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Showing codes 1528026606 — 1851358964
1528026606 -
BETTY
M
DREES
MD
Other Name
:
Mailing Address
:
2310 HOLMES ST
STE 800
KANSAS CITY
MO
64108-2634
Phone
: ;
Fax
: ;
Practice Location Address
:
2301 HOLMES ST
,
, KANSAS CITY
, MO
, 64108-2640
Practice Phone
: 816-404-4070;
Practice Fax
:
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1437117512 -
CHRIS
PAUL
LIAKONIS
DO
Other Name
:
Mailing Address
:
1015 S WASHINGTON AVE STE 102
SAGINAW
MI
48601-2556
Phone
: 989-754-3000;
Fax
: 989-754-3016;
Practice Location Address
:
1015 S WASHINGTON AVE
,
, SAGINAW
, MI
, 48601-2556
Practice Phone
: 989-754-3000;
Practice Fax
: 989-754-3016
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1346208428 -
DR.
DR.
CATHERINE
B.
GROTELUESCHEN
M.D.
Other Name
:
Mailing Address
:
1860 PAYSPHERE CIR
CHICAGO
IL
60674-0018
Phone
: 630-469-2000;
Fax
: ;
Practice Location Address
:
2340 S HIGHLAND AVE
, SUITE 210
, LOMBARD
, IL
, 60148
Practice Phone
: 630-932-2020;
Practice Fax
: 630-932-4688
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1255399333 -
DR.
DR.
ALICE
AUDREY
EATON
MD
Other Name
:
Mailing Address
:
8079 SW SACAJAWEA WAY
WILSONVILLE
OR
97070-6428
Phone
: 503-784-2490;
Fax
: ;
Practice Location Address
:
3434 12TH AVE NE
,
, OLYMPIA
, WA
, 98506-5175
Practice Phone
: 360-413-8364;
Practice Fax
: 360-413-8491
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1164480240 -
PENSACOLA EAR NOSE AND THROAT PL
Other Name
:
Mailing Address
:
1717 NORTH E STREET
STE 239
PENSACOLA
FL
32501
Phone
: 850-432-3467;
Fax
: 850-434-2308;
Practice Location Address
:
1717 NORTH E STREET
, STE 239
, PENSACOLA
, FL
, 32501
Practice Phone
: 850-432-3467;
Practice Fax
: 850-434-2308
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1073571154 -
MR.
MR.
RICHARD
L
MYERS
DO
Other Name
:
Mailing Address
:
5300 N INDEPENDENCE AVE
SUITE 280
OKLAHOMA CITY
OK
73112-5556
Phone
: 405-951-2541;
Fax
: 405-951-2237;
Practice Location Address
:
3300 NW EXPRESSWAY
,
, OKLAHOMA CITY
, OK
, 73112-4418
Practice Phone
: 405-951-2541;
Practice Fax
: 405-951-2237
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1982662060 -
DR.
DR.
GREGORY
H
SMITH
MD
Other Name
:
Mailing Address
:
611 W. PARK ST.
BWPC
URBANA
IL
61801-2500
Phone
: 217-383-6792;
Fax
: 217-383-4752;
Practice Location Address
:
311 W. FAIRCHILD STREET
, FAMILY MEDICINE/CONVENIENT CARE
, DANVILLE
, IL
, 61832
Practice Phone
: 217-431-7650;
Practice Fax
: 217-431-7634
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1790743870 -
MARY
T
BENJAMIN
DDS
Other Name
:
Mailing Address
:
PO BOX 897
2570 RIVERSIDE PARKWAY
LAWRENCEVILLE
GA
30046-0897
Phone
: 770-339-4260;
Fax
: 770-963-6322;
Practice Location Address
:
15 S CLAYTON ST
,
, LAWRENCEVILLE
, GA
, 30045-5715
Practice Phone
: 770-339-4283;
Practice Fax
: 770-279-5983
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1609834787 -
DR.
DR.
SUZANNE
KAREN
WHITBOURNE
M.D.
Other Name
:
Mailing Address
:
1301 PENNSYLVANIA AVE
FORT WORTH
TX
76104-2122
Phone
: 682-885-4283;
Fax
: 682-885-1088;
Practice Location Address
:
1301 PENNSYLVANIA AVE
,
, FORT WORTH
, TX
, 76104-2122
Practice Phone
: 682-885-4283;
Practice Fax
: 682-885-1088
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1518925692 -
KAREN
MARIE-PIERCE
GOLD
MD
Other Name
:
Mailing Address
:
PO BOX 268838
OKLAHOMA CITY
OK
73126-8838
Phone
: 918-660-3632;
Fax
: 918-660-3631;
Practice Location Address
:
4444 E 41ST ST
, 3RD FLOOR STE B
, TULSA
, OK
, 74135-2527
Practice Phone
: 918-619-4400;
Practice Fax
: 918-619-4216
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1427016500 -
DR.
DR.
GARY
M
SNYDER
M.D.
Other Name
:
Mailing Address
:
660 WHITE PLAINS RD STE 400
TARRYTOWN
NY
10591-5107
Phone
: 914-984-2546;
Fax
: ;
Practice Location Address
:
3629 BELL BLVD STE 202
,
, BAYSIDE
, NY
, 11361-2056
Practice Phone
: 718-423-4091;
Practice Fax
: 718-428-6667
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1073571162 -
RICHARD
L
WARD
M.D.
Other Name
:
Mailing Address
:
1601 MILLTOWN RD
SUITE 13
WILMINGTON
DE
19808-4027
Phone
: 302-993-2330;
Fax
: 302-993-2344;
Practice Location Address
:
100 PEOPLES PLZ
,
, NEWARK
, DE
, 19702-4794
Practice Phone
: 302-392-5600;
Practice Fax
: 302-392-5617
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1982662078 -
DR.
DR.
KEVIN
LEE
SCHROEDER
M.D.
Other Name
:
Mailing Address
:
929 JASONWAY AVE
COLUMBUS
OH
43214-2464
Phone
: 614-538-2250;
Fax
: 614-538-2256;
Practice Location Address
:
929 JASONWAY AVE
,
, COLUMBUS
, OH
, 43214-2464
Practice Phone
: 614-538-2250;
Practice Fax
: 614-538-2256
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1790743888 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1609834795 -
ALLAN
SCOTT
WAX
DPM
Other Name
:
Mailing Address
:
13000 RIVERS BEND BLVD
SUITE D
CHESTER
VA
23836-8632
Phone
: 804-571-5106;
Fax
: 804-530-3015;
Practice Location Address
:
13048 RIVERS BEND RD
,
, CHESTER
, VA
, 23836-2564
Practice Phone
: 804-526-5888;
Practice Fax
: 804-526-5401
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1518925601 -
LISA
J
WILKIE
C.R.N.A.
Other Name
:
Mailing Address
:
690 CANTON ST
SUITE 325
WESTWOOD
MA
02090-2321
Phone
: 781-407-7713;
Fax
: 781-407-0998;
Practice Location Address
:
690 CANTON ST
, SUITE 325
, WESTWOOD
, MA
, 02090-2321
Practice Phone
: 781-407-7713;
Practice Fax
: 781-407-0998
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1427016518 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1336107424 -
MR.
MR.
JAMES
MICHAEL
ORCUTT
M.D.
Other Name
:
Mailing Address
:
PO BOX 751874
CHARLOTTE
NC
28275-1874
Phone
: 843-402-5200;
Fax
: ;
Practice Location Address
:
2085 HENRY TECKLENBURG DR FL 2
,
, CHARLESTON
, SC
, 29414-7710
Practice Phone
: 843-577-6957;
Practice Fax
:
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1245298330 -
DR.
DR.
BRADFORD
RAY
COERS
O.D.
Other Name
:
Mailing Address
:
2520 CALIFORNIA ST
COLUMBUS
IN
47201-3677
Phone
: 812-418-0080;
Fax
: 812-418-0090;
Practice Location Address
:
2520 CALIFORNIA ST
,
, COLUMBUS
, IN
, 47201-3676
Practice Phone
: 812-418-0080;
Practice Fax
: 812-418-0090
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1154389245 -
DR.
DR.
JONATHAN
DAVID
HOFFBERGER
DO
Other Name
:
Mailing Address
:
PO BOX 863407
ORLANDO
FL
32886-3407
Phone
: 941-917-2600;
Fax
: 941-917-7884;
Practice Location Address
:
1540 S TAMIAMI TRL
, SUITE 303
, SARASOTA
, FL
, 34239-2930
Practice Phone
: 941-917-8791;
Practice Fax
: 941-917-8793
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1063470151 -
FREEDOM VILLAGE BRANDYWINE
Other Name
:
Mailing Address
:
15 FREEDOM BLVD
COATESVILLE
PA
19320-1549
Phone
: 623-972-1776;
Fax
: ;
Practice Location Address
:
15 FREEDOM BLVD
,
, COATESVILLE
, PA
, 19320-1549
Practice Phone
: 623-972-1776;
Practice Fax
:
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1972561066 -
MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE, INC
Other Name
:
MEDICAL MART
Mailing Address
:
742 W LAMAR ALEXANDER PKWY
MARYVILLE
TN
37801-3913
Phone
: 865-380-0819;
Fax
: 865-380-0890;
Practice Location Address
:
742 W LAMAR ALEXANDER PKWY
,
, MARYVILLE
, TN
, 37801-3913
Practice Phone
: 865-380-0819;
Practice Fax
: 865-380-0890
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1881652972 -
DR.
DR.
JOSEPH
A
CALIFANO
III
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
Practice Phone
: 858-822-6197;
Practice Fax
:
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1699733782 -
GREGORY
C
BOLTON
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 195
SKIPPACK
PA
19474-0195
Phone
: 412-599-1039;
Fax
: 412-599-1035;
Practice Location Address
:
100 MARKET STREEET
, SUITE 300
, COLLEGEVILLE
, PA
, 19426-4927
Practice Phone
: 412-599-1039;
Practice Fax
: 412-599-1035
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1477511590 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1386602407 -
DR.
DR.
WILLIAM
LYTOLLIS
PHD, MD
Other Name
:
Mailing Address
:
PO BOX 19248
SPRINGFIELD
IL
62794-9248
Phone
: 217-528-7541;
Fax
: ;
Practice Location Address
:
200 STAHLHUT DR
,
, LINCOLN
, IL
, 62656-5066
Practice Phone
: 217-528-7541;
Practice Fax
:
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1194783217 -
NAVNEET
SINGH
M.D.
Other Name
:
Mailing Address
:
701 LEE ST
SUITE 300
DES PLAINES
IL
60016-4539
Phone
: 847-390-5900;
Fax
: ;
Practice Location Address
:
4001 VOLLMER RD
,
, OLYMPIA FIELDS
, IL
, 60461-3168
Practice Phone
: 708-481-8883;
Practice Fax
: 708-481-2917
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1003874124 -
WALLACE
B
CARROLL
MD
Other Name
:
Mailing Address
:
600 COFFEE RD
MODESTO
CA
95355-4201
Phone
: 209-524-1211;
Fax
: ;
Practice Location Address
:
600 COFFEE RD
,
, MODESTO
, CA
, 95355-4201
Practice Phone
: 209-524-1211;
Practice Fax
:
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1912965039 -
DR.
DR.
DOUGLAS
H
CANNON
M.D.
Other Name
:
Mailing Address
:
PO BOX 725
COOPERSTOWN
NY
13326-0725
Phone
: 607-433-1790;
Fax
: 607-499-6608;
Practice Location Address
:
125 MAIN ST
,
, ONEONTA
, NY
, 13820-2507
Practice Phone
: 607-433-1792;
Practice Fax
: 607-433-6608
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1821056946 -
TERESA
D
MILLER
PT
Other Name
:
Mailing Address
:
8146 GREENBACK LN
SUITE 103A
FAIR OAKS
CA
95628-2551
Phone
: 402-676-1702;
Fax
: ;
Practice Location Address
:
8146 GREENBACK LN
, SUITE 103A
, FAIR OAKS
, CA
, 95628-2551
Practice Phone
: 402-676-1702;
Practice Fax
:
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1730147851 -
FREDERICK
J.
SEIDEL
MD
Other Name
:
Mailing Address
:
PO BOX 1230
SILVERTHORNE
CO
80498-1230
Phone
: 717-461-6754;
Fax
: ;
Practice Location Address
:
340 PEAK ONE DR
,
, FRISCO
, CO
, 80443
Practice Phone
: 717-461-6754;
Practice Fax
:
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1649238767 -
DR.
DR.
PANKAJLAL
S
SHAH
M.D
Other Name
:
Mailing Address
:
425 WHITNEY VALLEY HTS
ALMOND
NY
14804-2255
Phone
: 607-276-6060;
Fax
: ;
Practice Location Address
:
411 CANISTEO ST
,
, HORNELL
, NY
, 14843-2104
Practice Phone
: 607-324-8000;
Practice Fax
:
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1558329672 -
MRS.
MRS.
MARY
CATHERINE
SPERDUTI CERRILLO
ANP
Other Name
:
MARY
CERRILLO
Mailing Address
:
3262 KENDRICK PL
HAMBURG
NY
14075-3656
Phone
: 716-646-6454;
Fax
: ;
Practice Location Address
:
60 INNSBRUCK DR
,
, CHEEKTOWAGA
, NY
, 14227-2735
Practice Phone
: 716-668-7051;
Practice Fax
: 716-668-7069
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1467410589 -
ANDREW
CHARLES
ROWAN
D.C.
Other Name
:
Mailing Address
:
28 FOUNTAIN SQ
CROSSVILLE
TN
38555-8790
Phone
: 931-456-2287;
Fax
: 931-456-2297;
Practice Location Address
:
28 FOUNTAIN SQ
,
, CROSSVILLE
, TN
, 38555-8790
Practice Phone
: 931-456-2287;
Practice Fax
: 931-456-2297
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1376501494 -
ROBERT
BINGHAM
M.D.
Other Name
:
Mailing Address
:
100 KINGS HWY S
ROCHESTER
NY
14617-5504
Phone
: 585-922-1900;
Fax
: 585-922-1002;
Practice Location Address
:
2655 RIDGEWAY AVE
, SUITE 220
, ROCHESTER
, NY
, 14626-4296
Practice Phone
: 585-368-4560;
Practice Fax
: 585-368-4565
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1285692301 -
LISA
E
HARRIS
MD
Other Name
:
Mailing Address
:
8910 PURDUE RD
STE.500
INDIANAPOLIS
IN
46268-6100
Phone
: ;
Fax
: ;
Practice Location Address
:
1002 WISHARD BLVD
, 1ST FL.
, INDIANAPOLIS
, IN
, 46202-2872
Practice Phone
: 317-692-2339;
Practice Fax
: 317-692-2847
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1093773111 -
DR.
DR.
PHILIP
A
HEAVNER
M.D.
Other Name
:
Mailing Address
:
1 GUTHRIE SQ
SAYRE
PA
18840-1625
Phone
: 570-888-5858;
Fax
: ;
Practice Location Address
:
1 GUTHRIE SQ
,
, SAYRE
, PA
, 18840-1625
Practice Phone
: 570-888-5858;
Practice Fax
:
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1902864028 -
DANIEL
PAUL
STROUP
PA-C
Other Name
:
Mailing Address
:
2315 MYRTLE STREET
SUITE 190
ERIE
PA
16502-4604
Phone
: 814-453-7767;
Fax
: 814-454-6667;
Practice Location Address
:
2315 MYRTLE STREET
, SUITE 190
, ERIE
, PA
, 16502-4604
Practice Phone
: 814-453-7767;
Practice Fax
: 814-454-6667
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1811955933 -
FRANCISCO
NODA
MD
Other Name
:
Mailing Address
:
604 OAK COMMONS BLVD
KISSIMMEE
FL
34741
Phone
: 407-846-6004;
Fax
: 407-846-1330;
Practice Location Address
:
604 OAK COMMONS BLVD
,
, KISSIMMEE
, FL
, 34741
Practice Phone
: 407-846-6004;
Practice Fax
: 407-846-1330
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1720046840 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1639137755 -
SHOE AND FOOT INC
Other Name
:
BOND SHOES AND PEDORTHICS
Mailing Address
:
100 MAPLE ST
STONEHAM
MA
02180-3143
Phone
: 781-933-0602;
Fax
: 781-497-2926;
Practice Location Address
:
100 MAPLE ST
,
, STONEHAM
, MA
, 02180-3143
Practice Phone
: 781-933-0602;
Practice Fax
: 781-497-2926
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1548228661 -
MRS.
MRS.
JEAN
PE
MD
Other Name
:
Mailing Address
:
1302 FRANKLIN AVE
NORMAL
IL
61761-3551
Phone
: 209-956-7725;
Fax
: ;
Practice Location Address
:
1302 FRANKLIN AVE
,
, NORMAL
, IL
, 61761-3551
Practice Phone
: 209-956-7725;
Practice Fax
:
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1457319576 -
WAKE TEEN MEDICAL SERVICES INC.
Other Name
:
Mailing Address
:
505 OBERLIN RD
SUITE 204
RALEIGH
NC
27605-1397
Phone
: 909-828-0035;
Fax
: 909-828-0355;
Practice Location Address
:
505 OBERLIN RD
, SUITE 204
, RALEIGH
, NC
, 27605-1397
Practice Phone
: 909-828-0035;
Practice Fax
: 909-828-0355
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1366400483 -
THE A.R.C. OF JACKSONVILLE, LTD
Other Name
:
Mailing Address
:
3845 OAKTON ST
SKOKIE
IL
60076-3429
Phone
: 847-679-0100;
Fax
: 847-679-0673;
Practice Location Address
:
3845 OAKTON ST
,
, SKOKIE
, IL
, 60076-3429
Practice Phone
: 847-679-0100;
Practice Fax
: 847-679-0673
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1275591398 -
DR.
DR.
SHANTIKUMAR
K
GANDHI
M.D.
Other Name
:
Mailing Address
:
830 SW MULVANE ST
TOPEKA
KS
66606-1654
Phone
: 785-233-1710;
Fax
: 785-233-6342;
Practice Location Address
:
830 SW MULVANE ST
,
, TOPEKA
, KS
, 66606-1654
Practice Phone
: 785-233-1710;
Practice Fax
: 785-233-6342
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1184682205 -
AMITY MEDICAL CORP
Other Name
:
Mailing Address
:
3305 NW 7TH ST
MIAMI
FL
33125-4103
Phone
: 305-642-0051;
Fax
: 305-642-5294;
Practice Location Address
:
3305 NW 7TH ST
,
, MIAMI
, FL
, 33125-4103
Practice Phone
: 305-642-0051;
Practice Fax
: 305-642-5294
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1992763015 -
MARCIA
IRENE
CANTO
M.D.
Other Name
:
Mailing Address
:
PO BOX 64264
BALTIMORE
MD
21264-4264
Phone
: 410-740-7890;
Fax
: ;
Practice Location Address
:
600 N WOLFE ST
,
, BALTIMORE
, MD
, 21287-0005
Practice Phone
: 410-955-4166;
Practice Fax
:
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1801854922 -
ELISABETH
A
SUSANKA
M.D.
Other Name
:
Mailing Address
:
7650 SW BEVELAND RD
SUITE 200
PORTLAND
OR
97223-8692
Phone
: 503-657-1071;
Fax
: 503-657-3321;
Practice Location Address
:
1508 DIVISION ST
, SUITE 205
, OREGON CITY
, OR
, 97045-1582
Practice Phone
: 503-657-1071;
Practice Fax
: 503-657-3321
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1710945837 -
DR.
DR.
EDWARD
R.
BAER
M.D.
Other Name
:
Mailing Address
:
701 WELCH RD
SUITE 216
PALO ALTO
CA
94304-1709
Phone
: 650-323-0617;
Fax
: 650-323-4229;
Practice Location Address
:
300 PASTEUR DR
,
, STANFORD
, CA
, 94305-2200
Practice Phone
: 650-725-6102;
Practice Fax
:
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1629036744 -
DR.
DR.
ANGEL
M
OTERO
D.M.D.
Other Name
:
Mailing Address
:
47 CALLE 1
HERMANAS DAVILA
BAYAMON
PR
00959-8023
Phone
: 787-786-8540;
Fax
: 787-995-0431;
Practice Location Address
:
47 CALLE 1
, HERMANAS DAVILA
, BAYAMON
, PR
, 00959-8023
Practice Phone
: 787-786-8540;
Practice Fax
: 787-995-0431
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1538127659 -
MRS.
MRS.
JERILYN
JEAN
CONNOR
ATC, LAT
Other Name
:
Mailing Address
:
2 BEECH TREE LN
SOUTH EASTON
MA
02375-1520
Phone
: 508-238-5119;
Fax
: ;
Practice Location Address
:
2 BEECH TREE LN
,
, SOUTH EASTON
, MA
, 02375-1520
Practice Phone
: 508-238-5119;
Practice Fax
:
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1447218565 -
MR.
MR.
GARY
DARELL
SHIELDS
P.T.
Other Name
:
Mailing Address
:
156 OLD KENNETT RD
KENNETT SQUARE
PA
19348-2632
Phone
: 610-444-8648;
Fax
: 610-444-8649;
Practice Location Address
:
3740 W CHESTER PIKE
,
, NEWTOWN SQUARE
, PA
, 19073-3223
Practice Phone
: 610-355-7623;
Practice Fax
: 610-355-7623
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1356309470 -
CLAIRE
B
VILLENEUVE
C.R.N.A.
Other Name
:
Mailing Address
:
690 CANTON ST
SUITE 325
WESTWOOD
MA
02090-2321
Phone
: 781-407-7713;
Fax
: 781-407-0998;
Practice Location Address
:
690 CANTON ST
, SUITE 325
, WESTWOOD
, MA
, 02090-2321
Practice Phone
: 781-407-7713;
Practice Fax
: 781-407-0998
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1265490387 -
DR.
DR.
WILLIAM
R.
BOHMAN
M.D.
Other Name
:
Mailing Address
:
701 WELCH RD
SUITE 216
PALO ALTO
CA
94304-1709
Phone
: 650-323-0617;
Fax
: 650-323-4229;
Practice Location Address
:
300 PASTEUR DR
,
, STANFORD
, CA
, 94305-2200
Practice Phone
: 650-725-6102;
Practice Fax
:
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1174581292 -
LAWRENCE
L
WORTH
C.R.N.A.
Other Name
:
Mailing Address
:
690 CANTON ST
SUITE 325
WESTWOOD
MA
02090-2321
Phone
: 781-407-7713;
Fax
: 781-407-0998;
Practice Location Address
:
690 CANTON ST
, SUITE 325
, WESTWOOD
, MA
, 02090-2321
Practice Phone
: 781-407-7713;
Practice Fax
: 781-407-0998
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1083672109 -
DR.
DR.
CHARLES
G
MURPHY
MD
Other Name
:
Mailing Address
:
115 LINCOLN ST
DEPT OF EMERGENCY MEDICINE
FRAMINGHAM
MA
01702-6358
Phone
: 508-383-1104;
Fax
: ;
Practice Location Address
:
115 LINCOLN ST
, DEPT OF EMERGENCY MEDICINE
, FRAMINGHAM
, MA
, 01702-6358
Practice Phone
: 508-383-1104;
Practice Fax
:
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1891753919 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1700844826 -
DR.
DR.
SANFORD
H
LEVY
MD
Other Name
:
Mailing Address
:
3685 HARLEM RD STE 103
BUFFALO
NY
14215-2046
Phone
: 716-867-4114;
Fax
: 716-235-2617;
Practice Location Address
:
3685 HARLEM RD # 103
,
, BUFFALO
, NY
, 14215-2046
Practice Phone
: 716-867-4114;
Practice Fax
: 716-235-2617
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1619935731 -
TERRI
L.
HARRIS
MD
Other Name
:
TERRI
L.
LUCAS
Mailing Address
:
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
2625 E 62ND STREET
, STE 2010
, INDIANAPOLIS
, IN
, 46220-3191
Practice Phone
: 317-251-6121;
Practice Fax
: 317-257-0390
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1700844776 -
NAOMI
DWORKIN
M.D.
Other Name
:
Mailing Address
:
144 SHERMAN ST
BELMONT
MA
02478-4101
Phone
: 617-847-1950;
Fax
: ;
Practice Location Address
:
144 SHERMAN ST
,
, BELMONT
, MA
, 02478-4101
Practice Phone
: 617-847-1950;
Practice Fax
:
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1619935681 -
JAIME
A
MORALES-ARIAS
MD, FAAP
Other Name
:
Mailing Address
:
200 HENRY CLAY AVE
NEW ORLEANS
LA
70118-5720
Phone
: 504-896-9740;
Fax
: 504-896-9758;
Practice Location Address
:
200 HENRY CLAY AVE
,
, NEW ORLEANS
, LA
, 70118-5720
Practice Phone
: 504-896-9740;
Practice Fax
: 504-896-9758
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1528026598 -
MICHAEL
H.
IEONG
M.D.
Other Name
:
Mailing Address
:
720 HARRISON AVE
DOB 503
BOSTON
MA
02118
Phone
: ;
Fax
: ;
Practice Location Address
:
725 ALBANY STREET
, SHAPIRO 9, SUITE B
, BOSTON
, MA
, 02118-2526
Practice Phone
: 617-638-7480;
Practice Fax
: 617-638-7486
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1437117405 -
MS.
MS.
ELIZABETH
BOYER
FIER
MA, LPC, NCC
Other Name
:
Mailing Address
:
74 BUNKER HILL RD
LAWRENCEVILLE
NJ
08648-2829
Phone
: 609-647-0714;
Fax
: ;
Practice Location Address
:
168 FRANKLIN CORNER RD
, STE. B210
, LAWRENCEVILLE
, NJ
, 08648-2529
Practice Phone
: 609-647-0714;
Practice Fax
:
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1346208311 -
DR.
DR.
MA. LUISA
S
SUMABAT
M.D.
Other Name
:
Mailing Address
:
117 S MAIN ST
BLUFFTON
IN
46714-2047
Phone
: 260-824-9265;
Fax
: 260-824-9267;
Practice Location Address
:
117 S MAIN ST
,
, BLUFFTON
, IN
, 46714-2047
Practice Phone
: 260-824-9265;
Practice Fax
: 260-824-9267
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1255399226 -
MR.
MR.
THOMAS
L
JOHNSON
II
MD
Other Name
:
Mailing Address
:
1740 SE 18TH ST
SUITE 1002
OCALA
FL
34471-5408
Phone
: 352-622-1126;
Fax
: 352-622-2391;
Practice Location Address
:
1740 SE 18TH ST
, SUITE 1002
, OCALA
, FL
, 34471-5408
Practice Phone
: 352-622-1126;
Practice Fax
: 352-622-2391
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1164480133 -
DR.
DR.
CHARLES
W
ANDERSON
MEDICAL DOCTOR
Other Name
:
Mailing Address
:
123 CRUZ ALTA
TAOS
NM
87571-6279
Phone
: 505-758-8651;
Fax
: 505-758-8711;
Practice Location Address
:
123 CRUZ ALTA
,
, TAOS
, NM
, 87571-6279
Practice Phone
: 505-758-8651;
Practice Fax
: 505-758-7811
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1073571048 -
NAYER
NIKPOOR
M.D.
Other Name
:
Mailing Address
:
800 WASHINGTON ST # 1013
BOSTON
MA
02111-1552
Phone
: 617-636-6338;
Fax
: ;
Practice Location Address
:
800 WASHINGTON ST # 1013
,
, BOSTON
, MA
, 02111-1552
Practice Phone
: 617-636-6338;
Practice Fax
:
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1982662953 -
ELLEN
S
DOLNANSKY
M.D.
Other Name
:
Mailing Address
:
71 MONTGOMERY ST
BOSTON
MA
02116-5903
Phone
: 617-262-0032;
Fax
: ;
Practice Location Address
:
71 MONTGOMERY ST
,
, BOSTON
, MA
, 02116-5903
Practice Phone
: 617-262-0032;
Practice Fax
:
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1790743763 -
JOY
D
RISKIN
M.D.
Other Name
:
Mailing Address
:
131 HARVARD ST
#2F
BROOKLINE
MA
02446-6429
Phone
: 617-566-6001;
Fax
: ;
Practice Location Address
:
131 HARVARD ST
, #2F
, BROOKLINE
, MA
, 02446-6429
Practice Phone
: 617-566-6001;
Practice Fax
:
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1609834670 -
RONALD
N
PAASCH
M.D.
Other Name
:
Mailing Address
:
271 PARK ST
WEST SPRINGFIELD
MA
01089-3311
Phone
: 413-785-1153;
Fax
: ;
Practice Location Address
:
271 PARK ST
,
, WEST SPRINGFIELD
, MA
, 01089-3311
Practice Phone
: 413-785-1153;
Practice Fax
:
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1518925585 -
DANA
KAILANI
FUGELSO
M.D.
Other Name
:
Mailing Address
:
1101 BEACON ST
SUITE 1W
BROOKLINE
MA
02446-5587
Phone
: 617-731-8334;
Fax
: 617-731-8556;
Practice Location Address
:
1101 BEACON ST
, SUITE 1W
, BROOKLINE
, MA
, 02446-5587
Practice Phone
: 617-731-8334;
Practice Fax
:
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1427016492 -
DR.
DR.
MARTIN
J
KAFINA
M.D.
Other Name
:
MARTIN
J.
KAFINA
Mailing Address
:
59 ORNAC
SUITE 2
CONCORD
MA
01742
Phone
: 978-287-0700;
Fax
: 978-369-0250;
Practice Location Address
:
59 OLD ROAD TO 9 ACRE COR STE 2
,
, CONCORD
, MA
, 01742-3317
Practice Phone
: 978-287-0700;
Practice Fax
: 978-369-0250
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1881651990 -
ALLINA HEALTH SYSTEM
Other Name
:
OWATONNA HOSPITAL
Mailing Address
:
PO BOX 43
MAIL ROUTE 10860
MINNEAPOLIS
MN
55440-0043
Phone
: 612-262-1166;
Fax
: ;
Practice Location Address
:
2250 26TH STREET NW
,
, OWATONNA
, MN
, 55060-5503
Practice Phone
: 507-455-7644;
Practice Fax
:
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1699732701 -
DR.
DR.
MICHAEL
D
JOHNSON
D.O.
Other Name
:
Mailing Address
:
820 N CHELAN AVE
WENATCHEE
WA
98801-2028
Phone
: 509-663-8711;
Fax
: 509-665-6065;
Practice Location Address
:
820 N CHELAN AVE
,
, WENATCHEE
, WA
, 98801-2028
Practice Phone
: 509-663-8711;
Practice Fax
: 509-665-6065
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1508823618 -
DR.
DR.
DAVID
GRIFFIN
M.D.
Other Name
:
Mailing Address
:
PO BOX 100174
COLUMBIA
SC
29202-3174
Phone
: 864-225-5131;
Fax
: 864-225-2592;
Practice Location Address
:
2000 E GREENVILLE ST
, CANCER CENTER 3RD FLOOR
, ANDERSON
, SC
, 29621-1580
Practice Phone
: 864-225-5131;
Practice Fax
: 864-225-2592
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1417914524 -
MARK
R
STASZKIEWICZ
M.D.
Other Name
:
Mailing Address
:
1700 W PARADISE DR
WEST BEND
WI
53095-9795
Phone
: 262-334-3451;
Fax
: ;
Practice Location Address
:
1700 W PARADISE DR
,
, WEST BEND
, WI
, 53095-9795
Practice Phone
: 262-334-3451;
Practice Fax
:
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1326005430 -
JAMAL
BEN
ZOHUR
MD
Other Name
:
Mailing Address
:
10175 NIAGARA FALLS BLVD STE 1
NIAGARA FALLS
NY
14304-2941
Phone
: 716-205-5790;
Fax
: 716-205-0818;
Practice Location Address
:
10175 NIAGARA FALLS BLVD STE 1
,
, NIAGARA FALLS
, NY
, 14304-2941
Practice Phone
: 716-205-5790;
Practice Fax
: 716-205-0818
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1235196346 -
MYRA
GAITHER
CRNA
Other Name
:
Mailing Address
:
PO BOX 235019
MONTGOMERY
AL
36123-5019
Phone
: 334-279-1450;
Fax
: 334-279-1660;
Practice Location Address
:
1725 PINE ST
,
, MONTGOMERY
, AL
, 36106-1109
Practice Phone
: 334-293-8000;
Practice Fax
:
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1144287251 -
DIANE
M
BUDNICK
CNP
Other Name
:
Mailing Address
:
2104 NORTHDALE BLVD NW
SUITE 220 MEDICAL ADVANCED PAIN SPECIALISTS
MINNEAPOLIS
MN
55433-3028
Phone
: 763-537-6000;
Fax
: 763-537-6666;
Practice Location Address
:
1700 UNIVERSITY AVE W
, MEDICAL ADVANCED PAIN SPECIALISTS
, SAINT PAUL
, MN
, 55104-3727
Practice Phone
: 763-537-6000;
Practice Fax
: 763-537-6666
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1053378166 -
DR.
DR.
ROBERT
B
KIDD
M.D.
Other Name
:
Mailing Address
:
15770 PAUL VEGA MD DR
HAMMOND
LA
70403-1475
Phone
: 985-542-1226;
Fax
: 985-542-2887;
Practice Location Address
:
15770 PAUL VEGA MD DR
,
, HAMMOND
, LA
, 70403-1475
Practice Phone
: 985-542-1226;
Practice Fax
: 985-542-2887
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1962469072 -
DR.
DR.
GREGORY
JAY
TELES
D.P.M.
Other Name
:
Mailing Address
:
23365 HAWTHORNE BLVD STE 101
TORRANCE
CA
90505-3720
Phone
: 310-326-0202;
Fax
: 310-326-5826;
Practice Location Address
:
23365 HAWTHORNE BLVD STE 101
,
, TORRANCE
, CA
, 90505-3720
Practice Phone
: 310-326-0202;
Practice Fax
: 310-326-5826
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1871550988 -
DR.
DR.
BRETT
CHANDLER
BAUDIN
M.D.
Other Name
:
Mailing Address
:
725 JESSE JEWELL PKWY SE
GAINESVILLE
GA
30501-3834
Phone
: 770-535-9391;
Fax
: 770-533-4701;
Practice Location Address
:
725 JESSE JEWELL PKWY SE
,
, GAINESVILLE
, GA
, 30501
Practice Phone
: 770-535-9391;
Practice Fax
: 770-533-4701
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1780641894 -
LISA ALLEN-KHALIL MD PA
Other Name
:
Mailing Address
:
11373 CORTEZ BLVD STE 102
BROOKSVILLE
FL
34613-5411
Phone
: 352-592-5000;
Fax
: 352-592-5001;
Practice Location Address
:
11373 CORTEZ BLVD STE 102
,
, BROOKSVILLE
, FL
, 34613-5414
Practice Phone
: 352-592-5000;
Practice Fax
: 352-592-5001
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1598722605 -
DEBRA
A
KARINSKI
NP
Other Name
:
Mailing Address
:
624 HAZARD RD
WEST GREENWICH
RI
02817-1913
Phone
: ;
Fax
: ;
Practice Location Address
:
101 DUDLEY ST
,
, PROVIDENCE
, RI
, 02905-2401
Practice Phone
: 401-274-1122;
Practice Fax
:
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1407813512 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1316904428 -
MR.
MR.
LOREN
GLEN
OTT
PA
Other Name
:
Mailing Address
:
1600 ESPLANADE
SUITE C
CHICO
CA
95926-3369
Phone
: 530-897-4500;
Fax
: 530-897-4544;
Practice Location Address
:
1600 ESPLANADE
, SUITE C
, CHICO
, CA
, 95926-3369
Practice Phone
: 530-897-4500;
Practice Fax
: 530-897-4544
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1225095334 -
REBECCA
M
GUTMANN
MD
Other Name
:
Mailing Address
:
700 ACKERMAN RD STE 570
COLUMBUS
OH
43202-1579
Phone
: 614-293-8487;
Fax
: ;
Practice Location Address
:
410 W 10TH AVE
,
, COLUMBUS
, OH
, 43210
Practice Phone
: 614-293-8487;
Practice Fax
: 614-293-8153
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1134186240 -
DR.
DR.
PEDRO
O.
SERVANO
III
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-4903
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
201 ROOSEVELT AVE
,
, SELINSGROVE
, PA
, 17870-7969
Practice Phone
: 570-374-0151;
Practice Fax
: 570-374-0311
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1043277155 -
RANDALL
E
BOLDT
PT
Other Name
:
Mailing Address
:
850 43RD AVE STE 100
MOLINE
IL
61265-8401
Phone
: 309-743-2070;
Fax
: 309-743-2073;
Practice Location Address
:
1008 W 35TH ST
,
, DAVENPORT
, IA
, 52806-5827
Practice Phone
: 563-324-2263;
Practice Fax
: 563-324-0719
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1952368060 -
SCOTT
K
HENDERSON
M.D.
Other Name
:
Mailing Address
:
5151 REED RD
SUITE 225-C
COLUMBUS
OH
43220-2595
Phone
: 614-457-2306;
Fax
: 614-884-0776;
Practice Location Address
:
5151 REED RD
, SUITE 225-C
, COLUMBUS
, OH
, 43220-2595
Practice Phone
: 614-457-2306;
Practice Fax
: 614-884-0776
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1861459976 -
PAUL
STEPHEN
CHANCELLOR
CRNA
Other Name
:
Mailing Address
:
1824 WALTON WAY
AUGUSTA
GA
30904-3804
Phone
: 706-737-9250;
Fax
: 706-733-0697;
Practice Location Address
:
3651 WHEELER RD
,
, AUGUSTA
, GA
, 30909-6521
Practice Phone
: 706-737-9250;
Practice Fax
: 706-733-0697
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1770540882 -
DR.
DR.
ALOK
KUMAR
MD
Other Name
:
Mailing Address
:
6600 S YALE AVE
SUITE 1400
TULSA
OK
74136-3347
Phone
: 918-488-6001;
Fax
: ;
Practice Location Address
:
6151 S YALE AVE
, LEVEL B
, TULSA
, OK
, 74136-1907
Practice Phone
: 918-502-6044;
Practice Fax
:
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1689631798 -
ROBERT
T.
PINSON
DO
Other Name
:
Mailing Address
:
PO BOX 22063
DEPT 0289
TULSA
OK
74121-2063
Phone
: 405-751-4664;
Fax
: 405-749-4561;
Practice Location Address
:
2929 S GARNETT RD
,
, TULSA
, OK
, 74129-5101
Practice Phone
: 918-665-1520;
Practice Fax
: 405-749-4561
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1497712509 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1306803416 -
FRANK
JOSEPH
DELLACROCE
MD
Other Name
:
Mailing Address
:
PO BOX 8664
METAIRIE
LA
70011-8664
Phone
: 504-899-2800;
Fax
: 504-899-2700;
Practice Location Address
:
1717 ST CHARLES AVE
,
, NEW ORLEANS
, LA
, 70130
Practice Phone
: 504-899-2800;
Practice Fax
: 504-899-2700
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1215994322 -
ALICE
FAYE
AMRO
LCSW
Other Name
:
Mailing Address
:
104 CHESTNUT ST
SUITE 221
HINSDALE
IL
60521-3387
Phone
: 630-674-4000;
Fax
: ;
Practice Location Address
:
134 N MCLEAN BLVD
,
, ELGIN
, IL
, 60123-5169
Practice Phone
: 630-674-4000;
Practice Fax
:
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1124085238 -
WEST FLORIDA HEALTH HOME CARE INC
Other Name
:
WEST FLORIDA HEALTH HOME CARE NORTH TAMPA
Mailing Address
:
12903 N TELECOM PKWY
TEMPLE TERRACE
FL
33637-0907
Phone
: 813-615-7700;
Fax
: 813-615-8189;
Practice Location Address
:
12903 N TELECOM PKWY
,
, TEMPLE TERRACE
, FL
, 33637-0907
Practice Phone
: 813-615-7700;
Practice Fax
: 813-615-8189
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1033176144 -
OVERLOOK VISITING NURSE ASSOCIATION, INC.
Other Name
:
OVERLOOK HOSPICE SERVICES
Mailing Address
:
88 MASONIC HOME RD
CHARLTON
MA
01507-1394
Phone
: 800-990-7642;
Fax
: 888-978-9808;
Practice Location Address
:
88 MASONIC HOME RD
,
, CHARLTON
, MA
, 01507-1394
Practice Phone
: 508-434-2200;
Practice Fax
: 888-978-9803
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1942267059 -
DR.
DR.
OLUGBENGA
O
OSUNSANMI
DPT
Other Name
:
OLU
O
OSUNSANMI
Mailing Address
:
6127 E CENTRAL AVE STE 200
WICHITA
KS
67208-4209
Phone
: 316-259-3413;
Fax
: 316-260-2426;
Practice Location Address
:
6127 E CENTRAL AVE STE 200
,
, WICHITA
, KS
, 67208-4209
Practice Phone
: 316-259-3413;
Practice Fax
: 316-260-2426
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1851358964 -
SURGICAL CENTER AT PREMIER LLC
Other Name
:
HEALTHSOUTH SURGERY CENTER OF COLORADO SPRINGS, LLC
Mailing Address
:
3920 N UNION BLVD
SUITE 240
COLORADO SPRINGS
CO
80907-4900
Phone
: 719-268-3200;
Fax
: ;
Practice Location Address
:
3920 N UNION BLVD
, SUITE 240
, COLORADO SPRINGS
, CO
, 80907-4900
Practice Phone
: 719-268-3200;
Practice Fax
:
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