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Showing codes 1760447007 — 1992760441
1760447007 -
MRS.
MRS.
KIM
P
GLASSEY
PTA
Other Name
:
KIM
P
ELWELL
Mailing Address
:
601 NEW ROAD
LINWOOD
NJ
08221-1251
Phone
: 609-926-1161;
Fax
: 609-926-3223;
Practice Location Address
:
601 NEW ROAD
,
, LINWOOD
, NJ
, 08221-1251
Practice Phone
: 609-926-1161;
Practice Fax
: 609-926-3223
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1568427805 -
MAURICE
A
MUFSON
MD
Other Name
:
Mailing Address
:
1600 MEDICAL CENTER DR
SUITE G500
HUNTINGTON
WV
25701-3656
Phone
: 304-691-1000;
Fax
: 304-691-1693;
Practice Location Address
:
1600 MEDICAL CENTER DR
, SUITE G500
, HUNTINGTON
, WV
, 25701-3656
Practice Phone
: 304-691-1000;
Practice Fax
: 304-691-1693
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1811952161 -
DR.
DR.
MICHAEL
KENNETH
KOWALSKI
MD
Other Name
:
Mailing Address
:
6850 LOWS ROAD
BLOOMSBURG
PA
17815
Phone
: 570-784-7300;
Fax
: 570-784-7331;
Practice Location Address
:
6850 LOWS ROAD
,
, BLOOMSBURG
, PA
, 17815
Practice Phone
: 570-784-7300;
Practice Fax
: 570-784-7331
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1659336907 -
DR.
DR.
JEFFREY
ALAN
LYNN
DC
Other Name
:
Mailing Address
:
4022 E GREENWAY RD
SUITE 1
PHOENIX
AZ
85032-4798
Phone
: 602-493-0004;
Fax
: ;
Practice Location Address
:
4022 E GREENWAY RD
, SUITE 1
, PHOENIX
, AZ
, 85032-4797
Practice Phone
: 602-493-0004;
Practice Fax
:
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1730144205 -
MR.
MR.
ASHIM
BAKSHI
OTR CHT
Other Name
:
Mailing Address
:
486 S DOBBS GLEN
TERRE HAUTE
IN
47803
Phone
: 812-877-7260;
Fax
: ;
Practice Location Address
:
4414 S 7TH ST
, STE C
, TERRA HAUTE
, IN
, 47802
Practice Phone
: 812-299-9281;
Practice Fax
: 812-299-2142
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1265497754 -
MR.
MR.
PHILIP
LEROY
CURTIN
LICSW
Other Name
:
Mailing Address
:
198 HOLDEN ST
WORCESTER
MA
01606
Phone
: 508-853-1507;
Fax
: ;
Practice Location Address
:
154 E MAIN ST
,
, WESTBORO
, MA
, 01581
Practice Phone
: 508-870-0647;
Practice Fax
: 508-799-6325
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1326003716 -
JANE
S
BRODIE
PHD
Other Name
:
Mailing Address
:
241 CLEVELAND AVE S
ST PAUL
MN
55105
Phone
: 651-690-1810;
Fax
: ;
Practice Location Address
:
241 CLEVELAND AVE S
,
, ST PAUL
, MN
, 55105
Practice Phone
: 651-690-1810;
Practice Fax
:
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1073578480 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1144285446 -
MR.
MR.
DENNIS
STEPHEN
MINNO
MA
Other Name
:
Mailing Address
:
20232 SE 19TH ST
SAMMAMISH
WA
98075-9675
Phone
: 425-392-0790;
Fax
: 425-837-8559;
Practice Location Address
:
10021 NE 124TH ST
,
, KIRKLAND
, WA
, 98034-6725
Practice Phone
: 425-455-2960;
Practice Fax
:
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1073578571 -
THOMAS
TUTTLE
LCSW
Other Name
:
Mailing Address
:
314 S MANNING BLVD
ALBANY
NY
12208-1708
Phone
: ;
Fax
: ;
Practice Location Address
:
314 S MANNING BLVD
,
, ALBANY
, NY
, 12208-1708
Practice Phone
: 518-453-2273;
Practice Fax
:
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1609831106 -
MAXINE
MCDONALD
LCSW-R, CASAC
Other Name
:
Mailing Address
:
2139 EVERGREEN LN
ONTARIO
NY
14519-9705
Phone
: 585-330-8891;
Fax
: ;
Practice Location Address
:
2139 EVERGREEN LN
,
, ONTARIO
, NY
, 14519-9705
Practice Phone
: 585-330-8891;
Practice Fax
:
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1417912916 -
DEBRA
MOSKOWITZ
CSW-R
Other Name
:
Mailing Address
:
314 S MANNING BLVD
ALBANY
NY
12208-1708
Phone
: 518-453-2273;
Fax
: 518-437-5554;
Practice Location Address
:
314 S MANNING BLVD
,
, ALBANY
, NY
, 12208-1708
Practice Phone
: 518-453-2273;
Practice Fax
: 518-437-5554
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1013971399 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1619931805 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1972567162 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1912961129 -
PAIGE
STURM
LCSW
Other Name
:
Mailing Address
:
645 S ROGERS ST
BLOOMINGTON
IN
47403-2353
Phone
: 812-339-1691;
Fax
: 812-337-2259;
Practice Location Address
:
1175 SOUTHVIEW DR
,
, MARTINSVILLE
, IN
, 46151-7062
Practice Phone
: 765-342-6616;
Practice Fax
: 765-342-2196
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1578527859 -
MR.
MR.
STEPHEN
JEROME
DUNN
ATC, LMT
Other Name
:
Mailing Address
:
105 W Q ST
SUITE #3
SPRINGFIELD
OR
97477-2188
Phone
: 541-988-1434;
Fax
: ;
Practice Location Address
:
105 W Q ST
, SUITE #3
, SPRINGFIELD
, OR
, 97477-2188
Practice Phone
: 541-988-1434;
Practice Fax
:
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1487618609 -
DR.
DR.
JAMES
DAWSON
MD
Other Name
:
Mailing Address
:
PO BOX 235019
MONTGOMERY
AL
36123-5019
Phone
: 334-279-1450;
Fax
: 334-279-1660;
Practice Location Address
:
1601 WATSON BLVD
,
, WARNER ROBINS
, GA
, 31093-3431
Practice Phone
: 478-329-0051;
Practice Fax
:
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1457315723 -
DR.
DR.
DIANNE
BUDD
MD
Other Name
:
Mailing Address
:
330 ELLIS ST
GLIDE HEALTH SERVICES, SUITE 418
SAN FRANCISCO
CA
94102-2735
Phone
: 415-674-6140;
Fax
: 415-673-1037;
Practice Location Address
:
330 ELLIS ST
, GLIDE HEALTH SERVICES, SUITE 418
, SAN FRANCISCO
, CA
, 94102-2735
Practice Phone
: 415-674-6140;
Practice Fax
: 415-673-1037
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1699739961 -
VALENTINA
RUSSACK
MD
Other Name
:
Mailing Address
:
7901 FROST ST
SAN DIEGO
CA
92123-2701
Phone
: 858-939-3660;
Fax
: 858-939-3647;
Practice Location Address
:
7901 FROST ST
,
, SAN DIEGO
, CA
, 92123-2701
Practice Phone
: 858-939-3660;
Practice Fax
: 858-939-3660
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1639134471 -
ELIZABETH
H
INGRAM
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
147 MILK ST
,
, BOSTON
, MA
, 02109-4806
Practice Phone
: 617-654-7000;
Practice Fax
: 617-482-3872
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1619932456 -
KATHRYN
A
JONES
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1000;
Practice Fax
: 617-421-6084
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1376508150 -
DR.
DR.
G
GREGORY
GALLICO
III
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
170 COMMONWEALTH AVE
,
, BOSTON
, MA
, 02116
Practice Phone
: 617-267-5553;
Practice Fax
: 617-267-5507
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1306801105 -
MRS.
MRS.
LYNN
BLANCHE
VAUCLIN
MA
Other Name
:
Mailing Address
:
707 SOUTHFIELD RD
SHREVEPORT
LA
71106
Phone
: 318-869-1632;
Fax
: 318-869-1633;
Practice Location Address
:
707 SOUTHFIELD RD
,
, SHREVEPORT
, LA
, 71106
Practice Phone
: 318-869-1632;
Practice Fax
: 318-869-1633
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1336104157 -
PATRICK
JOHN
HEALY
MD
Other Name
:
Mailing Address
:
1828 GENERAL PERSHING ST
NEW ORLEANS
LA
70115-5432
Phone
: 504-897-3763;
Fax
: ;
Practice Location Address
:
1601 PERDIDO ST
, SOUTHEAST LOUISIANA VETERANS HEALTH CARE SYSTEM
, NEW ORLEANS
, LA
, 70112-1262
Practice Phone
: 504-589-5913;
Practice Fax
: 504-589-5211
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1497710214 -
DR.
DR.
CHARLES
A.
GOODING
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
5050 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-0001
Practice Phone
: 415-476-1918;
Practice Fax
: 415-476-0616
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1285699819 -
DR.
DR.
LISA
LOUISE
SHAVER
ND LAC
Other Name
:
Mailing Address
:
1033 SW YAMHILL
# 300
PORTLAND
OR
97205-2539
Phone
: 503-222-1315;
Fax
: 503-222-1317;
Practice Location Address
:
1033 SW YAMHILL
, # 300
, PORTLAND
, OR
, 97205-2539
Practice Phone
: 503-222-1315;
Practice Fax
: 503-222-1317
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1609831239 -
MR.
MR.
EUGENE
R
OSBORN
D.O.
Other Name
:
Mailing Address
:
100 BREEZEWAY
ALEDO
TX
76008
Phone
: ;
Fax
: ;
Practice Location Address
:
11801 S. FREEWAY
,
, FORT WORTH
, TX
, 76134
Practice Phone
: 817-293-9110;
Practice Fax
:
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1851355853 -
DR.
DR.
ANDREW
H.
KO
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
1600 DIVISADERO STREET
,
, SAN FRANCISCO
, CA
, 94143-0001
Practice Phone
: 415-353-9888;
Practice Fax
: 415-353-7150
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1114981362 -
DR.
DR.
BOBBY
D
THOMPSON
MD
Other Name
:
Mailing Address
:
PO BOX 235019
MONTGOMERY
AL
36123-5019
Phone
: 334-279-1450;
Fax
: 334-279-1660;
Practice Location Address
:
1601 WATSON BLVD
,
, WARNER ROBINS
, GA
, 31093-3431
Practice Phone
: 478-329-0051;
Practice Fax
:
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1487618385 -
MS.
MS.
JOANNE
MARY
SAXE
RN, MS, ANP
Other Name
:
Mailing Address
:
1734 12TH AVE
SAN FRANCISCO
CA
94122-4606
Phone
: 415-665-8394;
Fax
: 415-665-8396;
Practice Location Address
:
330 ELLIS ST
, GLIDE HEALTH SERVICES, SUITE 418
, SAN FRANCISCO
, CA
, 94102-2735
Practice Phone
: 415-674-6140;
Practice Fax
: 415-673-1037
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1285698316 -
DR.
DR.
WESLEY
A
HARDEN
D.C.
Other Name
:
Mailing Address
:
240 E FISCHER LN
KINGMAN
KS
67068-9000
Phone
: 620-532-2510;
Fax
: ;
Practice Location Address
:
5830 W CENTRAL AVE
,
, WICHITA
, KS
, 67212-2840
Practice Phone
: 316-946-0606;
Practice Fax
: 316-946-0553
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1811951957 -
DR.
DR.
CHARLES
A.
LINKER
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
400 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2421;
Practice Fax
: 415-353-2467
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1215992854 -
DR.
DR.
ARTHUR
A.
GONTY
D.D.S.
Other Name
:
Mailing Address
:
400 S 4TH ST
DANVILLE
KY
40422-2007
Phone
: 859-236-1130;
Fax
: 859-239-9384;
Practice Location Address
:
400 S 4TH ST
,
, DANVILLE
, KY
, 40422-2007
Practice Phone
: 859-236-1130;
Practice Fax
: 859-239-9384
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1396700969 -
DR.
DR.
BRIAN
T
TSUZAKI
M.D.
Other Name
:
Mailing Address
:
251 AIKANE ST
KAILUA
HI
96734-1604
Phone
: 808-433-0627;
Fax
: 808-433-0392;
Practice Location Address
:
459 PATTERSON RD
, (116)
, HONOLULU
, HI
, 96819-1522
Practice Phone
: 808-433-0627;
Practice Fax
: 808-433-0392
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1831154400 -
PAMELA
A
BUSS
DC
Other Name
:
Mailing Address
:
7179 E 700 S
VELPEN
IN
47590
Phone
: 812-630-6105;
Fax
: ;
Practice Location Address
:
509 E 6TH ST
,
, HUNTINGBURG
, IN
, 47542-1008
Practice Phone
: 812-683-2273;
Practice Fax
: 812-683-3191
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1912962580 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1255396834 -
TRACY
JANE
SARADUKE
R.N., LIC.AC.
Other Name
:
Mailing Address
:
3082 EVERGREEN PKWY
SUITE 2
EVERGREEN
CO
80439-7968
Phone
: 303-670-9181;
Fax
: ;
Practice Location Address
:
3082 EVERGREEN PKWY
, SUITE 2
, EVERGREEN
, CO
, 80439-7968
Practice Phone
: 303-670-9181;
Practice Fax
:
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1588629844 -
DR.
DR.
KATHLEEN
MARY
GILL
PH.D.
Other Name
:
Mailing Address
:
465 WESTFALL RD
ROPC - BEHAVIORAL HEALTH
ROCHESTER
NY
14620-4645
Phone
: 585-463-2677;
Fax
: 585-463-2669;
Practice Location Address
:
465 WESTFALL RD
, ROPC - BEHAVIORAL HEALTH
, ROCHESTER
, NY
, 14620-4645
Practice Phone
: 585-463-2677;
Practice Fax
: 585-463-2669
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1487619748 -
MR.
MR.
WALTER
LEO
HAIR
JR.
LMSW, CSWM
Other Name
:
WALTER
LEO
HAIR
Mailing Address
:
4936 CATALPA CIR
HOPE MILLS
NC
28348-8886
Phone
: 910-425-9647;
Fax
: ;
Practice Location Address
:
VETERAN'S ADMINISTRATION MEDICAL CENTER
, 2300 RAMSEY STREET
, FAYETTEVILLE
, NC
, 28301
Practice Phone
: 910-488-2120;
Practice Fax
:
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1295790558 -
DR.
DR.
RONALD
D.
PETROCELLI
M.D.
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
, 17822-2007
Practice Phone
: 570-271-6301;
Practice Fax
:
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1699730960 -
HELEN
L
JOE
RD
Other Name
:
Mailing Address
:
3007 208TH ST
BAYSIDE
NY
11360-2422
Phone
: 718-225-0204;
Fax
: 718-225-0204;
Practice Location Address
:
9303 90TH AVENUE
,
, WOODHAVEN
, NY
, 11421
Practice Phone
: 718-850-1320;
Practice Fax
:
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1083678049 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1619931672 -
MICHAEL
STUART
ROSEN
M.D.
Other Name
:
Mailing Address
:
795 E MARSHALL ST
SUITE 101
WEST CHESTER
PA
19380-4400
Phone
: 610-692-4666;
Fax
: 610-692-8261;
Practice Location Address
:
795 E MARSHALL ST
, SUITE 101
, WEST CHESTER
, PA
, 19380-4400
Practice Phone
: 610-692-4666;
Practice Fax
: 610-692-8261
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1790749737 -
KRIENGKRAI
KITIPHONGSPATTANA
M.D.
Other Name
:
Mailing Address
:
20 HOSPITAL DR
LOGAN
WV
25601
Phone
: 304-831-1254;
Fax
: 304-831-1679;
Practice Location Address
:
20 HOSPITAL DR
,
, LOGAN
, WV
, 25601-0656
Practice Phone
: 304-831-1254;
Practice Fax
: 304-831-1679
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1316901358 -
MR.
MR.
WILLIAM
DUANE
ANGLIN
MA, MSW, LCSW
Other Name
:
Mailing Address
:
607 LONGVIEW DR
FAYETTEVILLE
NC
28311-2113
Phone
: 910-482-5234;
Fax
: 910-482-5130;
Practice Location Address
:
VA MEDICAL CENTER
, 2300 RAMSEY STREET
, FAYETTEVILLE
, NC
, 28301
Practice Phone
: 910-488-2120;
Practice Fax
: 910-482-5130
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1225092265 -
ROBERT
J
FERRALL
MD
Other Name
:
Mailing Address
:
940 SE CARY PARKWAY
SUITE 200
CARY
NC
27511-6130
Phone
: 919-859-9991;
Fax
: ;
Practice Location Address
:
940 SE CARY PARKWAY
, SUITE 200
, CARY
, NC
, 27511-6130
Practice Phone
: 919-859-9991;
Practice Fax
:
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1356305213 -
ROBIN
POTOCHNICK
RN LCSW
Other Name
:
Mailing Address
:
PO BOX 867
105 WEST 100 NORTH
PRICE
UT
84501
Phone
: 435-637-7200;
Fax
: 435-637-2377;
Practice Location Address
:
77 SOUTH 600 EAST
,
, PRICE
, UT
, 84501
Practice Phone
: 435-637-4262;
Practice Fax
: 435-637-4264
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1780648576 -
DR.
DR.
MICHAEL
A
MCGINNIS
DDS MS
Other Name
:
Mailing Address
:
1210 WILSON HALL RD
SUMTER
SC
29150-1889
Phone
: 803-905-4404;
Fax
: 803-905-4406;
Practice Location Address
:
1210 WILSON HALL RD
,
, SUMTER
, SC
, 29150-1889
Practice Phone
: 803-905-4404;
Practice Fax
: 803-905-4406
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1568426765 -
DR.
DR.
WILLIAM
ORR
HAHN
PHD
Other Name
:
Mailing Address
:
365 FREEPORT ST
NEW KENSINGTON
PA
15068-6014
Phone
: 724-337-0066;
Fax
: 724-337-0745;
Practice Location Address
:
365 FREEPORT ST
,
, NEW KENSINGTON
, PA
, 15068-6014
Practice Phone
: 724-337-0066;
Practice Fax
: 724-337-0745
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1447214671 -
DR.
DR.
ROBERT
E.
JAY
PH.D.
Other Name
:
Mailing Address
:
6200 BARDS LN
BROWNS SUMMIT
NC
27214-9734
Phone
: 336-621-8239;
Fax
: 336-954-3626;
Practice Location Address
:
1601 BRENNER AVE
, VA MEDICAL CENTER (ASPS 126)
, SALISBURY
, NC
, 28144-2515
Practice Phone
: 704-638-3325;
Practice Fax
: 704-638-3859
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1376507376 -
DR.
DR.
JOHN
CUNNINGHAM
TOWNSEND
O.D.
Other Name
:
Mailing Address
:
3868 WOODVILLE LN
ELLICOTT CITY
MD
21042-4836
Phone
: 410-750-6146;
Fax
: ;
Practice Location Address
:
103 S GAY ST
, ROOM 714
, BALTIMORE
, MD
, 21202-7500
Practice Phone
: 410-779-1576;
Practice Fax
: 410-779-1581
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1821052168 -
JAMES
QUOC
TRUONG
O.D.
Other Name
:
Mailing Address
:
1951 MERRIMAC DR
FAYETTEVILLE
NC
28304-2617
Phone
: 910-964-9594;
Fax
: ;
Practice Location Address
:
ROBINSON HEALTH CLINIC, OPTOMETRY
, BLDG # C1722 TAGATAY RD
, FORT BRAGG
, NC
, 28310-0001
Practice Phone
: 910-907-9512;
Practice Fax
:
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1063476265 -
CAROL
CLENDINEN
LMHC, CAP, RN
Other Name
:
Mailing Address
:
35618 CALLA CT
LEESBURG
FL
34788-2306
Phone
: 352-357-1500;
Fax
: 352-360-6582;
Practice Location Address
:
115 E CITRUS AVE
,
, EUSTIS
, FL
, 32726-4107
Practice Phone
: 352-357-1500;
Practice Fax
: 352-360-6582
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1962466177 -
HELENA
DIMITRIOU
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1000;
Practice Fax
: 617-421-6084
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1831153063 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1316901507 -
ELVIRA
K
BELENKY
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
111 GROSSMAN DR
,
, BRAINTREE
, MA
, 02184-4997
Practice Phone
: 781-849-1000;
Practice Fax
: 781-849-0081
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1215991294 -
DR.
DR.
GREGORY
E
YOUNG
MD
Other Name
:
Mailing Address
:
8590 PHILLIPS RD
HOLLAND
NY
14080-9665
Phone
: 716-537-2830;
Fax
: 716-847-4661;
Practice Location Address
:
8590 PHILLIPS RD
,
, HOLLAND
, NY
, 14080-9665
Practice Phone
: 716-537-2830;
Practice Fax
: 716-847-4661
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1154385037 -
JOHN
B
STEWART
MD
Other Name
:
Mailing Address
:
PO BOX 10076
VAN NUYS
CA
91410-0076
Phone
: 805-578-8300;
Fax
: 805-578-8950;
Practice Location Address
:
7901 FROST ST
,
, SAN DIEGO
, CA
, 92123-2701
Practice Phone
: 858-541-3664;
Practice Fax
:
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1598729485 -
DR.
DR.
EDWARD
LOUIS
PRIEM
M.D.
Other Name
:
Mailing Address
:
PO BOX 725
COOPERSTOWN
NY
13326-0725
Phone
: 607-547-3909;
Fax
: 607-547-6325;
Practice Location Address
:
1 ATWELL RD
,
, COOPERSTOWN
, NY
, 13326-1301
Practice Phone
: 607-547-3909;
Practice Fax
: 607-547-6325
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1538123807 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1437113446 -
DR.
DR.
JOHN
P.
ROBERTS
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
400 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2318;
Practice Fax
: 415-353-8917
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1548224371 -
MRS.
MRS.
JUDITH
ANN
LYTER
LPC
Other Name
:
JUDY
A
LYLER
Mailing Address
:
434 PINE HILL RD
HUMMELSTOWN
PA
17036-8018
Phone
: 717-566-8341;
Fax
: 717-583-1871;
Practice Location Address
:
5405 JONESTOWN RD
, SUITE 103
, HARRISBURG
, PA
, 17112-4021
Practice Phone
: 717-657-5352;
Practice Fax
:
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1629032727 -
DR.
DR.
JOHN
FRANK
HOWELL
PSYD
Other Name
:
Mailing Address
:
PO BOX 49
BOLIVAR
MO
65613-0049
Phone
: 417-326-7272;
Fax
: 417-326-2193;
Practice Location Address
:
714 N POMME DE TERRE AVE
,
, BOLIVAR
, MO
, 65613-1241
Practice Phone
: 417-326-7272;
Practice Fax
: 417-326-2193
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1790749802 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1215991328 -
ALTA
M
HODGES
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1000;
Practice Fax
: 617-421-6084
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1568426583 -
BRENDA
KAY
BAUMANN
M.D.
Other Name
:
Mailing Address
:
PO BOX 55310
BIRMINGHAM
AL
35255-5310
Phone
: ;
Fax
: ;
Practice Location Address
:
619 19TH STREET SOUTH
,
, BIRMINGHAM
, AL
, 35233
Practice Phone
: 205-934-6600;
Practice Fax
:
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1902860927 -
MR.
MR.
JOSEPH
SCOTT
PETRILAK
MA PSYCHOLOGIST
Other Name
:
Mailing Address
:
1514 ATHENS RD
WILMINGTON
DE
19803-5155
Phone
: 302-478-7476;
Fax
: ;
Practice Location Address
:
1223 N PROVIDENCE RD
, SUITE 3
, MEDIA
, PA
, 19063-1235
Practice Phone
: 610-842-1461;
Practice Fax
:
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1750345781 -
DR.
DR.
MICHAEL
H
PRESTON
PHARMD.
Other Name
:
Mailing Address
:
2004 SW RANDOLPH AVE
TOPEKA
KS
66604-3162
Phone
: ;
Fax
: ;
Practice Location Address
:
2200 SW GAGE BLVD
,
, TOPEKA
, KS
, 66622-0001
Practice Phone
: 785-350-4533;
Practice Fax
:
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1942264072 -
DR.
DR.
ENRIQUE
TERRAZAS
MD
Other Name
:
Mailing Address
:
185 BERRY ST STE 290
SAN FRANCISCO
CA
94107-1773
Phone
: 415-353-1375;
Fax
: 415-353-4826;
Practice Location Address
:
185 BERRY STREET, SUITE 290
,
, SAN FRANCISCO
, CA
, 94143-0001
Practice Phone
: 415-353-1375;
Practice Fax
: 415-353-4826
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1871557926 -
DR.
DR.
RAYMOND
YUM
CHEUNG
D.C., L.AC.
Other Name
:
Mailing Address
:
1200 GOUGH ST STE 550
SAN FRANCISCO
CA
94109-6663
Phone
: 415-928-3734;
Fax
: 650-878-2547;
Practice Location Address
:
1200 GOUGH ST STE 550
,
, SAN FRANCISCO
, CA
, 94109-6663
Practice Phone
: 415-928-3734;
Practice Fax
: 650-897-2547
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1659335719 -
MS.
MS.
PAMELA
J
WALKER
LCSW
Other Name
:
Mailing Address
:
185 FALLBROOK ST
CARBONDALE
PA
18407-0514
Phone
: 570-282-1732;
Fax
: 570-282-6529;
Practice Location Address
:
LAKE PLAZA 2 ROUTE 706 E
,
, MONTROSE
, PA
, 18801-0285
Practice Phone
: 570-278-3393;
Practice Fax
: 570-278-1716
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1194789255 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1962467738 -
ANIL
MALHOTRA
MD
Other Name
:
Mailing Address
:
800 HOSPITAL DR
COLUMBIA
MO
65201-5275
Phone
: 573-814-6450;
Fax
: ;
Practice Location Address
:
800 HOSPITAL DR
,
, COLUMBIA
, MO
, 65201-5275
Practice Phone
: 573-814-6450;
Practice Fax
:
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1700841517 -
MS.
MS.
MELISSA
MARIE
UECKER
M.S,
Other Name
:
Mailing Address
:
2500 OVERLOOK TER
MADISON
WI
53705-2254
Phone
: 608-256-1901;
Fax
: 608-280-7188;
Practice Location Address
:
2500 OVERLOOK TER
,
, MADISON
, WI
, 53705-2254
Practice Phone
: 608-256-1901;
Practice Fax
: 608-280-7188
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1194780817 -
DR.
DR.
ARTHUR
WEISS
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO ST
STE. 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
400 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2497;
Practice Fax
: 415-353-2444
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1821052937 -
HOWARD
S
ROBIN
MD
Other Name
:
Mailing Address
:
PO BOX 10076
VAN NUYS
CA
91410-0076
Phone
: 805-578-8300;
Fax
: 805-578-8950;
Practice Location Address
:
7901 FROST ST
,
, SAN DIEGO
, CA
, 92123-2701
Practice Phone
: 858-541-3664;
Practice Fax
:
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1285698332 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1801850961 -
MS.
MS.
JOANNE
R
ROBERTS
LPC
Other Name
:
Mailing Address
:
185 FALLBROOK ST
CARBONDALE
PA
18407-0514
Phone
: 570-282-1732;
Fax
: 570-282-6529;
Practice Location Address
:
614 CHURCH ST
,
, HONESDALE
, PA
, 18431-1821
Practice Phone
: 570-253-0321;
Practice Fax
: 570-253-5990
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1568426500 -
MONICA
H
SHELTON
Other Name
:
Mailing Address
:
940 SE CARY PARKWAY
SUITE 200
CARY
NC
27511-6130
Phone
: 919-859-9991;
Fax
: ;
Practice Location Address
:
940 SE CARY PARKWAY
, SUITE 200
, CARY
, NC
, 27511-6130
Practice Phone
: 919-859-9991;
Practice Fax
:
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1477517415 -
MICHAEL
K
SMITH
MF
Other Name
:
Mailing Address
:
940 SE CARY PARKWAY
SUITE 200
CARY
NC
27511-6130
Phone
: 919-859-9991;
Fax
: ;
Practice Location Address
:
940 SE CARY PARKWAY
, SUITE 200
, CARY
, NC
, 27511-6130
Practice Phone
: 919-859-9991;
Practice Fax
:
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1003870056 -
DAWN
PATRICIA
HRAB
M.D.
Other Name
:
Mailing Address
:
6065 RAILROAD ST
P.O. BOX 357
CLARENCE CENTER
NY
14032-9765
Phone
: 716-741-8403;
Fax
: ;
Practice Location Address
:
1835 MAPLE RD
,
, WILLIAMSVILLE
, NY
, 14221-2711
Practice Phone
: 716-634-5410;
Practice Fax
: 716-634-0430
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1114981164 -
DR.
DR.
JORGE
ERNESTO
CALDERON
M.D.
Other Name
:
Mailing Address
:
750 FAWNELM RD
SEVERN
MD
21144-2084
Phone
: 410-969-0450;
Fax
: 410-789-4688;
Practice Location Address
:
4000 ANNAPOLIS RD
, SUITE 201
, BALTIMORE
, MD
, 21227-3600
Practice Phone
: 410-636-2222;
Practice Fax
: 410-789-4688
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1801850706 -
DR.
DR.
DENNIS
W
NIELSON
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO ST.
STE. 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
400 PARNASSUS AVE
, 2ND FLOOR
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2113;
Practice Fax
: 415-476-9278
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1881658730 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1841255544 -
MS.
MS.
KATHRYN
CAROL
CARBONE
RN GNP ANP
Other Name
:
Mailing Address
:
1611 BOGART AVE
PH
BRONX
NY
10462
Phone
: 718-892-0113;
Fax
: ;
Practice Location Address
:
130 W KINGSBRIDGE RD
, BRONX VETERANS AFFAIRS MEDICAL CENTER
, BRONX
, NY
, 10468-3904
Practice Phone
: 718-584-9000;
Practice Fax
: 718-741-4784
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1932164597 -
DR.
DR.
KELLY
M
BASKIND
PH.D.
Other Name
:
Mailing Address
:
5565 YELLOWCRESS DR
SAGINAW
MI
48603-8011
Phone
: 989-249-1112;
Fax
: ;
Practice Location Address
:
4901 TOWNE CTR
, SUITE 115
, SAGINAW
, MI
, 48604-2841
Practice Phone
: 989-921-5715;
Practice Fax
: 989-921-5960
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1609830686 -
MARGARET
MACFARLANE
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
230 WORCESTER ST
,
, WELLESLEY
, MA
, 02481-5420
Practice Phone
: 781-431-5200;
Practice Fax
: 781-431-5298
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1073577060 -
DR.
DR.
JOHN
FRANK
WARREN
III
PH.D., PA-C
Other Name
:
Mailing Address
:
840 W 4TH ST
WINSTON-SALEM
NC
27101-2502
Phone
: 336-773-0900;
Fax
: 336-773-0097;
Practice Location Address
:
840 W 4TH ST
,
, WINSTON-SALEM
, NC
, 27101-2502
Practice Phone
: 336-773-0900;
Practice Fax
: 336-773-0097
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1386608214 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1841254703 -
RAJEEV
RATAN
TREHAN
MBBS, MD, MPH
Other Name
:
Mailing Address
:
4809 INNSBROOK DR
LAWRENCE
KS
66047-1985
Phone
: 785-856-2813;
Fax
: 785-856-2813;
Practice Location Address
:
2200 SW GAGE BLVD
, VA MEDICAL CENTER
, TOPEKA
, KS
, 66622-0001
Practice Phone
: 785-350-4308;
Practice Fax
:
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1285698076 -
DR.
DR.
JONATHAN
MARK
INZ
PH.D.
Other Name
:
Mailing Address
:
100 CUMMINGS CTR
SUITE NUMBER 456J
BEVERLY
MA
01915-6115
Phone
: 978-921-4000;
Fax
: 978-921-7530;
Practice Location Address
:
100 CUMMINGS CTR
, SUITE NUMBER 456J
, BEVERLY
, MA
, 01915-6115
Practice Phone
: 978-921-4000;
Practice Fax
: 978-921-7530
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1245295054 -
DUNCAN
J
BELCHER
MD
Other Name
:
Mailing Address
:
134 GRANDVIEW AVE
WATERBURY
CT
06708
Phone
: 203-756-8911;
Fax
: 203-574-0548;
Practice Location Address
:
134 GRANDVIEW AVE
, STE 101
, WATERBURY
, CT
, 06708
Practice Phone
: 203-756-8911;
Practice Fax
: 203-574-0548
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1346205168 -
DR.
DR.
JOHN
P.
CELLO
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
505 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2204
Practice Phone
: 415-353-1702;
Practice Fax
: 415-353-9656
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1174588800 -
JENNIFER
JILL
FISCHER
LICSW
Other Name
:
JENNIFER
GREEN
Mailing Address
:
20 W PARK ST
STE 213
LEBANON
NH
03766
Phone
: 603-448-5318;
Fax
: ;
Practice Location Address
:
20 W PARK ST
, STE 213
, LEBANON
, NH
, 03766
Practice Phone
: 603-448-5318;
Practice Fax
:
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1831153741 -
DR.
DR.
HAROLD
A.
CHAPMAN
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: 415-476-4029;
Fax
: 415-476-4150;
Practice Location Address
:
505 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2204
Practice Phone
: 415-443-4283;
Practice Fax
:
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1801850722 -
DR.
DR.
WARREN
MORSE
ALLEN
M.D.
Other Name
:
Mailing Address
:
1328 22ND ST
SANTA MONICA
CA
90404-2032
Phone
: ;
Fax
: ;
Practice Location Address
:
1328 22ND ST
,
, SANTA MONICA
, CA
, 90404-2032
Practice Phone
: 310-829-8101;
Practice Fax
: 310-829-6509
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1205890126 -
DR.
DR.
GEORGE
PAUL
ALBERT
M.D.
Other Name
:
Mailing Address
:
186 E PINELAKE CT
BUFFALO
NY
14221-8328
Phone
: 716-862-1683;
Fax
: 716-862-1092;
Practice Location Address
:
2157 MAIN ST
,
, BUFFALO
, NY
, 14214-2648
Practice Phone
: 716-862-1683;
Practice Fax
: 716-862-1092
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1437114972 -
MS.
MS.
ADETUTU
OLUSOLA
BALOGUN
BS OCCUPATIONAL THER
Other Name
:
Mailing Address
:
2 OLYMPUS DR
TINLEY PARK
IL
60477-4827
Phone
: 708-614-1782;
Fax
: 708-429-5868;
Practice Location Address
:
2 OLYMPUS DR
,
, TINLEY PARK
, IL
, 60477-4827
Practice Phone
: 708-614-1782;
Practice Fax
: 708-429-5868
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1992760441 -
DR.
DR.
MALINI
BHATIA
MD
Other Name
:
Mailing Address
:
239 BALDWIN RD
STE # 108
PARSIPPANY
NJ
07054
Phone
: 973-299-6923;
Fax
: 973-402-2234;
Practice Location Address
:
239 BALDWIN RD
, STE #108
, PARSIPPANY
, NJ
, 07054
Practice Phone
: 973-299-6923;
Practice Fax
: 973-402-2234
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