399
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1013965862 -
WILLIAM
MAXIME
BURON
III
ANP
Other Name
:
Mailing Address
:
3500 S. 4TH STREET
ATTN: PROVIDER ENROLLMENT CREDENTIALING
LEAVENWORTH
KS
66048
Phone
: 913-680-6220;
Fax
: ;
Practice Location Address
:
3550 S 4TH ST
,
, LEAVENWORTH
, KS
, 66048-5071
Practice Phone
: 913-680-6220;
Practice Fax
: 816-943-2767
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1922056779 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1831147685 -
MS.
MS.
JANE
MICHELLE
WHALEN PRICE
PT
Other Name
:
Mailing Address
:
3609 E 134TH DR
DENVER
CO
80241-1407
Phone
: 303-252-7264;
Fax
: ;
Practice Location Address
:
1 DUETTE WAY
,
, BROOMFIELD
, CO
, 80020-1090
Practice Phone
: 303-398-1807;
Practice Fax
: 303-270-2238
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1740238591 -
SOUTHERN SLEEP CLINICS, LLC
Other Name
:
Mailing Address
:
2346 W MAIN ST
STE. 2
DOTHAN
AL
36301-1224
Phone
: 334-673-2501;
Fax
: 334-673-2502;
Practice Location Address
:
2346 W MAIN ST
, STE. 2
, DOTHAN
, AL
, 36301-1224
Practice Phone
: 334-673-2501;
Practice Fax
: 334-673-2502
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1659329407 -
DR.
DR.
RAYMOND
CHARLES
KIEFFER
D.D.S.
Other Name
:
Mailing Address
:
2014 S 6TH ST
BRAINERD
MN
56401-4529
Phone
: 218-828-1277;
Fax
: 218-828-7783;
Practice Location Address
:
2014 S 6TH ST
,
, BRAINERD
, MN
, 56401-4529
Practice Phone
: 218-828-1277;
Practice Fax
: 218-828-7783
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1568410314 -
DR.
DR.
BENJAMIN
ROSS
RECORD
D.D.S.
Other Name
:
Mailing Address
:
15110 WAX RD
BATON ROUGE
LA
70818-5423
Phone
: 225-261-1580;
Fax
: ;
Practice Location Address
:
15110 WAX RD
,
, BATON ROUGE
, LA
, 70818-5423
Practice Phone
: 225-261-1580;
Practice Fax
:
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1477501229 -
MR.
MR.
SCOTT
ANDREW
CLINGAN
P.A.-C
Other Name
:
Mailing Address
:
814 GREENBRIER CIR
STE F
CHESAPEAKE
VA
23320-2643
Phone
: 757-842-7010;
Fax
: 757-312-0216;
Practice Location Address
:
150 BURNETTS WAY STE 100
,
, SUFFOLK
, VA
, 23434-8168
Practice Phone
: 757-547-5145;
Practice Fax
: 757-539-7488
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1386692135 -
DR.
DR.
JOHN
HARMAN
MD
Other Name
:
Mailing Address
:
850 BEAR TAVERN RD STE 309
EWING
NJ
08628-1018
Phone
: 609-656-8844;
Fax
: 609-656-8845;
Practice Location Address
:
850 BEAR TAVERN ROAD
, SUITE 309
, EWING
, NJ
, 08628-1018
Practice Phone
: 609-656-8844;
Practice Fax
: 609-656-8845
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1194773945 -
SUMTER PHYSICAL THERAPY CLINIC, LLC
Other Name
:
Mailing Address
:
507 W CHEVES ST
FLORENCE
SC
29501-4449
Phone
: 843-662-1234;
Fax
: 843-669-7144;
Practice Location Address
:
1185 WILSON HALL RD
,
, SUMTER
, SC
, 29150-1842
Practice Phone
: 803-469-3213;
Practice Fax
: 803-469-3233
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1003864851 -
WEST LOS ANGELES VAMC
Other Name
:
Mailing Address
:
PO BOX 94424
CLEVELAND
OH
44101-4424
Phone
: 702-341-3152;
Fax
: ;
Practice Location Address
:
16111 PLUMMER ST
,
, SEPULVEDA
, CA
, 91343-2036
Practice Phone
: 310-268-3152;
Practice Fax
: 310-268-4959
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1912955766 -
MOHAMED
DJELMAMI-HANI
MD
Other Name
:
Mailing Address
:
2801 W KINNICKINNIC RIVER PKWY
#777
MILWAUKEE
WI
53215
Phone
: 414-649-3390;
Fax
: ;
Practice Location Address
:
2801 W. KINNICKINNIC RIVER PKWY
, SUITE 777
, MILWAUKEE
, WI
, 53215
Practice Phone
: 414-649-3390;
Practice Fax
:
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1336197334 -
DR.
DR.
PAUL
T
CONNOR
M.D.
Other Name
:
Mailing Address
:
PO BOX 5096
BELLINGHAM
WA
98227-5096
Phone
: 360-734-2700;
Fax
: 360-734-8362;
Practice Location Address
:
2979 SQUALICUM PKWY
, SUITE #101
, BELLINGHAM
, WA
, 98225-1811
Practice Phone
: 360-734-2700;
Practice Fax
: 360-734-8362
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1245288240 -
DR.
DR.
RICHARD
SYD
KORNBLUTH
M.D., PH.D.
Other Name
:
Mailing Address
:
5580 LA JOLLA BLVD STE 76
LA JOLLA
CA
92037-7651
Phone
: 619-846-8603;
Fax
: 858-456-7436;
Practice Location Address
:
3030 BUNKER HILL ST STE 115B
,
, SAN DIEGO
, CA
, 92109
Practice Phone
: 619-846-8603;
Practice Fax
: 858-456-7436
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1154379154 -
STEPHEN
D
KOHL
M.D.
Other Name
:
Mailing Address
:
PO BOX 917770
ORLANDO
FL
32891-7770
Phone
: ;
Fax
: ;
Practice Location Address
:
5802 N 30TH ST
,
, TAMPA
, FL
, 33610-1469
Practice Phone
: 813-259-8500;
Practice Fax
:
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1063460061 -
DR.
DR.
NORMAN
WETTERAU
MD
Other Name
:
Mailing Address
:
PO BOX 601
10869 RTE 36 SOUTH
DANSVILLE
NY
14437-0601
Phone
: 585-335-3416;
Fax
: 585-335-8695;
Practice Location Address
:
61 STATE ST
,
, NUNDA
, NY
, 14517-9785
Practice Phone
: 585-468-2528;
Practice Fax
: 585-468-5424
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1972551976 -
JAMES
ROBERT
THAYER
MD
Other Name
:
Mailing Address
:
421 SW OAK ST
SUITE 210
PORTLAND
OR
97204-1817
Phone
: 503-988-3663;
Fax
: 503-988-4098;
Practice Location Address
:
426 SW STARK ST
, 5TH FLOOR
, PORTLAND
, OR
, 97204-2347
Practice Phone
: 503-988-5140;
Practice Fax
: 503-988-5180
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1881642882 -
DR.
DR.
GEORGE
EDWIN
GLOSSON
O.D.
Other Name
:
Mailing Address
:
1950 OLD GALLOWS RD 520
VIENNA
VA
22182-3970
Phone
: 703-847-8899;
Fax
: 703-991-0514;
Practice Location Address
:
2835 S CHURCH ST
,
, BURLINGTON
, NC
, 27215-5105
Practice Phone
: 336-808-2020;
Practice Fax
:
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1699723692 -
DR.
DR.
MARK
E
MAXWELL
MD
Other Name
:
Mailing Address
:
5055 E BROADWAY BLVD
SUITE A-100 ACP
TUCSON
AZ
85711-3640
Phone
: 520-327-0460;
Fax
: 520-795-0225;
Practice Location Address
:
4532 E CAMP LOWELL
, ARIZONA COMMUNITY PHYSICIANS PC
, TUCSON
, AZ
, 85712
Practice Phone
: 520-323-3130;
Practice Fax
: 520-547-5621
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1508814500 -
JENA
LYNN
HARRIS
ATC
Other Name
:
Mailing Address
:
4271 LEIDY AVE
PHILADELPHIA
PA
19104-1016
Phone
: 215-840-1232;
Fax
: ;
Practice Location Address
:
4271 LEIDY AVE
,
, PHILADELPHIA
, PA
, 19104-1016
Practice Phone
: 215-840-1232;
Practice Fax
:
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1871541771 -
DR.
DR.
ALBERTO
X.
CAMPAIN
M.D.
Other Name
:
Mailing Address
:
4940 VAN NUYS BLVD.
SUITE 200
SHERMAN OAKS
CA
91403-1741
Phone
: 818-528-1090;
Fax
: 818-528-1099;
Practice Location Address
:
4940 VAN NUYS BLVD.
, SUITE 200
, SHERMAN OAKS
, CA
, 91403-1741
Practice Phone
: 818-528-1090;
Practice Fax
: 818-528-1099
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1487602397 -
MARINA
MOSUNJAC
M.D.
Other Name
:
Mailing Address
:
80 JESSE HILL JR. DR.
ROOM CG-42
ATLANTA
GA
30303
Phone
: 404-616-7432;
Fax
: 404-616-9084;
Practice Location Address
:
80 JESSE HILL JR. DR.
, ROOM CG-42
, ATLANTA
, GA
, 30303
Practice Phone
: 404-616-7432;
Practice Fax
: 404-616-9084
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1295783108 -
FORSYTH MEMORIAL HOSPITAL, INC
Other Name
:
Mailing Address
:
PO BOX 751803
CHARLOTTE
NC
28275-1803
Phone
: 336-719-6100;
Fax
: 336-719-2313;
Practice Location Address
:
865 WESTLAKE DR
,
, MOUNT AIRY
, NC
, 27030-2102
Practice Phone
: 336-719-6100;
Practice Fax
: 336-719-2313
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1164470076 -
DARLYS
R
HOFER
MD
Other Name
:
Mailing Address
:
201 W 69TH ST
SIOUX FALLS
SD
57108-2403
Phone
: 605-336-0635;
Fax
: 605-336-7182;
Practice Location Address
:
201 W 69TH ST
,
, SIOUX FALLS
, SD
, 57108-2403
Practice Phone
: 605-336-0635;
Practice Fax
: 605-336-7182
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1073561981 -
GARY
L
SCHEIB
Other Name
:
Mailing Address
:
P.O. BOX 420
POTTSVILLE
PA
17901-0420
Phone
: 570-622-3937;
Fax
: ;
Practice Location Address
:
307 MAHANTONGO ST
,
, POTTSVILLE
, PA
, 17901-3061
Practice Phone
: 570-622-3937;
Practice Fax
:
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1699723502 -
BRENDA
KAYE
JENKINS
DNP
Other Name
:
Mailing Address
:
8675 VALLEY CREEK RD
WOODBURY
MN
55125-2337
Phone
: 651-241-3000;
Fax
: 651-241-3500;
Practice Location Address
:
8675 VALLEY CREEK RD
,
, WOODBURY
, MN
, 55125-2337
Practice Phone
: 651-241-3000;
Practice Fax
: 651-241-3500
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1508814419 -
SAMUEL
WAT
M.D.
Other Name
:
Mailing Address
:
185 PENNY AVE
SUITE D
EAST DUNDEE
IL
60118-1454
Phone
: 847-836-7015;
Fax
: 847-428-9291;
Practice Location Address
:
2000 OGDEN AVE
, RUSH COPLEY MEMORIAL HOSPITAL
, AURORA
, IL
, 60504-7222
Practice Phone
: 630-978-6200;
Practice Fax
:
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1417905324 -
CHILDREN'S SURGICAL ASSOCIATES, CORPORATION
Other Name
:
Mailing Address
:
700 CHILDREN'S DRIVE
COLUMBUS
OH
43205-2664
Phone
: 614-722-2000;
Fax
: 614-355-4497;
Practice Location Address
:
700 CHILDREN'S DRIVE
,
, COLUMBUS
, OH
, 43205-2664
Practice Phone
: 614-722-2000;
Practice Fax
:
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1326096231 -
BROOKE
E.
DANIEL
MD
Other Name
:
Mailing Address
:
605 GLENWOOD DRIVE
SUITE 200
CHATTANOOGA
TN
37404-1130
Phone
: 423-698-1844;
Fax
: 423-624-2226;
Practice Location Address
:
605 GLENWOOD DR
, SUITE 200
, CHATTANOOGA
, TN
, 37404-1108
Practice Phone
: 423-698-1844;
Practice Fax
: 423-624-2226
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1235187147 -
DR.
DR.
WILLIAM
OATES
MD
Other Name
:
Mailing Address
:
5055 E BROADWAY BLVD
STE A-100 ARIZONA COMMUNITY PHYSICIANS PC
TUCSON
AZ
85711-3640
Phone
: 520-327-0460;
Fax
: 520-795-0225;
Practice Location Address
:
1500 N WILMOT RD
, SUITE B-150
, TUCSON
, AZ
, 85712-4416
Practice Phone
: 520-886-8278;
Practice Fax
: 520-886-0453
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1144278052 -
ROBERT
W.
TAYLOR
MD
Other Name
:
Mailing Address
:
1600 9TH STREET, ROOM 150
FISCAL ALLOCATIONS AND ESTIMATES UNIT
SACRAMENTO
CA
95814-6414
Phone
: 916-651-9475;
Fax
: 916-651-8908;
Practice Location Address
:
10333 EL CAMINO REAL
,
, ATASCADERO
, CA
, 93422-5808
Practice Phone
: 805-468-2000;
Practice Fax
: 805-468-6011
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1053369967 -
DR.
DR.
SCOTT
BRENT
PHILLIPS
MD
Other Name
:
Mailing Address
:
400 E RANDOLPH ST
CHICAGO
IL
60601-5037
Phone
: ;
Fax
: ;
Practice Location Address
:
1431 N CLAREMONT AVE
,
, CHICAGO
, IL
, 60622-1702
Practice Phone
: 312-633-5857;
Practice Fax
:
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1962450874 -
DR.
DR.
BARRY
MITCHELL
PARKER
M.D.
Other Name
:
Mailing Address
:
2480 CLAXTON DAIRY RD
DUBLIN
GA
31021-4427
Phone
: 478-275-8634;
Fax
: 478-272-0538;
Practice Location Address
:
2406 BELLEVUE RD
, ERIN OFFICE PARK,BLDG 12
, DUBLIN
, GA
, 31021-2842
Practice Phone
: 478-275-0580;
Practice Fax
: 478-272-0538
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1871541789 -
DR.
DR.
CARLA
CAMILLE
GRAHAM
M.D.
Other Name
:
Mailing Address
:
1714 GREGG AVE
FLORENCE
SC
29501-4120
Phone
: 843-665-0400;
Fax
: 843-667-8487;
Practice Location Address
:
1714 GREGG AVE
,
, FLORENCE
, SC
, 29501-4120
Practice Phone
: 843-665-0400;
Practice Fax
: 843-667-8487
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1780632695 -
DR.
DR.
JAMES
O.
POWELL
M.D.
Other Name
:
Mailing Address
:
840 MONTCLAIR RD
SUITE 722
BIRMINGHAM
AL
35213-1920
Phone
: 205-591-2311;
Fax
: 205-592-3531;
Practice Location Address
:
840 MONTCLAIR RD
, SUITE 722
, BIRMINGHAM
, AL
, 35213-1920
Practice Phone
: 205-591-2311;
Practice Fax
: 205-592-3531
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1598713406 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1407804313 -
DAVID
E
ROSINSKY
MD
Other Name
:
Mailing Address
:
201 W 69TH ST
SIOUX FALLS
SD
57108-2403
Phone
: 605-336-0635;
Fax
: 605-336-7182;
Practice Location Address
:
201 W 69TH ST
,
, SIOUX FALLS
, SD
, 57108-2403
Practice Phone
: 605-336-0635;
Practice Fax
: 605-336-7182
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1316995228 -
ELIZABETH
J
ANDERSEN
RD/CDN/CDE
Other Name
:
Mailing Address
:
CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
36 THOMAS INDIAN SCHOOL DR
IRVING
NY
14081
Phone
: 716-532-5582;
Fax
: 716-532-1428;
Practice Location Address
:
CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
, 36 THOMAS INDIAN SCHOOL DR
, IRVING
, NY
, 14081
Practice Phone
: 716-532-5582;
Practice Fax
: 716-532-1428
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1225086135 -
MR.
MR.
PAUL
D.
SWALES
CRNA
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-2025
Practice Phone
: 570-271-6621;
Practice Fax
:
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1134177041 -
MARCO
C
FORAMIGLIO
MD
Other Name
:
Mailing Address
:
2121 MAIN ST
PARKSIDE MEDICAL ANESTHESIA ASSOCIATES
BUFFALO
NY
14214-2693
Phone
: 716-836-7510;
Fax
: 716-836-7511;
Practice Location Address
:
2121 MAIN ST STE 209
, PARKSIDE MEDICAL ANESTHESIA ASSOCIATES
, BUFFALO
, NY
, 14214-2685
Practice Phone
: 716-836-7510;
Practice Fax
: 716-836-7511
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1043268956 -
DR.
DR.
CARLOS
GONZALEZ-AQUINO
MD
Other Name
:
Mailing Address
:
PO BOX 362707
SAN JUAN
PR
00936-2707
Phone
: 787-268-2300;
Fax
: 787-268-3055;
Practice Location Address
:
SAN JORGE MEDICAL BUILDING
, 252 SAN JORGE, SUITE 501
, SAN JUAN
, PR
, 00912
Practice Phone
: 787-268-2300;
Practice Fax
: 787-268-3055
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1952359861 -
TAMARA
WOJCIECHOWSKI
PHDC, CRNA, FAAPM
Other Name
:
Mailing Address
:
1060 CROOKED CREEK RD
GREENSBORO
GA
30642-3366
Phone
: 847-652-1505;
Fax
: ;
Practice Location Address
:
5401 LAKE OCONEE PKWY
,
, GREENSBORO
, GA
, 30642-4232
Practice Phone
: 706-453-7331;
Practice Fax
:
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1861440778 -
CARLE SPORTS MEDICINE
Other Name
:
Mailing Address
:
2509 BRETT DRIVE
CHAMPAIGN
IL
61821
Phone
: 217-239-2936;
Fax
: ;
Practice Location Address
:
810 W ANTHONY DR
,
, URBANA
, IL
, 61802-7431
Practice Phone
: 217-383-3300;
Practice Fax
:
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1770531683 -
SHARI
ANN
DELISLE
MS, LAT
Other Name
:
Mailing Address
:
W6963 OLD LAKE RD
SHAWANO
WI
54166-1317
Phone
: 715-524-2484;
Fax
: ;
Practice Location Address
:
116 N MAIN ST
,
, SHAWANO
, WI
, 54166-2356
Practice Phone
: 715-526-7373;
Practice Fax
:
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1689622599 -
DR.
DR.
THEODORE
ELLIS
M.D.
Other Name
:
Mailing Address
:
387 SHUMAN BLVD
SUITE 240W
NAPERVILLE
IL
60563-8450
Phone
: 630-355-0450;
Fax
: ;
Practice Location Address
:
801 S WASHINGTON ST
,
, NAPERVILLE
, IL
, 60540-7430
Practice Phone
: 630-355-0450;
Practice Fax
:
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1598713414 -
ST JOHN HOSPITAL CORPORATION
Other Name
:
Mailing Address
:
43800 GARFIELD RD
SUITE 201
CLINTON TWP
MI
48038-1136
Phone
: 586-228-4635;
Fax
: 586-228-4520;
Practice Location Address
:
22101 MOROSS RD
,
, DETROIT
, MI
, 48236-2148
Practice Phone
: 586-228-4635;
Practice Fax
: 586-228-4520
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1407804321 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
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,
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: ;
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:
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1316995236 -
DR.
DR.
ARTHUR
WALTER
SPIRO
D.O.
Other Name
:
Mailing Address
:
251 N BAYOU ST
MOBILE
AL
36603-5827
Phone
: 251-690-8847;
Fax
: 251-690-8859;
Practice Location Address
:
3810 WULFF RD E
,
, SEMMES
, AL
, 36575-5256
Practice Phone
: 251-445-0582;
Practice Fax
: 251-445-0579
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1225086143 -
DR.
DR.
JAMES
MOWERY
M.D.
Other Name
:
Mailing Address
:
13707 W JACKSON ST
WOODSTOCK
IL
60098-3188
Phone
: 815-337-1887;
Fax
: 815-338-6297;
Practice Location Address
:
4309 W MEDICAL CENTER DR
, SUITE B202
, MCHENRY
, IL
, 60050-8419
Practice Phone
: 815-344-3900;
Practice Fax
: 815-344-8957
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1134177058 -
DR.
DR.
DANE
GREGORY
MD
Other Name
:
Mailing Address
:
320 DOUBLE TREE DR SE
CALHOUN
GA
30701-4665
Phone
: 706-602-9771;
Fax
: ;
Practice Location Address
:
320 DOUBLE TREE DR SE
,
, CALHOUN
, GA
, 30701-4665
Practice Phone
: 706-602-9771;
Practice Fax
:
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1043268964 -
MARK
J
YURKOFSKY
M.D.
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8374;
Fax
: 617-421-3487;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1000;
Practice Fax
: 617-421-6084
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1952359879 -
TAMPA VAMC
Other Name
:
Mailing Address
:
PO BOX 94470
CLEVELAND
OH
44101-4470
Phone
: 866-793-4591;
Fax
: ;
Practice Location Address
:
7900 LITTLE RD
,
, NEW PORT RICHEY
, FL
, 34654-5405
Practice Phone
: 727-869-4272;
Practice Fax
: 727-869-4255
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1861440786 -
SCOTT
ALLEN
SMITH
Other Name
:
Mailing Address
:
16203 ANEAS CT
RAMONA
CA
92065-4601
Phone
: ;
Fax
: ;
Practice Location Address
:
2500 E MAIN ST
,
, ALICE
, TX
, 78332-4169
Practice Phone
: 619-997-0981;
Practice Fax
:
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1770531691 -
DR.
DR.
LAWRENCE
L
PELLETIER
MD
Other Name
:
Mailing Address
:
5500 E KELLOGG DR
PRIMARY CARE- ROBERT J DOLE VAMC
WICHITA
KS
67218-1607
Phone
: 316-634-3065;
Fax
: 316-634-3065;
Practice Location Address
:
5500 E KELLOGG DR
, PRIMARY CARE- ROBERT J DOLE VAMC
, WICHITA
, KS
, 67218-1607
Practice Phone
: 316-634-3065;
Practice Fax
: 316-634-3065
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1689622508 -
DR.
DR.
JOSEPH
CABEL
HARRIS
M.D.
Other Name
:
Mailing Address
:
4750 HEMPSTEAD STATION DR
KETTERING
OH
45429-5164
Phone
: 800-875-0136;
Fax
: 937-619-4231;
Practice Location Address
:
630 EATON AVE
,
, HAMILTON
, OH
, 45013-2767
Practice Phone
: 513-867-2270;
Practice Fax
: 513-867-2581
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1497703318 -
DR.
DR.
JACQUES
L
BEAUCHAMP
PT,DPT,SCS,OCS,ATC
Other Name
:
Mailing Address
:
PO BOX 5718
KALISPELL
MT
59903-5718
Phone
: 406-756-0134;
Fax
: 406-300-1612;
Practice Location Address
:
4216 WASHINGTON RD STE 2
,
, EVANS
, GA
, 30809-4717
Practice Phone
: 706-814-5460;
Practice Fax
: 706-814-5574
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1306894225 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1215985130 -
DR.
DR.
CHRISTINE
L
KELLEY-PATTESON
MD
Other Name
:
Mailing Address
:
170 W 106TH ST
INDIANAPOLIS
IN
46290-1004
Phone
: 317-575-0330;
Fax
: 317-846-5719;
Practice Location Address
:
170 W 106TH ST
,
, INDIANAPOLIS
, IN
, 46290-1004
Practice Phone
: 317-575-0330;
Practice Fax
: 317-846-5719
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1124076047 -
FREDRICK
P
WILSON
DO
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1033167952 -
DR.
DR.
JOSE
S
SISON
MD
Other Name
:
Mailing Address
:
185 PENNY AVE
SUITE D
EAST DUNDEE
IL
60118-1454
Phone
: 847-836-7015;
Fax
: 847-428-9291;
Practice Location Address
:
2000 OGDEN AVE
, RUSH COPLEY MEDICAL CENTER
, AURORA
, IL
, 60504-7222
Practice Phone
: 630-978-6200;
Practice Fax
:
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1942258868 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1851349773 -
DR.
DR.
STEVEN
CHARLES
DICKHAUT
M.D.
Other Name
:
Mailing Address
:
4800 N.E. STALLINGS
SUITE 110
NACOGDOCHES
TX
75965
Phone
: 936-569-9443;
Fax
: 936-560-5667;
Practice Location Address
:
4800 NE STALLINGS DR
, SUITE 110
, NACOGDOCHES
, TX
, 75965-1249
Practice Phone
: 936-569-9443;
Practice Fax
: 936-560-5667
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1760430680 -
CHRIS MARASCO, M.D., INC.
Other Name
:
Mailing Address
:
4940 VAN NUYS BLVD.
SUITE 200
SHERMAN OAKS
CA
91403-1741
Phone
: 818-528-1080;
Fax
: 818-528-1255;
Practice Location Address
:
4940 VAN NUYS BLVD.
, SUITE 200
, SHERMAN OAKS
, CA
, 91403-1741
Practice Phone
: 818-528-1080;
Practice Fax
: 818-528-1255
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1679521595 -
TOWN OF ROBERSONVILLE
Other Name
:
Mailing Address
:
PO BOX 863
LEWISVILLE
NC
27023-0863
Phone
: 800-814-5339;
Fax
: 336-766-1279;
Practice Location Address
:
119 SOUTH MAIN STREET
,
, ROBERSONVILLE
, NC
, 27871
Practice Phone
: 252-795-4117;
Practice Fax
: 252-795-7134
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1588612402 -
MRS.
MRS.
SUZANNE
M
MACDONALD
NP
Other Name
:
Mailing Address
:
5055 E BROADWAY BLVD
ARIZONA COMMUNITY PHYSICIANS PC SUITE A-100
TUCSON
AZ
85711-3640
Phone
: 520-327-0460;
Fax
: 520-795-0225;
Practice Location Address
:
5300 E ERICKSON DR STE 108
, DESERT STAR FAMILY HEALTH ARIZONA COMMUNITY PHYSICIANS
, TUCSON
, AZ
, 85712-2809
Practice Phone
: 520-721-5330;
Practice Fax
: 520-547-5743
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1205884129 -
ANNE
E.
TRAYWICK
PMHNP-BC
Other Name
:
Mailing Address
:
220 5TH AVE E
HENDERSONVILLE
NC
28792-4377
Phone
: 828-692-4289;
Fax
: 828-696-1794;
Practice Location Address
:
69 N BROAD ST
,
, BREVARD
, NC
, 28712-3725
Practice Phone
: 828-631-3973;
Practice Fax
: 828-631-9280
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1114975034 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1023066941 -
MR.
MR.
BARRIE
DOUGLAS
LOWMAN
P.A.
Other Name
:
Mailing Address
:
5669 PEACHTREE DUNWOODY RD NE
SUITE 100
ATLANTA
GA
30342-1786
Phone
: 404-256-0404;
Fax
: 404-847-0423;
Practice Location Address
:
5669 PEACHTREE DUNWOODY RD NE
, SUITE 100
, ATLANTA
, GA
, 30342-1786
Practice Phone
: 404-256-0404;
Practice Fax
: 404-847-0423
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1932157856 -
DR.
DR.
LARRY
W.
ANDERSON
D.O.
Other Name
:
Mailing Address
:
81 NORTHSIDE DAWSON DR
STE 205
DAWSONVILLE
GA
30534-7166
Phone
: 706-265-1335;
Fax
: 706-265-2296;
Practice Location Address
:
81 NORTHSIDE DAWSON DR
, STE 205
, DAWSONVILLE
, GA
, 30534-7166
Practice Phone
: 706-265-1335;
Practice Fax
: 706-265-2296
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1841248762 -
DR.
DR.
KRISTEN
JANE
KERR
D.C.
Other Name
:
Mailing Address
:
890 POPLAR CHURCH RD
SUITE 208
CAMP HILL
PA
17011-2250
Phone
: 717-576-8219;
Fax
: 717-658-0652;
Practice Location Address
:
890 POPLAR CHURCH RD
, SUITE 208
, CAMP HILL
, PA
, 17011-2250
Practice Phone
: 717-576-8219;
Practice Fax
: 717-658-0652
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1750339677 -
MRS.
MRS.
LORA
ANN
BEAR
RN MSN CPNP
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT
KANSAS CITY
MO
64108-4619
Phone
: 816-701-5200;
Fax
: 816-302-9939;
Practice Location Address
:
2401 GILLHAM RD
, NEPHROLOGY
, KANSAS CITY
, MO
, 64108
Practice Phone
: 816-234-3030;
Practice Fax
: 816-802-1244
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1669420584 -
MS.
MS.
TRISHNA
WALSH
Other Name
:
Mailing Address
:
385 MAIN ST S
SUITE 301
SOUTHBURY
CT
06488-4240
Phone
: 203-264-3319;
Fax
: 203-267-6382;
Practice Location Address
:
385 MAIN ST S
, SUITE 301
, SOUTHBURY
, CT
, 06488-4240
Practice Phone
: 203-264-3319;
Practice Fax
: 203-267-6382
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1578511499 -
DR.
DR.
STEVEN
JOHN
GRANIER
MD
Other Name
:
Mailing Address
:
1514 JEFFERSON HWY
NEW ORLEANS
LA
70121-2429
Phone
: 504-842-4000;
Fax
: ;
Practice Location Address
:
1514 JEFFERSON HWY
,
, NEW ORLEANS
, LA
, 70121-2429
Practice Phone
: 504-842-4000;
Practice Fax
:
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1487602306 -
DR.
DR.
THOMAS
LEE
GILLIGAN
D.O.
Other Name
:
Mailing Address
:
617 WELLS ST
SISTERSVILLE
WV
26175-1323
Phone
: 304-652-1077;
Fax
: 304-652-1028;
Practice Location Address
:
617 WELLS ST
,
, SISTERSVILLE
, WV
, 26175-1323
Practice Phone
: 304-652-1077;
Practice Fax
: 304-652-1028
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1295783116 -
ALLISON
J
HOWELL
M.D.
Other Name
:
Mailing Address
:
4750 HEMPSTEAD STATION DR
KETTERING
OH
45429-5164
Phone
: 800-875-0136;
Fax
: 937-619-4231;
Practice Location Address
:
630 EATON AVE
,
, HAMILTON
, OH
, 45013-2767
Practice Phone
: 513-867-2270;
Practice Fax
: 513-867-2581
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1104874023 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1013965938 -
DR.
DR.
JENNIFER
TRACHTE
MURPHY
DC, DICCP
Other Name
:
Mailing Address
:
312 W BROADWAY ST
PINK HILL
NC
28572-7986
Phone
: 252-568-6400;
Fax
: 252-568-6461;
Practice Location Address
:
312 W BROADWAY ST
,
, PINK HILL
, NC
, 28572-7986
Practice Phone
: 252-568-6400;
Practice Fax
: 252-568-6461
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1922056845 -
GINA
SUE
RUSHING
DO
Other Name
:
Mailing Address
:
5005 LIVE OAK ST.
GREENVILLE
TX
75402
Phone
: 903-455-3500;
Fax
: 903-455-3509;
Practice Location Address
:
5005 LIVE OAK ST.
,
, GREENVILLE
, TX
, 75402
Practice Phone
: 903-455-3500;
Practice Fax
: 903-455-3509
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1831147750 -
MIRIAM
S
TALLEY
CRNA
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: 254-724-8800;
Fax
: ;
Practice Location Address
:
2401 S 31ST ST
,
, TEMPLE
, TX
, 76508-2359
Practice Phone
: 254-724-2111;
Practice Fax
:
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1740238666 -
TAMPA VAMC
Other Name
:
Mailing Address
:
PO BOX 94470
CLEVELAND
OH
44101-4470
Phone
: 866-793-4591;
Fax
: ;
Practice Location Address
:
12210 BRUCE B DOWNS BLVD
,
, TAMPA
, FL
, 33612-9211
Practice Phone
: 813-903-4885;
Practice Fax
: 819-910-4096
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1659329571 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1568410488 -
DEBRA
L
PURCELL
M.D.
Other Name
:
Mailing Address
:
3435 S ALAMEDA ST
CORPUS CHRISTI
TX
78411-1728
Phone
: 361-855-7346;
Fax
: 361-855-4201;
Practice Location Address
:
3435 S ALAMEDA ST
,
, CORPUS CHRISTI
, TX
, 78411-1728
Practice Phone
: 361-855-7346;
Practice Fax
: 361-855-4201
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1477501393 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1386692200 -
GARDNER VISITING NURSING ASSOCIATION INC
Other Name
:
Mailing Address
:
34 PEARLY LN
GARDNER
MA
01440
Phone
: 978-632-1230;
Fax
: 978-632-4513;
Practice Location Address
:
34 PEARLY LN
,
, GARDNER
, MA
, 01440
Practice Phone
: 978-632-1230;
Practice Fax
: 978-632-4513
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1194773010 -
DR.
DR.
MITA
MANHAR
SHAH
M.D.
Other Name
:
Mailing Address
:
PO BOX 232410
SAN DIEGO
CA
92193-2410
Phone
: ;
Fax
: ;
Practice Location Address
:
200 W ARBOR DR
,
, SAN DIEGO
, CA
, 92103-9000
Practice Phone
: 800-926-8273;
Practice Fax
:
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1003864927 -
CHRISTOPHER
R
RUSSELL
PA-C
Other Name
:
Mailing Address
:
600 SW COLUMBIA ST STE 6250
BEND
OR
97702-1099
Phone
: 541-383-3005;
Fax
: 541-383-1883;
Practice Location Address
:
2065 NE TUCSON WAY APT 110
,
, BEND
, OR
, 97701-5182
Practice Phone
: 541-383-3005;
Practice Fax
: 541-383-1883
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1912955832 -
INDIANA TMJ TREATMENT CENTER
Other Name
:
Mailing Address
:
210 EAST WATER STREET
P.O. BOX 206
PENDLETON
IN
46064-0206
Phone
: 765-778-3332;
Fax
: 765-778-4860;
Practice Location Address
:
210 EAST WATER STREET
,
, PENDLETON
, IN
, 46064-0206
Practice Phone
: 765-778-3332;
Practice Fax
: 765-778-4860
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1821046749 -
JAMESTOWN ANESTHESIA ASSOCIATES, PC
Other Name
:
Mailing Address
:
202 TAUGHANNOCK BLVD.
PO BOX 366
ITHACA
NY
14851
Phone
: 607-277-3257;
Fax
: 607-277-4056;
Practice Location Address
:
207 FOOTE AVENUE
,
, JAMESTOWN
, NY
, 14702
Practice Phone
: 716-487-0141;
Practice Fax
:
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1730137654 -
BRIAN
N
PAULEY
MD
Other Name
:
Mailing Address
:
PO BOX 1510
EAU CLAIRE
WI
54702-1510
Phone
: 715-838-5222;
Fax
: ;
Practice Location Address
:
1400 BELLINGER ST
,
, EAU CLAIRE
, WI
, 54703-5222
Practice Phone
: 715-838-5222;
Practice Fax
:
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1841248770 -
JOHN
J.
TOMCHO
DO
Other Name
:
Mailing Address
:
PO BOX 19305
CHARLOTTE
NC
28219-9305
Phone
: ;
Fax
: ;
Practice Location Address
:
2630 E 7TH ST
,
, CHARLOTTE
, NC
, 28204-4318
Practice Phone
: 704-355-9484;
Practice Fax
:
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1750339685 -
MR.
MR.
RAYMOND
G.
RUSSELL
M.D.
Other Name
:
Mailing Address
:
2359 LAKEVIEW DR
BEAVERCREEK
OH
45431-3695
Phone
: 937-431-5418;
Fax
: 937-431-5419;
Practice Location Address
:
5250 FAR HILLS AVE
, SUITE 150
, KETTERING
, OH
, 45429
Practice Phone
: 937-434-4611;
Practice Fax
: 937-434-9107
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1669420592 -
MS.
MS.
TINA
MARIE
COLE
LCSW
Other Name
:
Mailing Address
:
222 SAINT JOHN ST
SUITE 130
PORTLAND
ME
04102-3041
Phone
: 207-772-1211;
Fax
: 207-772-1211;
Practice Location Address
:
222 SAINT JOHN ST
, SUITE 130
, PORTLAND
, ME
, 04102-3041
Practice Phone
: 207-772-1211;
Practice Fax
: 207-772-1211
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1578511408 -
DR.
DR.
ROBERT
RICHARD
WELLS
MD
Other Name
:
Mailing Address
:
1016 TACOMA AVE
SUNNYSIDE
WA
98944-2263
Phone
: 760-987-4599;
Fax
: ;
Practice Location Address
:
1016 TACOMA AVE
,
, SUNNYSIDE
, WA
, 98944
Practice Phone
: 509-837-1500;
Practice Fax
:
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1487602314 -
DR.
DR.
RICHARD
C.
MARTIN
M.D.
Other Name
:
Mailing Address
:
PO BOX 80217
PHOENIX
AZ
85060-0217
Phone
: 602-385-2115;
Fax
: 480-418-3323;
Practice Location Address
:
5355 E HIGH ST UNIT 113
,
, PHOENIX
, AZ
, 85054-5481
Practice Phone
: 602-648-5444;
Practice Fax
: 602-772-3801
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1295783124 -
COUNTY OF TREMPEALEAU
Other Name
:
Mailing Address
:
W20410 STATE ROAD 121
WHITEHALL
WI
54773-9147
Phone
: 715-538-4312;
Fax
: 715-538-2426;
Practice Location Address
:
18425 DODGE ST
,
, WHITEHALL
, WI
, 54773-8444
Practice Phone
: 715-538-4518;
Practice Fax
: 715-538-4535
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1104874031 -
THADDEUS
H
RILEY
M.D.
Other Name
:
Mailing Address
:
23702 HWY 80 E
PO BOX 957
STATESBORO
GA
30459
Phone
: 912-489-4090;
Fax
: 912-765-5028;
Practice Location Address
:
23702 HWY 80 E
,
, STATESBORO
, GA
, 30458
Practice Phone
: 912-489-4090;
Practice Fax
: 912-765-5028
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1013965946 -
FLORIAN
WALTER
CRNA
Other Name
:
Mailing Address
:
185 PENNY AVE
SUITE D
EAST DUNDEE
IL
60118-1454
Phone
: 847-836-7015;
Fax
: 847-428-9291;
Practice Location Address
:
2000 OGDEN AVE
, RUSH COPLEY MEMORIAL HOSPITAL
, AURORA
, IL
, 60504-7222
Practice Phone
: 630-978-6200;
Practice Fax
:
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