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Showing codes 1609812452 — 1730125311
1609812452 -
BRADFORD
L
RAMSEY
DO
Other Name
:
Mailing Address
:
PO BOX 3810
JOPLIN
MO
64803-3810
Phone
: 417-347-1078;
Fax
: 417-347-1079;
Practice Location Address
:
1102 W 32ND ST
,
, JOPLIN
, MO
, 64804-3503
Practice Phone
: 417-347-1078;
Practice Fax
: 417-347-1079
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1518903368 -
DR.
DR.
CANDELARIA
CORREA
MENDOZA
Other Name
:
Mailing Address
:
400 E 70TH ST
NEW YORK
NY
10021-5387
Phone
: ;
Fax
: ;
Practice Location Address
:
420 E 76TH ST
,
, NEW YORK
, NY
, 10021-3104
Practice Phone
: 212-434-5458;
Practice Fax
:
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1427094275 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1336185180 -
DALE
M
FRANK
MD
Other Name
:
Mailing Address
:
3400 SPRUCE ST
PHILADELPHIA
PA
19104-4206
Phone
: ;
Fax
: ;
Practice Location Address
:
3400 SPRUCE ST
,
, PHILADELPHIA
, PA
, 19104
Practice Phone
: 215-662-6503;
Practice Fax
:
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1245276096 -
THUMATI
G
JAGALUR
MD
Other Name
:
Mailing Address
:
1020 LAKE SUMTER LNDG
THE VILLAGES
FL
32162-2699
Phone
: 352-674-8905;
Fax
: 352-674-8901;
Practice Location Address
:
1050 OLD CAMP RD STE 100
,
, THE VILLAGES
, FL
, 32162-1762
Practice Phone
: 844-884-9355;
Practice Fax
: 352-674-8960
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1154367902 -
DR.
DR.
TAREK
SHAWKY
HASSAN
MD
Other Name
:
Mailing Address
:
39650 ORCHARD HILL PL
200
NOVI
MI
48375-5391
Phone
: 248-319-0161;
Fax
: 248-319-0170;
Practice Location Address
:
3555 W 13 MILE RD
, LL-20
, ROYAL OAK
, MI
, 48073-6710
Practice Phone
: 248-288-2280;
Practice Fax
: 248-288-5644
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1063458818 -
MS.
MS.
MARIE-ANNICK
P
BARKER
Other Name
:
Mailing Address
:
342 ROSSITER AVE
BALTIMORE
MD
21212-4419
Phone
: 443-961-7950;
Fax
: ;
Practice Location Address
:
720 W 36TH ST
,
, BALTIMORE
, MD
, 21211-2505
Practice Phone
: 443-961-7950;
Practice Fax
:
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1760428510 -
LINDA
J
KERLEY
FNP
Other Name
:
Mailing Address
:
PO BOX 70403
JOHNSON CITY
TN
37614-1703
Phone
: 423-439-4071;
Fax
: 423-439-4060;
Practice Location Address
:
807 UNIVERSITY PKWY
, ROY S NICKS HALL ROOM 160
, JOHNSON CITY
, TN
, 37614-6500
Practice Phone
: 423-439-4225;
Practice Fax
: 423-439-4560
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1679519425 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1588600332 -
DR.
DR.
LUCAS
VAN
TRAN
MD
Other Name
:
LUC
VAN
TRAN
Mailing Address
:
PO BOX 221
FAYETTEVILLE
NC
28302-0221
Phone
: 910-323-1016;
Fax
: 910-323-0978;
Practice Location Address
:
101 ROBESON STREET
, SUITE 304
, FAYETTEVILLE
, NC
, 28301-5520
Practice Phone
: 910-323-1016;
Practice Fax
: 910-323-0978
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1396781142 -
ALLEN
E
GRIMES
JR.
MD
Other Name
:
Mailing Address
:
650 NEWTOWN PIKE
LEXINGTON FAYETTE CO HEALTH DEPT PRIMARY CARE CENTER
LEXINGTON
KY
40508-1197
Phone
: 859-288-2351;
Fax
: 859-288-7510;
Practice Location Address
:
650 NEWTOWN PIKE
, LEXINGTON FAYETTE CO HEALTH DEPT PRIMARY CARE CENTER
, LEXINGTON
, KY
, 40508-1197
Practice Phone
: 859-288-2351;
Practice Fax
: 859-288-7510
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1205872058 -
DR.
DR.
BRIAN
NOLAN
KIRSCHNER
MD
Other Name
:
Mailing Address
:
32255 NORTHWESTERN HWY STE 40
FARMINGTON HILLS
MI
48334-1575
Phone
: 248-355-3875;
Fax
: 248-355-3857;
Practice Location Address
:
32255 NORTHWESTERN HWY STE 40
,
, FARMINGTON HILLS
, MI
, 48334-1575
Practice Phone
: 248-355-3875;
Practice Fax
: 248-355-3857
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1114963964 -
MS.
MS.
VINOD
SHARMA
MD
Other Name
:
Mailing Address
:
4150 BELDEN VILLAGE ST NW
SUITE 600
CANTON
OH
44718
Phone
: 330-493-4553;
Fax
: 330-493-3761;
Practice Location Address
:
4150 BELDEN VILLAGE ST NW
, SUITE 600
, CANTON
, OH
, 44718
Practice Phone
: 330-493-4553;
Practice Fax
: 330-493-3761
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1023054871 -
HEALTHCARE WAREHOUSE LLC
Other Name
:
Mailing Address
:
209 EXPO CIRCLE
STE A
WEST MONROE
LA
71292
Phone
: 318-323-7773;
Fax
: 318-323-8020;
Practice Location Address
:
209 EXPO CIRCLE
, STE A
, WEST MONROE
, LA
, 71292
Practice Phone
: 318-323-7773;
Practice Fax
: 318-323-8020
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1932145786 -
DR.
DR.
TARA
DAWN
SCHARICH
DC
Other Name
:
Mailing Address
:
2600 LINCOLN AVE STE A
SAINT JOSEPH
MI
49085-3305
Phone
: 269-556-9654;
Fax
: 269-556-9735;
Practice Location Address
:
2600 LINCOLN AVE STE A
,
, SAINT JOSEPH
, MI
, 49085-3305
Practice Phone
: 269-556-9654;
Practice Fax
: 269-556-9735
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1841236692 -
WILLIAM
MAX
SANDY
M.D,
Other Name
:
Mailing Address
:
516 W 14TH AVE
STE 100
HOLDREGE
NE
68949-1216
Phone
: 308-995-4431;
Fax
: 308-995-3247;
Practice Location Address
:
516 W 14TH AVE
, STE 100
, HOLDREGE
, NE
, 68949-1216
Practice Phone
: 308-995-4431;
Practice Fax
: 308-995-3247
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1750327508 -
DEBRA
N
TAYLOR
CRNA
Other Name
:
Mailing Address
:
ONE VIRGINIA AVENUE
SUITE 201
PROVIDENCE
RI
02905
Phone
: 401-490-0916;
Fax
: 401-490-0979;
Practice Location Address
:
306 STANAFORD RD
,
, BECKLEY
, WV
, 25801-3142
Practice Phone
: 304-255-3000;
Practice Fax
: 304-255-3544
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1669418414 -
LANA
A
CHAMBERS
NP
Other Name
:
Mailing Address
:
PO BOX 5865
LUBBOCK
TX
79408-5865
Phone
: 806-743-2898;
Fax
: 806-743-2787;
Practice Location Address
:
3601 4TH ST
, SUITE 3B100
, LUBBOCK
, TX
, 79430-8340
Practice Phone
: 806-743-2340;
Practice Fax
: 806-743-1775
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1578509329 -
DR.
DR.
MOHAMMED
NAEEM
MOON
MD
Other Name
:
NAEEM
MOON
Mailing Address
:
7448 DOCS GROVE CIR
SUITE 200
ORLANDO
FL
32819-8010
Phone
: 407-352-1303;
Fax
: 407-352-3833;
Practice Location Address
:
7448 DOCS GROVE CIR
, SUITE 200
, ORLANDO
, FL
, 32819-8010
Practice Phone
: 407-352-1303;
Practice Fax
: 407-352-3833
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1487690236 -
MIA
LATHAM
NP
Other Name
:
Mailing Address
:
PO BOX 5865
LUBBOCK
TX
79408-5865
Phone
: 806-743-2898;
Fax
: 806-743-2787;
Practice Location Address
:
3601 4TH ST
, SUITE 3B100
, LUBBOCK
, TX
, 79430-0002
Practice Phone
: 806-743-2340;
Practice Fax
: 806-743-1775
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1295771046 -
DR.
DR.
ROSEMARIE
FRENZEL
M.D.
Other Name
:
Mailing Address
:
8432 FOXFIRE RD
BROOKSVILLE
FL
34613-6182
Phone
: 352-544-0192;
Fax
: ;
Practice Location Address
:
9912 LITTLE RD
,
, NEW PORT RICHEY
, FL
, 34654-3419
Practice Phone
: 727-869-4100;
Practice Fax
:
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1104862952 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1013953868 -
MR.
MR.
NATHAN
JOHN
JORDAN
MD
Other Name
:
Mailing Address
:
3264 N EVERGREEN DR NE
GRAND RAPIDS
MI
49525-9746
Phone
: 616-363-7339;
Fax
: ;
Practice Location Address
:
1234 NAPIER AVE
,
, ST JOSEPH
, MI
, 49085
Practice Phone
: 269-983-8300;
Practice Fax
: 269-983-6965
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1922044775 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1831135680 -
THOMAS
J
MOLLEN
MD
Other Name
:
Mailing Address
:
100 E PENN SQ
9TH FLOOR
PHILADELPHIA
PA
19107-3323
Phone
: 267-425-9232;
Fax
: 267-425-9299;
Practice Location Address
:
800 SPRUCE ST FL 2
, CHOP CARE NETWORK AT PENNSYLVANIA HOSPITAL
, PHILADELPHIA
, PA
, 19107-6130
Practice Phone
: 215-829-3191;
Practice Fax
: 215-829-7123
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1740226596 -
PETER
GERARD
THOMAS
DO
Other Name
:
Mailing Address
:
801 OSTRUM ST
BETHLEHEM
PA
18015-1000
Phone
: 610-954-2200;
Fax
: 610-954-2220;
Practice Location Address
:
801 OSTRUM ST
,
, BETHLEHEM
, PA
, 18015-1000
Practice Phone
: 610-954-2200;
Practice Fax
: 610-954-2220
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1659317402 -
JONATHAN
D
RUBIN
MD
Other Name
:
Mailing Address
:
1701 AUGUSTINE CUT OFF STE 100
BUILDING 4
WILMINGTON
DE
19803-4425
Phone
: 877-990-2121;
Fax
: ;
Practice Location Address
:
1701 AUGUSTINE CUT OFF
, BUILDING 4
, WILMINGTON
, DE
, 19803-4415
Practice Phone
: 877-990-2121;
Practice Fax
:
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1568408318 -
KRITI
BHATIA
MD
Other Name
:
Mailing Address
:
55 FRUIT ST WHITE 1
BOSTON
MA
02114
Phone
: 617-724-4100;
Fax
: 617-726-4715;
Practice Location Address
:
55 FRUIT ST
, WHITE 1
, BOSTON
, MA
, 02114
Practice Phone
: 617-724-4100;
Practice Fax
:
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1477599223 -
HUNTSVILLE PULMONARY MEDICINE
Other Name
:
Mailing Address
:
401 LOWELL DR SE
SUITE 19
HUNTSVILLE
AL
35801-3748
Phone
: 256-533-1528;
Fax
: ;
Practice Location Address
:
401 LOWELL DR SE
, SUITE 19
, HUNTSVILLE
, AL
, 35801-3748
Practice Phone
: 256-533-1528;
Practice Fax
:
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1386680130 -
ANDREW W. FISHER MD & MARGARET B. MCPHERSON MD
Other Name
:
Mailing Address
:
447 GREAT SPRINGS RD
BRYN MAWR
PA
19010-1715
Phone
: 610-525-4547;
Fax
: 610-519-1556;
Practice Location Address
:
447 GREATSPRINGS ROAD
,
, BRYNMAWR
, PA
, 19010-1715
Practice Phone
: 610-525-4547;
Practice Fax
: 610-519-1556
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1194761940 -
DR.
DR.
SERGE
P
SCHILLIO
MD
Other Name
:
Mailing Address
:
2500 NILES ROAD
SUITE 1
ST JOSEPH
MI
49085
Phone
: 269-429-5000;
Fax
: 269-429-2598;
Practice Location Address
:
2500 NILES ROAD
, SUITE 1
, ST JOSEPH
, MI
, 49085
Practice Phone
: 269-429-5000;
Practice Fax
: 269-429-2598
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1457397226 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1366488132 -
ARTHUR
G
HAMBLIN
PSY.D.
Other Name
:
Mailing Address
:
5426 HILL RD
BOISE
ID
83703-2946
Phone
: 208-387-1854;
Fax
: 208-343-4124;
Practice Location Address
:
5426 HILL RD
,
, BOISE
, ID
, 83703-2946
Practice Phone
: 208-387-1854;
Practice Fax
: 208-343-4124
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1275579047 -
JULIO
C
MACHADO
JR.
MD
Other Name
:
Mailing Address
:
15536 SW 36TH TER
MIAMI
FL
33185-4811
Phone
: 305-450-2774;
Fax
: 305-675-8028;
Practice Location Address
:
15536 SW 36TH TER
,
, MIAMI
, FL
, 33185-4811
Practice Phone
: 305-450-2774;
Practice Fax
: 305-675-8028
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1184660953 -
STEPHEN
E
SCHMID
MD
Other Name
:
Mailing Address
:
630 ADDISON AVE W
TWIN FALLS
ID
83301-5474
Phone
: 208-736-8735;
Fax
: 208-736-5999;
Practice Location Address
:
630 ADDISON AVE W
,
, TWIN FALLS
, ID
, 83301-5491
Practice Phone
: 208-736-8735;
Practice Fax
: 208-736-5999
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1992741763 -
DR.
DR.
JOSEPH
DAVID
WONG
O.D. , C.R.A.
Other Name
:
Mailing Address
:
6880 CHARING CROSS RD
BERKELEY
CA
94705-1719
Phone
: ;
Fax
: ;
Practice Location Address
:
1220 ROSSMOOR PKWY
,
, WALNUT CREEK
, CA
, 94595-2501
Practice Phone
: 925-988-7560;
Practice Fax
: 925-256-6392
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1801832670 -
SARA
LYNN
GRANDSTRAND
A.T.C.
Other Name
:
Mailing Address
:
8100 129TH PL SE
NEWCASTLE
WA
98056-9102
Phone
: 425-228-8491;
Fax
: ;
Practice Location Address
:
16245 NE 24TH ST
,
, BELLEVUE
, WA
, 98008-2413
Practice Phone
: 425-456-7309;
Practice Fax
:
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1710923586 -
NICOLE
YOUNG-CLINE
M.A., CCC-SLP
Other Name
:
Mailing Address
:
8703 HIGHWAY 17 BYP S
SUITE I
MYRTLE BEACH
SC
29575-7701
Phone
: 843-457-1053;
Fax
: 843-215-2910;
Practice Location Address
:
8703 HIGHWAY 17 BYP S
, SUITE I
, MYRTLE BEACH
, SC
, 29575-7701
Practice Phone
: 843-457-1053;
Practice Fax
: 843-215-2910
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1629014493 -
DR.
DR.
JAMIE
T
HAAS
M.D.
Other Name
:
Mailing Address
:
901 PATIENTS FIRST DR
WASHINGTON
MO
63090-4700
Phone
: 639-390-1776;
Fax
: 636-390-1775;
Practice Location Address
:
901 PATIENTS FIRST DR
,
, WASHINGTON
, MO
, 63090-4700
Practice Phone
: 639-390-1776;
Practice Fax
: 636-390-1775
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1538105309 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1447296215 -
DR.
DR.
JOSEPH
R.
TADDEO
MD
Other Name
:
Mailing Address
:
19 BRADHURST AVE
SUITE 3100N
HAWTHORNE
NY
10532-2140
Phone
: 914-909-9018;
Fax
: 914-909-9028;
Practice Location Address
:
241 NORTH RD
,
, POUGHKEEPSIE
, NY
, 12601-1154
Practice Phone
: 845-431-8238;
Practice Fax
:
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1356387120 -
DR.
DR.
DAVID TU
KIM
NGUYEN
D.O.
Other Name
:
Mailing Address
:
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA
WA
98431-0001
Phone
: 253-968-2252;
Fax
: 253-968-3278;
Practice Location Address
:
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
,
, TACOMA
, WA
, 98431-0001
Practice Phone
: 253-968-2252;
Practice Fax
: 253-968-3278
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1265478036 -
DR.
DR.
CHONG
S
KIM
M.D.
Other Name
:
Mailing Address
:
17 BRIDGEPOINTE DR
LAURENCE HARBOR
NJ
08879-2909
Phone
: 732-290-7861;
Fax
: ;
Practice Location Address
:
100 COMMONS WAY
, SUITE 701
, HOLMDEL
, NJ
, 07733-2934
Practice Phone
: 732-796-0182;
Practice Fax
:
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1174569941 -
JASON
HOBBS
LCSW
Other Name
:
Mailing Address
:
300 MARGIE DR
WARNER ROBINS
GA
31088-7817
Phone
: 478-751-2580;
Fax
: 478-953-6727;
Practice Location Address
:
404 CORDER RD
, SUITE 100
, WARNER ROBINS
, GA
, 31088-3702
Practice Phone
: 478-322-1113;
Practice Fax
: 478-322-1114
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1083650857 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1891731667 -
DR.
DR.
NIKOLAI
ALEXANDROVICH
PODOLTSEV
M.D., PH.D.
Other Name
:
Mailing Address
:
PO BOX 208032
YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION
NEW HAVEN
CT
06520-8032
Phone
: 203-200-4363;
Fax
: 203-785-3788;
Practice Location Address
:
333 CEDAR ST
, YALE UNIVERSITY SCHOOL OF MEDICINE, HEMATOLOGY DIVISION
, NEW HAVEN
, CT
, 06510-3206
Practice Phone
: 203-200-4363;
Practice Fax
: 203-785-3788
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1700822574 -
DR.
DR.
EVELYN
MATTA FONTANET
M.D.
Other Name
:
Mailing Address
:
390 CALLE GARDENIA
LA PONDEROSA
RIO GRANDE
PR
00745-2201
Phone
: 787-809-4025;
Fax
: 787-809-4025;
Practice Location Address
:
21 LAS FLORES
,
, RIO GRANDE
, PR
, 00745
Practice Phone
: 787-809-4025;
Practice Fax
: 787-809-4025
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1619913480 -
SAFEWAY INC
Other Name
:
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
520 CLEVELAND AVE SE
,
, TUMWATER
, WA
, 98501-3313
Practice Phone
: 360-943-7600;
Practice Fax
: 360-943-0949
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1043256829 -
MARIA ROSARIO
ABANO
CUMAGUN
MD
Other Name
:
Mailing Address
:
810 SAINT VINCENTS DR
BIRMINGHAM
AL
35205-1601
Phone
: 205-558-3484;
Fax
: 205-930-2158;
Practice Location Address
:
1870 CHACE DR STE 160
,
, HOOVER
, AL
, 35244
Practice Phone
: 205-733-7110;
Practice Fax
: 205-733-7859
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1952347734 -
KRISTY
TAYLOR
O'BRIEN
APRN
Other Name
:
Mailing Address
:
2 WALL ST
STE 300
MANCHESTER
NH
03101-1518
Phone
: 603-668-4111;
Fax
: ;
Practice Location Address
:
9 BLODGET ST
,
, MANCHESTER
, NH
, 03104
Practice Phone
: 603-668-4111;
Practice Fax
: 603-625-6824
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1861438640 -
THEODORE
MAHLER
BARNETT
M.D.
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPT
KANSAS CITY
MO
64108-4619
Phone
: 816-701-5200;
Fax
: 816-302-9939;
Practice Location Address
:
2401 GILLHAM RD
,
, KANSAS CITY
, MO
, 64108-4619
Practice Phone
: 816-234-3000;
Practice Fax
: 816-302-9939
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1770529554 -
MARC
C
NEWMAN
MD
Other Name
:
Mailing Address
:
2450 W HUNTING PARK AVE
3/208N
PHILADELPHIA
PA
19129-1302
Phone
: 215-707-5522;
Fax
: 215-707-5031;
Practice Location Address
:
3322 N BROAD ST
, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE
, PHILADELPHIA
, PA
, 19140-5185
Practice Phone
: 215-707-4600;
Practice Fax
: 215-707-4034
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1689610461 -
MARGARET
KATHLEEN
STOCKWELL
MD
Other Name
:
Mailing Address
:
405 SADDLE DR
HELENA
MT
59601-5632
Phone
: 406-442-0120;
Fax
: 406-442-0040;
Practice Location Address
:
405 SADDLE DR
,
, HELENA
, MT
, 59601-5632
Practice Phone
: 406-442-0120;
Practice Fax
: 406-442-0040
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1497791271 -
RACHEL
J
FORBERG
F.N.P.
Other Name
:
RACHEL
J
BUNT
Mailing Address
:
PO BOX 505
NORTH CHILI
NY
14514-0505
Phone
: 585-594-5995;
Fax
: 585-594-5425;
Practice Location Address
:
4201 BUFFALO RD STE 1
,
, NORTH CHILI
, NY
, 14514-1256
Practice Phone
: 585-594-5995;
Practice Fax
: 585-594-5425
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1306882188 -
NAI SATURN EASTERN LLC
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:
Mailing Address
:
250 E PARKCENTER BLVD
MAILSTOP SEC2-B
BOISE
ID
83706-3940
Phone
: 847-916-4463;
Fax
: 847-916-4736;
Practice Location Address
:
6500 PINEY BRANCH RD NW
,
, WASHINGTON
, DC
, 20012-2900
Practice Phone
: 202-723-5612;
Practice Fax
: 202-722-4113
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1215973094 -
NAI SATURN EASTERN LLC
Other Name
:
Mailing Address
:
250 E PARKCENTER BLVD
MAILSTOP SEC2-B
BOISE
ID
83706-3940
Phone
: 847-916-4463;
Fax
: 847-916-4736;
Practice Location Address
:
1747 COLUMBIA RD NW
,
, WASHINGTON
, DC
, 20009-2813
Practice Phone
: 202-667-2080;
Practice Fax
: 202-667-2085
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1124064902 -
SAFEWAY INC
Other Name
:
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
200 HAMAKUA DR
,
, KAILUA
, HI
, 96734-3985
Practice Phone
: 808-266-5220;
Practice Fax
: 808-266-5213
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1033155817 -
SAFEWAY INC
Other Name
:
Mailing Address
:
250 E PARKCENTER BLVD
BOISE
ID
83706-3940
Phone
: ;
Fax
: ;
Practice Location Address
:
831 KUHIO HWY
,
, KAPAA
, HI
, 96746
Practice Phone
: 808-822-2191;
Practice Fax
: 808-822-9225
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1942246723 -
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: ;
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: ;
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:
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1851337638 -
CARLA
M
OBERST
M.D.
Other Name
:
CARLA
M
FORD
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8374;
Fax
: 617-421-3487;
Practice Location Address
:
147 MILK ST
,
, BOSTON
, MA
, 02109-4806
Practice Phone
: 617-654-7000;
Practice Fax
: 617-482-3872
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1760428544 -
JEFFERY
J
EIDSON
MD
Other Name
:
Mailing Address
:
111 W STATE ST
BOISE
ID
83702-6127
Phone
: 208-336-0895;
Fax
: ;
Practice Location Address
:
111 W STATE ST
,
, BOISE
, ID
, 83702-6127
Practice Phone
: 208-336-0895;
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:
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1679519458 -
SANFORD CLINIC
Other Name
:
Mailing Address
:
PO BOX 5074
SIOUX FALLS
SD
57117-5074
Phone
: 605-328-6585;
Fax
: ;
Practice Location Address
:
1205 S GRANGE AVE STE 301
,
, SIOUX FALLS
, SD
, 57105-0410
Practice Phone
: 605-328-2170;
Practice Fax
: 605-328-2171
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: ;
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,
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: ;
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:
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1396781175 -
MR.
MR.
KYAW
NYUNT
MD
Other Name
:
Mailing Address
:
500 E RIDGEWOOD AVE
APT 37
RIDGEWOOD
NJ
07450-3340
Phone
: 917-553-2375;
Fax
: ;
Practice Location Address
:
223 N VAN DIEN AVE
, VALLEY HOSPITAL
, RIDGEWOOD
, NJ
, 07450-3340
Practice Phone
: 201-447-8375;
Practice Fax
:
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1073559860 -
DR.
DR.
VENUS
T
KHALIL
M.D.
Other Name
:
Mailing Address
:
3 BRUNSWICK WOODS DR
EAST BRUNSWICK
NJ
08816-5601
Phone
: 732-432-9923;
Fax
: 732-432-0030;
Practice Location Address
:
3 BRUNSWICK WOODS DR
,
, EAST BRUNSWICK
, NJ
, 08816-5601
Practice Phone
: 732-432-9923;
Practice Fax
: 732-432-0030
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1982640777 -
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:
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Phone
: ;
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: ;
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,
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: ;
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:
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1790721587 -
DR.
DR.
WILLIAM
LUTHER
HAND
III
DDS
Other Name
:
Mailing Address
:
218B S FRONT ST
NEW BERN
NC
28560-2136
Phone
: 252-638-8000;
Fax
: 252-638-4088;
Practice Location Address
:
218B S FRONT ST
,
, NEW BERN
, NC
, 28560-2136
Practice Phone
: 252-638-8000;
Practice Fax
: 252-638-4088
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1609812494 -
SOOK
HEE
YOO
MD
Other Name
:
Mailing Address
:
4200 MONUMENT RD
PHILADELPHIA
PA
19131-1625
Phone
: 215-581-3763;
Fax
: 215-254-2599;
Practice Location Address
:
101 E OLNEY AVE
, SUITE 400
, PHILADELPHIA
, PA
, 19120-2421
Practice Phone
: 215-456-7000;
Practice Fax
: 215-254-2599
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1518903301 -
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:
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: ;
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: ;
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,
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: ;
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:
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1427094218 -
SANDEEP
CHANDRAKANT
PATEL
M.D.
Other Name
:
Mailing Address
:
875 S DOBSON RD
CHANDLER
AZ
85224-5710
Phone
: 480-855-2036;
Fax
: 480-855-2026;
Practice Location Address
:
875 S DOBSON RD
,
, CHANDLER
, AZ
, 85224-5710
Practice Phone
: 480-855-2036;
Practice Fax
: 480-855-2026
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1336185123 -
MRS.
MRS.
ANN
M
ARNETT
LCSW CADC III
Other Name
:
ANN
MARIE
HESKETH
Mailing Address
:
3750 CHEMAWA RD NE
SALEM
OR
97305-1119
Phone
: 503-304-7642;
Fax
: 503-304-7677;
Practice Location Address
:
3750 CHEMAWA RD NE
,
, SALEM
, OR
, 97305-1119
Practice Phone
: 503-304-7642;
Practice Fax
: 503-304-7677
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1750327433 -
EMILY
L
MCCHESNEY
MSW
Other Name
:
Mailing Address
:
2905 DEAN PKWY
NO. 104
MINNEAPOLIS
MN
55416-4444
Phone
: 612-929-0311;
Fax
: ;
Practice Location Address
:
1 VETERANS DR
, MAILSTOP #4K-TBI
, MINNEAPOLIS
, MN
, 55417-2309
Practice Phone
: 612-467-1681;
Practice Fax
:
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1669418349 -
MR.
MR.
JAMES
KNIGHT
APN
Other Name
:
Mailing Address
:
270 E 8TH AVE
SUITE N203
DURANGO
CO
81301-5708
Phone
: 970-247-0640;
Fax
: 877-543-5916;
Practice Location Address
:
270 E 8TH AVE
, SUITE N203
, DURANGO
, CO
, 81301-5708
Practice Phone
: 970-247-0640;
Practice Fax
: 877-543-5916
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1578509253 -
MRS.
MRS.
SHARON
LYNNE
BRONNER
NURSE PRACTITIONER
Other Name
:
Mailing Address
:
928 PARKWAY PL
PEEKSKILL
NY
10566-1824
Phone
: 914-841-5966;
Fax
: 914-736-6776;
Practice Location Address
:
1 PENN PLZ
, 7TH FLOOR SUITE 725
, NEW YORK
, NY
, 10119-0002
Practice Phone
: 917-576-4483;
Practice Fax
:
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1487690160 -
DR.
DR.
JASON
MCGOVERN
DMD
Other Name
:
Mailing Address
:
PO BOX 1349
TIFTON
GA
31793-1349
Phone
: 229-382-0803;
Fax
: 229-382-0809;
Practice Location Address
:
1413 TIFT AVE N
,
, TIFTON
, GA
, 31794-3546
Practice Phone
: 229-382-0803;
Practice Fax
: 229-382-0809
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1396781977 -
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:
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:
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: ;
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: ;
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: ;
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:
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1205872884 -
MR.
MR.
JEFFREY
JOSEPH
WEPRIN
MD
Other Name
:
Mailing Address
:
541 NE 20TH AVE STE 225
PORTLAND
OR
97232-2895
Phone
: 503-963-2801;
Fax
: 503-963-2825;
Practice Location Address
:
9701 SW BARNES RD
, SUITE #300
, PORTLAND
, OR
, 97225-6589
Practice Phone
: 503-297-8081;
Practice Fax
: 503-292-6601
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1114963790 -
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:
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:
Phone
: ;
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: ;
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,
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: ;
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:
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1023054608 -
BRUCE
WASSERMAN
M.D.
Other Name
:
Mailing Address
:
22 S GREENE ST
DEPT OF RADIOLOGY
BALTIMORE
MD
21201-1544
Phone
: 410-328-3477;
Fax
: ;
Practice Location Address
:
22 S GREENE ST
, DEPT OF RADIOLOGY
, BALTIMORE
, MD
, 21201-1544
Practice Phone
: 410-328-3477;
Practice Fax
:
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1932145513 -
IGNACIO
ACOSTA
M.D.
Other Name
:
Mailing Address
:
1808 VERDUGO BLVD
SUITE 409
GLENDALE
CA
91208-1477
Phone
: 818-790-8020;
Fax
: 818-790-9313;
Practice Location Address
:
1808 VERDUGO BLVD
, SUITE 409
, GLENDALE
, CA
, 91208-1487
Practice Phone
: 818-790-8020;
Practice Fax
: 818-790-9313
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1841236429 -
DR.
DR.
ANNA
V
SCHILLING
MD
Other Name
:
Mailing Address
:
PO BOX 287
RUTHERFORDTON
NC
28139-0287
Phone
: 828-245-1711;
Fax
: 828-245-1711;
Practice Location Address
:
420 S BROADWAY ST
, SUITE 108
, FOREST CITY
, NC
, 28043-4092
Practice Phone
: 828-245-1711;
Practice Fax
: 828-245-1711
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1750327334 -
REECE HEALTHCARE CENTER FOR WOMEN & CHILDREN
Other Name
:
Mailing Address
:
132 INDUSTRIAL DRIVE
LAWRENCEBURG
IN
47025-1116
Phone
: 812-537-5759;
Fax
: 812-537-9974;
Practice Location Address
:
132 INDUSTRIAL DRIVE
,
, LAWRENCEBURG
, IN
, 47025-1116
Practice Phone
: 812-537-5759;
Practice Fax
: 812-537-9974
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1669418240 -
ACUPUNCTURE & CHIROPRACTIC LLC
Other Name
:
Mailing Address
:
PO BOX 1205
LITTLETON
CO
80160-1205
Phone
: 303-794-6725;
Fax
: 303-794-6726;
Practice Location Address
:
8 W DRY CREEK CIR
, SUITE 202
, LITTLETON
, CO
, 80120-4477
Practice Phone
: 303-794-6725;
Practice Fax
: 303-794-6726
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1578509154 -
DR.
DR.
LESLIE
QUINN'
M.D.
Other Name
:
Mailing Address
:
PO BOX 1559
STONY BROOK
NY
11790-0989
Phone
: 631-444-0650;
Fax
: ;
Practice Location Address
:
4 TECHNOLOGY DR
,
, EAST SETAUKET
, NY
, 11733-4080
Practice Phone
: 631-444-4601;
Practice Fax
: 631-444-4990
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1487690061 -
DR.
DR.
MICHAEL
DAVID
SAMUEL
D.D.S.
Other Name
:
Mailing Address
:
1001 N LINDSAY ST
HIGH POINT
NC
27262-3905
Phone
: 336-883-2316;
Fax
: 336-883-7686;
Practice Location Address
:
1001 N LINDSAY ST
,
, HIGH POINT
, NC
, 27262-3905
Practice Phone
: 336-883-2316;
Practice Fax
: 336-883-7686
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1295771871 -
DR.
DR.
ALVIN
H
HARTNESS
M.D.
Other Name
:
Mailing Address
:
514 OWEN DR
FAYETTEVILLE
NC
28304-3432
Phone
: 910-323-4571;
Fax
: 910-323-4620;
Practice Location Address
:
514 OWEN DR
,
, FAYETTEVILLE
, NC
, 28304-3432
Practice Phone
: 910-323-4571;
Practice Fax
: 910-323-4620
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1104862788 -
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: ;
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: ;
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:
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1013953694 -
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Phone
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: ;
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: ;
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:
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1922044502 -
DR.
DR.
PERRY
WALLACE
MD
Other Name
:
Mailing Address
:
4156 A PL
MERIDIAN
MS
39301-1037
Phone
: 662-402-0608;
Fax
: 601-286-3425;
Practice Location Address
:
2121 5TH ST
, SUITE 202
, MERIDIAN
, MS
, 39301-5108
Practice Phone
: 601-286-3410;
Practice Fax
: 601-286-3425
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1831135417 -
MR.
MR.
MATTHEW
JOSEPH
CARRANO
JR.
RPH
Other Name
:
Mailing Address
:
165 SOUTH ST
MIDDLEBURY
CT
06762-2342
Phone
: 203-598-8550;
Fax
: ;
Practice Location Address
:
165 SOUTH ST
,
, MIDDLEBURY
, CT
, 06762-2342
Practice Phone
: 203-598-8550;
Practice Fax
:
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1740226323 -
JOSEPH
WILLIAM
HUSTON
MD
Other Name
:
Mailing Address
:
634 SW MULVANE ST
SUITE 402
TOPEKA
KS
66606-1678
Phone
: 785-357-0352;
Fax
: 785-357-0356;
Practice Location Address
:
634 SW MULVANE ST
, SUITE 402
, TOPEKA
, KS
, 66606-1678
Practice Phone
: 785-357-0352;
Practice Fax
: 785-357-0356
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1659317238 -
DR.
DR.
JAMES
FRANCIS
GETTLER
MD
Other Name
:
Mailing Address
:
51-55 NORTH ROUTE 9W
WEST HAVERSTRAW
NY
10993-1195
Phone
: 845-786-4429;
Fax
: 845-786-4526;
Practice Location Address
:
416 E 76TH ST
, 4TH FLOOR
, NEW YORK
, NY
, 10021-3104
Practice Phone
: 212-434-5393;
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:
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1568408144 -
THOMAS
BRYANT
LCSW
Other Name
:
Mailing Address
:
25810 OAK RIDGE DR
THE WOODLANDS
TX
77380-2016
Phone
: 281-364-0067;
Fax
: 281-364-0712;
Practice Location Address
:
25810 OAK RIDGE DR
,
, THE WOODLANDS
, TX
, 77380-2016
Practice Phone
: 281-364-0067;
Practice Fax
: 281-364-0712
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1477599058 -
DR.
DR.
STEVEN
K.
GOODWIN
M.D.
Other Name
:
Mailing Address
:
3615 NW SAMARITAN DR
SUITE 211
CORVALLIS
OR
97330-3783
Phone
: 541-768-4501;
Fax
: 541-768-4813;
Practice Location Address
:
3615 NW SAMARITAN DR
, SUITE 211
, CORVALLIS
, OR
, 97330-3783
Practice Phone
: 541-768-4501;
Practice Fax
: 541-768-4813
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1386680965 -
DR.
DR.
BENJAMIN
B
BAILEY
M.D.
Other Name
:
Mailing Address
:
3007D MEMORIAL PKWY SW
HUNTSVILLE
AL
35801-5304
Phone
: 256-382-5205;
Fax
: 256-382-3355;
Practice Location Address
:
3007D MEMORIAL PKWY SW
,
, HUNTSVILLE
, AL
, 35801-5304
Practice Phone
: 256-382-5205;
Practice Fax
: 256-382-3355
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1194761775 -
DR.
DR.
RENE
LOPEZ
M.D.
Other Name
:
Mailing Address
:
4204 GARDENDALE ST
STE 312
SAN ANTONIO
TX
78229-3141
Phone
: 210-614-0180;
Fax
: 210-614-0710;
Practice Location Address
:
8401 DATAPOINT DR
, SUITE 500
, SAN ANTONIO
, TX
, 78229-5907
Practice Phone
: 210-614-0180;
Practice Fax
: 210-615-7170
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1003852682 -
MICHAEL
V
HALL
CRNA
Other Name
:
Mailing Address
:
PO BOX 7096
STOCKTON
CA
95267-0096
Phone
: 209-956-7725;
Fax
: 209-956-7733;
Practice Location Address
:
207 W. LEGION
,
, BRAWLEY
, CA
, 92227-7780
Practice Phone
: 760-351-3333;
Practice Fax
:
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1912943598 -
DR.
DR.
ANTHONY
JOSEPH
VINCIQUERRA
II
MD
Other Name
:
Mailing Address
:
800 IRVING AVE
PSYCHIATRY
SYRACUSE
NY
13210-2716
Phone
: 315-425-4400;
Fax
: ;
Practice Location Address
:
800 IRVING AVE
, PSYCHIATRY
, SYRACUSE
, NY
, 13210-2716
Practice Phone
: 315-425-4400;
Practice Fax
:
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1821034406 -
DAVID
GOULD
M.D.
Other Name
:
Mailing Address
:
100 HITCHCOCK WAY
MANCHESTER
NH
03104-4125
Phone
: 603-695-2500;
Fax
: ;
Practice Location Address
:
100 HITCHCOCK WAY
,
, MANCHESTER
, NH
, 03104-4125
Practice Phone
: 603-695-2500;
Practice Fax
:
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1730125311 -
DR.
DR.
ALVARO
FELIPE
GONZALEZ
DMD
Other Name
:
A.
FELIPE
GONZALEZ
Mailing Address
:
5555 E 71ST ST
SUITE 9210
TULSA
OK
74136-6542
Phone
: 918-524-3366;
Fax
: 918-524-3399;
Practice Location Address
:
5555 E 71ST ST
, SUITE 9210
, TULSA
, OK
, 74136-6542
Practice Phone
: 918-524-3366;
Practice Fax
: 918-524-3399
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