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Showing codes 1902802325 — 1437155868
1902802325 -
RAMASWAMAIAH
CHANDRASEKHARA
M.D.
Other Name
:
Mailing Address
:
37908 DAUGHTERY RD
SUITE A
ZEPHYRHILLS
FL
33541-1316
Phone
: 813-780-8620;
Fax
: 813-780-8619;
Practice Location Address
:
508 N ALEXANDER ST
, UNIT 1
, PLANT CITY
, FL
, 33563-3036
Practice Phone
: 813-759-6607;
Practice Fax
: 813-759-8997
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1811993231 -
NANCY
MCBRIDE
M.D.
Other Name
:
NANCY
MORGAN
MCBRIDE
Mailing Address
:
10500 QUIVIRA RD
FL 3
OVERLAND PARK
KS
66215-2306
Phone
: 913-894-8500;
Fax
: 913-492-2874;
Practice Location Address
:
10500 QUIVIRA RD
, FL 3
, OVERLAND PARK
, KS
, 66215-2306
Practice Phone
: 913-894-8500;
Practice Fax
: 913-492-2874
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1255337671 -
STEPHEN
ERNEST
GLINICK
MD
Other Name
:
Mailing Address
:
593 EDDY ST BLDG APC -10
PROVIDENCE
RI
02903-4923
Phone
: 401-444-7959;
Fax
: 401-444-7144;
Practice Location Address
:
593 EDDY ST BLDG APC -10
,
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-444-7959;
Practice Fax
: 401-444-7144
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1164428587 -
THOMAS
C
MCLURE
M.D.
Other Name
:
Mailing Address
:
501 MEDICAL CENTER DR
STE 110
ALEXANDRIA
LA
71301-8124
Phone
: 318-449-1666;
Fax
: 318-449-1783;
Practice Location Address
:
501 MEDICAL CENTER DR
, STE 110
, ALEXANDRIA
, LA
, 71301-8124
Practice Phone
: 318-449-1666;
Practice Fax
: 318-449-1783
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1073519492 -
MARSE
L
MCNAUGHTON
MD
Other Name
:
Mailing Address
:
3733 S THOMPSON AVE
TACOMA
WA
98418-5013
Phone
: 253-472-4473;
Fax
: 253-474-3056;
Practice Location Address
:
3733 S THOMPSON AVE
,
, TACOMA
, WA
, 98418-5013
Practice Phone
: 253-472-4473;
Practice Fax
: 253-474-3056
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1982600300 -
MORVEN
C
BARWICK
MD
Other Name
:
MORVEN
CAMERON
MCILQUHAM
Mailing Address
:
65 KANE ST
PROVIDER ENROLLMENT
WEST HARTFORD
CT
06119-2110
Phone
: 860-523-6421;
Fax
: 860-523-3701;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-3186;
Practice Fax
: 860-679-4446
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1790781110 -
WEST COAST PATHOLOGY LABORATORY INC
Other Name
:
Mailing Address
:
712 ALFRED NOBEL DR
HERCULES
CA
94547-1805
Phone
: 510-662-5214;
Fax
: 510-662-5241;
Practice Location Address
:
712 ALFRED NOBEL DR
,
, HERCULES
, CA
, 94547-1805
Practice Phone
: 510-662-5200;
Practice Fax
:
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1609872027 -
DON
D
DELCAMP
MD
Other Name
:
Mailing Address
:
31 S STANFIELD RD
STE 202
TROY
OH
45373-2374
Phone
: 937-335-3561;
Fax
: 937-339-1213;
Practice Location Address
:
31 S STANFIELD RD
, STE 202
, TROY
, OH
, 45373-2374
Practice Phone
: 937-335-3561;
Practice Fax
: 937-339-1213
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1518963933 -
JOHN
HO
M.D.
Other Name
:
Mailing Address
:
PO BOX 95000
PHILADELPHIA
PA
19195-7550
Phone
: 844-362-1735;
Fax
: 973-290-7495;
Practice Location Address
:
16 POCONO RD
, SUITE 110
, DENVILLE
, NJ
, 07834-2905
Practice Phone
: 973-586-3700;
Practice Fax
: 973-586-8666
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1427054840 -
DEBRA
TOOKE
CROWELL
RN, CNM
Other Name
:
Mailing Address
:
1609 TATTINGER TRL
CHESAPEAKE
VA
23321-1884
Phone
: 757-465-4712;
Fax
: ;
Practice Location Address
:
620 JOHN PAUL JONES CIR
,
, PORTSMOUTH
, VA
, 23708-2111
Practice Phone
: 757-953-0399;
Practice Fax
:
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1336145754 -
ROBERT
G.
HOFFMEISTER
M.D.
Other Name
:
Mailing Address
:
PO BOX 5096
BELLINGHAM
WA
98227-5096
Phone
: 360-738-2200;
Fax
: 360-752-5683;
Practice Location Address
:
4545 CORDATA PKWY
,
, BELLINGHAM
, WA
, 98226-7123
Practice Phone
: 360-738-2200;
Practice Fax
: 360-752-5683
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1245236660 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1154327575 -
LION HOSPICE, INC.
Other Name
:
Mailing Address
:
1816 NORWOOD DR
HURST
TX
76054-3066
Phone
: 817-268-8103;
Fax
: 817-282-5967;
Practice Location Address
:
2601 NW EXPRESSWAY
, STE 910W
, OKLAHOMA CITY
, OK
, 73112-7263
Practice Phone
: 405-842-2215;
Practice Fax
: 405-810-1591
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1063418481 -
DR.
DR.
JORGE
A
LUBE
DMD
Other Name
:
Mailing Address
:
13 CALLE BARCELO
BARRANQUITAS
PR
00794-1710
Phone
: 787-857-3818;
Fax
: 787-857-0218;
Practice Location Address
:
13 CALLE BARCELO
,
, BARRANQUITAS
, PR
, 00794-1710
Practice Phone
: 787-857-3818;
Practice Fax
: 787-857-0218
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1972509396 -
MR.
MR.
LEMUEL
CRUZ
MELO
Other Name
:
Mailing Address
:
14712 JACANA DR
LA MIRADA
CA
90638-4554
Phone
: 714-521-8349;
Fax
: 714-521-8218;
Practice Location Address
:
14712 JACANA DR
,
, LA MIRADA
, CA
, 90638-4554
Practice Phone
: 714-521-8349;
Practice Fax
: 714-521-8218
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1699771014 -
SCOTT
C
SCOGGINS
MD
Other Name
:
Mailing Address
:
15000 SHELL POINT BLVD STE 100
FORT MYERS
FL
33908-1657
Phone
: 239-454-2146;
Fax
: 239-466-2111;
Practice Location Address
:
13880 SHELL POINT PLZ STE 110
,
, FORT MYERS
, FL
, 33908-3504
Practice Phone
: 239-454-2146;
Practice Fax
:
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1508862921 -
SABINE COUNTY HOSPITAL DISTRICT
Other Name
:
Mailing Address
:
P O BOX 750
HEMPHILL
TX
75948
Phone
: 409-787-3300;
Fax
: 409-787-1010;
Practice Location Address
:
2301 HWY 83 WEST
,
, HEMPHILL
, TX
, 75948
Practice Phone
: 409-787-3300;
Practice Fax
: 409-787-1010
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1417953837 -
NUGENT CONVALESCENT HOME, INC
Other Name
:
Mailing Address
:
500 CLARKSVILLE ROAD
HERMITAGE
PA
16148
Phone
: 724-981-6610;
Fax
: 724-981-3224;
Practice Location Address
:
500 CLARKSVILLE RD
,
, HERMITAGE
, PA
, 16148-2954
Practice Phone
: 724-981-6610;
Practice Fax
: 724-981-3224
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1326044744 -
MARIA
R
PICO
M.D.
Other Name
:
Mailing Address
:
210 VILLAGE CENTER PKWY
STOCKBRIDGE
GA
30281-9044
Phone
: 770-474-5952;
Fax
: 770-474-1300;
Practice Location Address
:
210 VILLAGE CENTER PKWY
,
, STOCKBRIDGE
, GA
, 30281-9044
Practice Phone
: 770-474-5952;
Practice Fax
: 770-474-1300
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1235135658 -
JOSEPH
S
VALENTI
MD
Other Name
:
Mailing Address
:
2805 S MAYHILL RD
DENTON
TX
76208-5910
Phone
: 940-591-6700;
Fax
: 940-320-1220;
Practice Location Address
:
4370 MEDICAL ARTS DR STE 300
,
, FLOWER MOUND
, TX
, 75028-1724
Practice Phone
: 940-591-6700;
Practice Fax
: 940-320-1220
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1144226564 -
DR.
DR.
TIMOTHY
A
MULHOLLEM
D.C.
Other Name
:
Mailing Address
:
8391 SPRING RD
STE 1
NEW BLOOMFIELD
PA
17068-8560
Phone
: 717-582-2120;
Fax
: ;
Practice Location Address
:
8391 SPRING RD
, STE 1
, NEW BLOOMFIELD
, PA
, 17068-8560
Practice Phone
: 717-582-2120;
Practice Fax
:
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1053317479 -
DR.
DR.
THOMAS
CARL
HOSEY
DPM
Other Name
:
Mailing Address
:
42550 GARFIELD RD
STE 103
CLINTON TOWNSHIP
MI
48038-1644
Phone
: 586-263-4411;
Fax
: 586-286-1142;
Practice Location Address
:
42550 GARFIELD RD
, STE 103
, CLINTON TOWNSHIP
, MI
, 48038-1644
Practice Phone
: 586-263-4411;
Practice Fax
: 586-286-1142
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1962408385 -
DR.
DR.
MARIE-FRANCE
MORTON
MCINTEE
D.O.
Other Name
:
Mailing Address
:
32060 LONG NECK RD
MILLSBORO
DE
19966-6228
Phone
: ;
Fax
: ;
Practice Location Address
:
32060 LONG NECK RD
,
, MILLSBORO
, DE
, 19966-6228
Practice Phone
: 302-645-3546;
Practice Fax
:
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1871599290 -
DR.
DR.
CRYSTAL
NEWBY
M.D.
Other Name
:
Mailing Address
:
12200 W 106TH ST
SUITE 230
OVERLAND PARK
KS
66215-2305
Phone
: 913-948-9636;
Fax
: 913-948-9643;
Practice Location Address
:
12200 W 106TH ST
, SUITE 230
, OVERLAND PARK
, KS
, 66215-2305
Practice Phone
: 913-948-9636;
Practice Fax
: 913-948-9643
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1780680108 -
MOBILITY SUPPORT SYSTEMS INC
Other Name
:
Mailing Address
:
560 PINE ISLAND RD
STE 2
N FT MYERS
FL
33903-3701
Phone
: 239-997-3000;
Fax
: 239-997-1276;
Practice Location Address
:
560 PINE ISLAND RD
, STE 2
, N FT MYERS
, FL
, 33903
Practice Phone
: 239-997-3000;
Practice Fax
: 239-997-1276
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1598761918 -
MARC
J
BAYER
MD
Other Name
:
Mailing Address
:
10 WYNDEMERE
AVON
CT
06001-3959
Phone
: 860-676-1444;
Fax
: ;
Practice Location Address
:
10 WYNDEMERE
,
, AVON
, CT
, 06001-3959
Practice Phone
: 860-676-1444;
Practice Fax
:
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1407852825 -
DR.
DR.
JOHN
MICHAEL
CERNY
M.D.
Other Name
:
Mailing Address
:
515 N MAIN ST
ANNA
IL
62906-1668
Phone
: 618-833-3300;
Fax
: ;
Practice Location Address
:
515 N MAIN ST
,
, ANNA
, IL
, 62906-1668
Practice Phone
: 618-833-3300;
Practice Fax
:
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1316943731 -
DR.
DR.
CARL
W.
SLOCUM
M.D.
Other Name
:
Mailing Address
:
5 SHERIDAN SQ
KINGSPORT
TN
37660-7390
Phone
: 423-246-8155;
Fax
: 423-246-8658;
Practice Location Address
:
5 SHERIDAN SQ
,
, KINGSPORT
, TN
, 37660-7390
Practice Phone
: 423-246-8155;
Practice Fax
: 423-246-8658
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1225034648 -
MR.
MR.
BRUCE
LLOYD
BROWMAN
P.T.
Other Name
:
Mailing Address
:
8455 S SUNCOAST BLVD
HOMOSASSA
FL
34446-5066
Phone
: 352-860-2220;
Fax
: 352-860-1181;
Practice Location Address
:
2210 HIGHWAY 44 W
,
, INVERNESS
, FL
, 34453-3860
Practice Phone
: 352-860-2220;
Practice Fax
: 352-860-1181
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1124024542 -
DR.
DR.
JULIO
CESAR
MANTERO HORMAZABAL
M.D.
Other Name
:
Mailing Address
:
154 CALLE COLA DE PESCADO
GUAYNABO
PR
00969-5818
Phone
: 787-798-1645;
Fax
: 787-798-1604;
Practice Location Address
:
1845 CARR 2
, STE 606
, BAYAMON
, PR
, 00959-7204
Practice Phone
: 787-798-1645;
Practice Fax
: 787-798-1604
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1033115456 -
SOKAOGON CHIPPEWA COMMUNITY
Other Name
:
Mailing Address
:
3144 VANZILE RD
CRANDON
WI
54520-8149
Phone
: 715-478-5180;
Fax
: 715-478-5904;
Practice Location Address
:
3144 VANZILE RD
,
, CRANDON
, WI
, 54520-8149
Practice Phone
: 715-478-5180;
Practice Fax
: 715-478-5904
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1942206362 -
RONALD
DALE
PADGETT
M.D.
Other Name
:
Mailing Address
:
86 WREN ST
BARNWELL
SC
29812-1529
Phone
: 803-259-5762;
Fax
: 803-259-3250;
Practice Location Address
:
526 NORTH STREET
,
, BAMBERG
, SC
, 29003-1319
Practice Phone
: 803-245-2433;
Practice Fax
: 803-245-6274
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1851397277 -
DEREK
A
FARLEY
DO
Other Name
:
Mailing Address
:
931 TOPAZ LN
OAK POINT
TX
75068-2274
Phone
: 972-292-3911;
Fax
: 972-292-3911;
Practice Location Address
:
931 TOPAZ LN
,
, OAK POINT
, TX
, 75068-2274
Practice Phone
: 972-292-3911;
Practice Fax
: 972-292-3911
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1760488183 -
DR.
DR.
JEFFREY
W
MORRISON
DC
Other Name
:
Mailing Address
:
6016 MANATEE AVE W
BRADENTON
FL
34209-2417
Phone
: 941-739-2225;
Fax
: 941-753-6821;
Practice Location Address
:
6016 MANATEE AVE W
,
, BRADENTON
, FL
, 34209-2417
Practice Phone
: 941-739-2225;
Practice Fax
: 941-753-6821
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1679579098 -
LUCIA
C
ROMAN-MARCIAL
M.D.
Other Name
:
Mailing Address
:
PO BOX 778789
CHICAGO
IL
60677-8789
Phone
: 414-672-1353;
Fax
: ;
Practice Location Address
:
309 E NORTH ST
,
, WAUKESHA
, WI
, 53188-3718
Practice Phone
: 414-672-1353;
Practice Fax
: 414-672-4265
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1588660906 -
VINCENTIAN DE MARILLAC
Other Name
:
Mailing Address
:
8250 BABCOCK BLVD
PITTSBURGH
PA
15237-5825
Phone
: 412-548-4073;
Fax
: 412-348-0186;
Practice Location Address
:
5300 STANTON AVE
,
, PITTSBURGH
, PA
, 15206-2083
Practice Phone
: 412-361-2833;
Practice Fax
: 412-361-2833
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1497751820 -
LARRY
K
RHINE
D.C.
Other Name
:
Mailing Address
:
4684 BROADWAY
TILGHMAN SQ
ALLENTOWN
PA
18104-3214
Phone
: 610-391-0858;
Fax
: 610-391-0528;
Practice Location Address
:
4684 BROADWAY
, TILGHMAN SQ
, ALLENTOWN
, PA
, 18104-3214
Practice Phone
: 610-391-0858;
Practice Fax
: 610-391-0528
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1306842737 -
BRIARWOOD CARE & REHABILITATION CENTER
Other Name
:
Mailing Address
:
100 MCCLELLEN ST
NORWOOD
NJ
07648-1555
Phone
: 201-767-0100;
Fax
: 201-781-1191;
Practice Location Address
:
901 ERNSTON RD
,
, SOUTH AMBOY
, NJ
, 08879-2000
Practice Phone
: 732-721-8200;
Practice Fax
: 732-721-8289
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1215933643 -
DR.
DR.
JOSEPH
W
RUCKER
MD
Other Name
:
Mailing Address
:
3221 STEIN BLVD
EAU CLAIRE
WI
54701-4398
Phone
: 715-833-2116;
Fax
: 715-833-1068;
Practice Location Address
:
3221 STEIN BLVD
,
, EAU CLAIRE
, WI
, 54701-4398
Practice Phone
: 715-833-2116;
Practice Fax
: 715-833-1068
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1124024559 -
ROBERT
D
BONA
MD
Other Name
:
Mailing Address
:
65 KANE ST
WEST HARTFORD
CT
06119-2110
Phone
: 860-523-6421;
Fax
: 860-523-3701;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-2100;
Practice Fax
: 860-679-4815
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1033115464 -
PHILIP
H
SYMES
MD
Other Name
:
Mailing Address
:
247 MOREWOOD AVE
PITTSBURGH
PA
15213-1861
Phone
: 412-622-0290;
Fax
: ;
Practice Location Address
:
2508 MYRTLE ST STE 200
,
, ERIE
, PA
, 16502-2700
Practice Phone
: 814-452-7822;
Practice Fax
: 814-452-7824
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1942206370 -
SLEEPWELL PARTNERS, LLC
Other Name
:
Mailing Address
:
615 W. CARMEL DR.
SUITE 100
CARMEL
IN
46032-5504
Phone
: 317-706-1080;
Fax
: 317-574-8674;
Practice Location Address
:
613 FORT UNION BLVD
, STE 102-A
, MIDVALE
, UT
, 84047-5531
Practice Phone
: 801-523-7533;
Practice Fax
: 801-523-3707
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1851397285 -
DR.
DR.
ROBERT
A
SCHRIBER
MD
Other Name
:
Mailing Address
:
130 W 2ND ST
STE 1430
DAYTON
OH
45402-1502
Phone
: 937-223-4012;
Fax
: 937-223-9792;
Practice Location Address
:
130 W 2ND ST
, STE 1430
, DAYTON
, OH
, 45402-1502
Practice Phone
: 937-223-4012;
Practice Fax
: 937-223-9792
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1760488191 -
JACK
GLASSER
M.D.
Other Name
:
Mailing Address
:
3 MARYLAND FARMS
SUITE 250
BRENTWOOD
TN
37027-5005
Phone
: 615-373-7600;
Fax
: 866-346-1426;
Practice Location Address
:
1325 ANDREA ST
, SUITE 100
, BOWLING GREEN
, KY
, 42104-5852
Practice Phone
: 270-901-3454;
Practice Fax
: 270-901-3458
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1679579007 -
SANDRA
L
MUELLER
CRNA
Other Name
:
Mailing Address
:
7703 FLOYD CURL DR # MC7977
SAN ANTONIO
TX
78229-3901
Phone
: 210-358-4000;
Fax
: ;
Practice Location Address
:
4502 MEDICAL DR
,
, SAN ANTONIO
, TX
, 78229
Practice Phone
: 210-358-4000;
Practice Fax
:
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1588660914 -
DR.
DR.
DAVID
M
OTT
M.D.
Other Name
:
Mailing Address
:
PO BOX 80217
PHOENIX
AZ
85060-0217
Phone
: 602-385-2115;
Fax
: 480-418-3323;
Practice Location Address
:
3033 N 44TH ST STE 100
,
, PHOENIX
, AZ
, 85018-7227
Practice Phone
: 602-631-3161;
Practice Fax
: 602-631-3162
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1396741724 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
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: ;
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:
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1205832631 -
NORTH TAMPA IMAGING LLC
Other Name
:
Mailing Address
:
14302 BRUCE B DOWNS BLVD
TAMPA
FL
33613-2601
Phone
: 813-975-1111;
Fax
: 813-975-1111;
Practice Location Address
:
14302 BRUCE B DOWNS BLVD
,
, TAMPA
, FL
, 33613-2601
Practice Phone
: 813-975-1111;
Practice Fax
: 813-975-0555
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1114923547 -
DR.
DR.
WILLIAM
GREG
THAGGARD
M.D.
Other Name
:
Mailing Address
:
PO BOX 749215
ATLANTA
GA
30374-9215
Phone
: 901-226-3186;
Fax
: 901-226-3160;
Practice Location Address
:
2024 15TH ST FL 2
,
, MERIDIAN
, MS
, 39301-4130
Practice Phone
: 601-553-2000;
Practice Fax
: 601-553-6746
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1023014453 -
DR.
DR.
DELWYN
J
WORTHINGTON
M.D.
Other Name
:
Mailing Address
:
PO BOX 80217
PHOENIX
AZ
85060-0217
Phone
: 602-385-2115;
Fax
: 602-772-3801;
Practice Location Address
:
3033 N 44TH ST STE 100
,
, PHOENIX
, AZ
, 85018-7227
Practice Phone
: 602-631-3161;
Practice Fax
: 602-631-3162
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1932105368 -
DR.
DR.
BRADLEY
MANIN
MD
Other Name
:
Mailing Address
:
8250 OLD YORK RD # 2
ELKINS PARK
PA
19027-1514
Phone
: 215-885-8550;
Fax
: 215-885-8570;
Practice Location Address
:
8250 OLD YORK RD # 2
,
, ELKINS PARK
, PA
, 19027-1514
Practice Phone
: 215-885-8550;
Practice Fax
: 215-885-8570
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1841296274 -
DR.
DR.
GREGORY
VARDAKIS
D.O.
Other Name
:
Mailing Address
:
206 NW MOCK AVE
STE 100
BLUE SPRINGS
MO
64014-2530
Phone
: 816-229-1191;
Fax
: 816-229-1198;
Practice Location Address
:
206 NW MOCK AVE
, STE 100
, BLUE SPRINGS
, MO
, 64014-2530
Practice Phone
: 816-229-1191;
Practice Fax
: 816-229-1198
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1750387189 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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: ;
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:
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1669478095 -
MARTIN
BRECHER
MD
Other Name
:
Mailing Address
:
ELM AND CARLTON STREETS
BUFFALO
NY
14263-0001
Phone
: 716-845-2300;
Fax
: 716-845-8003;
Practice Location Address
:
ELM AND CARLTON STREETS
,
, BUFFALO
, NY
, 14263-0001
Practice Phone
: 716-845-2300;
Practice Fax
: 716-845-8003
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1578569901 -
ELIZABETH
F
BURKE
SLP
Other Name
:
Mailing Address
:
10 SYCAMORE CIR
WINDSOR
CT
06095-3024
Phone
: 860-559-8878;
Fax
: ;
Practice Location Address
:
10 SYCAMORE CIR
,
, WINDSOR
, CT
, 06095-3024
Practice Phone
: 860-559-8878;
Practice Fax
:
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1487650818 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1295731628 -
DAVID
R
SOTELO
DPM
Other Name
:
Mailing Address
:
8008 MENAUL BLVD NE
ALBUQUERQUE
NM
87110-4608
Phone
: ;
Fax
: ;
Practice Location Address
:
8008 MENAUL BLVD NE
,
, ALBUQUERQUE
, NM
, 87110-4608
Practice Phone
: 505-727-4430;
Practice Fax
:
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1104822535 -
IHONG
CHEN
MD
Other Name
:
Mailing Address
:
17360 BROOKHURST ST
ATTN: MCMF - CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY
CA
92708-3720
Phone
: ;
Fax
: ;
Practice Location Address
:
18035 BROOKHURST STREET
, SUITE 2100
, FOUNTAIN VALLEY
, CA
, 92708
Practice Phone
: 657-241-9090;
Practice Fax
:
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1013913441 -
BRUCE
CHOW
DO
Other Name
:
Mailing Address
:
817 S VERMONT AVE
LOS ANGELES
CA
90005-1522
Phone
: 213-385-0029;
Fax
: ;
Practice Location Address
:
817 S VERMONT AVE
,
, LOS ANGELES
, CA
, 90005-1522
Practice Phone
: 213-385-0029;
Practice Fax
:
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1922004357 -
JOSEPH
POTZICK
M.D.
Other Name
:
Mailing Address
:
201 PARK ST
BOWLING GREEN
KY
42101-1759
Phone
: 270-781-5111;
Fax
: 270-780-0478;
Practice Location Address
:
201 PARK ST
,
, BOWLING GREEN
, KY
, 42101-1759
Practice Phone
: 270-781-5111;
Practice Fax
: 270-780-0478
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1831195262 -
GRACE
BOGERT
PA-C
Other Name
:
Mailing Address
:
210 VILLAGE CENTER PKWY
STOCKBRIDGE
GA
30281-9044
Phone
: 770-474-5952;
Fax
: 770-474-1300;
Practice Location Address
:
210 VILLAGE CENTER PKWY
,
, STOCKBRIDGE
, GA
, 30281-9044
Practice Phone
: 770-474-5952;
Practice Fax
: 770-474-1300
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1740286178 -
NANCY
J
ASTLE
MD
Other Name
:
Mailing Address
:
1072 X RAY DR STE B
GASTONIA
NC
28054-7488
Phone
: 704-671-1094;
Fax
: 704-671-1095;
Practice Location Address
:
13539 REESE BLVD W STE B
,
, HUNTERSVILLE
, NC
, 28078-7961
Practice Phone
: 704-892-4878;
Practice Fax
: 704-892-7453
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1659377083 -
ADVANCED ORTHOPAEDIC ASSOCIATES OF PA
Other Name
:
Mailing Address
:
479 THOMAS JONES WAY
STE 300
EXTON
PA
19341-2580
Phone
: 610-280-9999;
Fax
: 610-363-8914;
Practice Location Address
:
479 THOMAS JONES WAY
, STE 300
, EXTON
, PA
, 19341-2580
Practice Phone
: 610-280-9999;
Practice Fax
: 610-363-8914
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1568468999 -
DR.
DR.
JEFFREY
L
WEXLER
M.D.
Other Name
:
Mailing Address
:
1001 PINE HEIGHTS AVE
STE 101
BALTIMORE
MD
21229-5266
Phone
: 410-644-9515;
Fax
: 410-644-8250;
Practice Location Address
:
1001 PINE HEIGHTS AVE
, STE 101
, BALTIMORE
, MD
, 21229-5266
Practice Phone
: 410-644-9515;
Practice Fax
: 410-644-8250
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1477559805 -
MS.
MS.
MARGARET
B
LOGAN
FNP
Other Name
:
Mailing Address
:
102A ASTOR ST
WELLFORD
SC
29385-9622
Phone
: 864-439-5338;
Fax
: ;
Practice Location Address
:
102A ASTOR ST
,
, WELLFORD
, SC
, 29385-9622
Practice Phone
: 864-439-5338;
Practice Fax
: 864-439-4769
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1386640712 -
GREGORY
DAVID
LEWISH
M.D.
Other Name
:
Mailing Address
:
2 PELHAM RD
ROCHESTER
NY
14610-2519
Phone
: 585-473-4844;
Fax
: ;
Practice Location Address
:
2211 LYELL AVE
, STE 107
, ROCHESTER
, NY
, 14606-5743
Practice Phone
: 585-429-6440;
Practice Fax
: 429-585-6661
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1194721522 -
DR.
DR.
RAJIVI
POTHIRAJ
RUCKER
M.D.
Other Name
:
Mailing Address
:
1250 S TAMIAMI TRL STE 302
SARASOTA
FL
34239-2221
Phone
: 941-877-5983;
Fax
: 941-957-0079;
Practice Location Address
:
1250 S TAMIAMI TRL STE 302
,
, SARASOTA
, FL
, 34239-2221
Practice Phone
: 941-877-5983;
Practice Fax
: 941-957-0079
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1003812439 -
NORTHWEST HOME HEALTH SERVICES INC
Other Name
:
Mailing Address
:
2 CORPORATE DRIVE
SUITE 100
SOUTHFIELD
MI
48076-3759
Phone
: 800-462-5632;
Fax
: 800-273-5331;
Practice Location Address
:
2 CORPORATE DR STE 100
,
, SOUTHFIELD
, MI
, 48076-3759
Practice Phone
: 800-462-5632;
Practice Fax
: 800-273-5331
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1912903345 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1821094251 -
NAUSHERWAN
K
BURKI
MD
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-3343;
Practice Fax
: 860-679-4256
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1730185166 -
DR.
DR.
ALLAN
PRIBBLE
M.D.
Other Name
:
Mailing Address
:
201 PARK ST
BOWLING GREEN
KY
42101-1759
Phone
: 270-781-5111;
Fax
: 270-780-0478;
Practice Location Address
:
201 PARK ST
,
, BOWLING GREEN
, KY
, 42101-1759
Practice Phone
: 270-781-5111;
Practice Fax
: 270-780-0478
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1558367987 -
JORGE
EUSEBIO
ALBINA
MD
Other Name
:
Mailing Address
:
PO BOX 16149
RUMFORD
RI
02916-0697
Phone
: 401-453-9625;
Fax
: 401-435-7069;
Practice Location Address
:
593 EDDY ST
, NAB 2
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-444-4296;
Practice Fax
: 401-421-7721
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1467458893 -
HELEN
H
CAPPUCCINO
MD
Other Name
:
Mailing Address
:
ELM AND CARLTON STREETS
BUFFALO
NY
14263-0001
Phone
: 716-845-2300;
Fax
: 716-845-5705;
Practice Location Address
:
ELM AND CARLTON STREETS
,
, BUFFALO
, NY
, 14263-0001
Practice Phone
: 716-845-2300;
Practice Fax
: 716-845-5705
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1376549709 -
JULIAN
DALE
CALHOON
MD
Other Name
:
Mailing Address
:
PO BOX 309
JACKSONVILLE
AR
72078-0309
Phone
: 501-985-5900;
Fax
: 501-985-6016;
Practice Location Address
:
1300 BRADEN ST
,
, JACKSONVILLE
, AR
, 72076-3719
Practice Phone
: 501-985-5900;
Practice Fax
: 501-985-6016
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1285630616 -
DR.
DR.
ROSE
OOSTING
PHD
Other Name
:
Mailing Address
:
5 DURYEA RD
MONTCLAIR
NJ
07043-1901
Phone
: 973-746-8603;
Fax
: 973-746-8603;
Practice Location Address
:
5 DURYEA RD
,
, MONTCLAIR
, NJ
, 07043-1901
Practice Phone
: 973-746-8603;
Practice Fax
: 973-746-8603
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1093711426 -
PET CENTER OF LOUISIANA LLC
Other Name
:
Mailing Address
:
PO BOX 6315
METAIRIE
LA
70009-6315
Phone
: 985-345-8867;
Fax
: 985-542-5322;
Practice Location Address
:
1495 GAUSE BLVD
,
, SLIDELL
, LA
, 70458-2205
Practice Phone
: 504-887-8728;
Practice Fax
: 504-887-8702
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1902802333 -
DR.
DR.
TIMOTHY
R
IVEY
M.D.
Other Name
:
Mailing Address
:
11700 HIGHWAY 57
VANCLEAVE
MS
39565-8309
Phone
: 228-826-1482;
Fax
: 228-826-5924;
Practice Location Address
:
11700 HIGHWAY 57
,
, VANCLEAVE
, MS
, 39565-8309
Practice Phone
: 228-826-1482;
Practice Fax
: 228-826-5924
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1811993249 -
PAHNKE, PENMAN, AND WHITNEY PA
Other Name
:
Mailing Address
:
4701 OGLETOWN STANTON RD
SUITE 1340
NEWARK
DE
19713-2055
Phone
: 302-733-0404;
Fax
: 302-733-0556;
Practice Location Address
:
410 FOULK RD
, STE 200A
, WILMINGTON
, DE
, 19803-3802
Practice Phone
: 302-764-2380;
Practice Fax
: 302-764-3501
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1720084155 -
PHOENIX REHABILITATION AND HEALTH SERVICES, INC.
Other Name
:
Mailing Address
:
PO BOX 392573
PITTSBURGH
PA
15251-9573
Phone
: 724-343-4060;
Fax
: 724-343-4069;
Practice Location Address
:
2000 WESTINGHOUSE DR STE 200
,
, CRANBERRY TOWNSHIP
, PA
, 16066-5238
Practice Phone
: 724-343-4060;
Practice Fax
: 724-343-4069
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1639175060 -
DR.
DR.
WILLIAM
JEFFREY
CORIN
M.D.F.A.C.C.
Other Name
:
Mailing Address
:
1225 JACARANDA BLVD
VENICE
FL
34292-4521
Phone
: 941-492-5666;
Fax
: 941-497-2331;
Practice Location Address
:
1225 JACARANDA BLVD
,
, VENICE
, FL
, 34292-4521
Practice Phone
: 941-492-5666;
Practice Fax
: 941-497-2331
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1548266976 -
DR.
DR.
DONALD
RAUH
M.D.
Other Name
:
Mailing Address
:
201 PARK ST
BOWLING GREEN
KY
42101-1708
Phone
: 270-781-5111;
Fax
: ;
Practice Location Address
:
740 S LIMESTONE STE D201
,
, LEXINGTON
, KY
, 40536-6913
Practice Phone
: 859-323-0079;
Practice Fax
: 859-323-8173
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1457357881 -
JASON
ABRAHAM
AHEE
MD
Other Name
:
Mailing Address
:
1791 E 280 N
ST GEORGE
UT
84790-2400
Phone
: 435-656-2020;
Fax
: 435-634-2646;
Practice Location Address
:
1791 E 280 N
,
, ST GEORGE
, UT
, 84790-2400
Practice Phone
: 435-656-2020;
Practice Fax
: 435-634-2646
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1366448797 -
DESTINY MEDICAL SUPPLIES INC.,
Other Name
:
Mailing Address
:
PO BOX 51088
FORT WORTH
TX
76105-8088
Phone
: 817-534-2770;
Fax
: 817-534-2977;
Practice Location Address
:
4735 E LANCASTER AVE
,
, FORT WORTH
, TX
, 76103-3835
Practice Phone
: 817-534-2770;
Practice Fax
: 817-534-2977
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1275539603 -
DR.
DR.
WILLIAM
J
WALLACE
D.O.
Other Name
:
Mailing Address
:
5 SHERIDAN SQ
KINGSPORT
TN
37660-7390
Phone
: 423-246-8155;
Fax
: 246-246-8658;
Practice Location Address
:
5 SHERIDAN SQ
,
, KINGSPORT
, TN
, 37660
Practice Phone
: 423-246-8155;
Practice Fax
: 246-246-8658
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1184620510 -
S.
THOMAS
WESTERMAN
M.D.
Other Name
:
Mailing Address
:
170 AVENUE AT THE CMN
STE 6
SHREWSBURY
NJ
07702-4568
Phone
: 732-460-0045;
Fax
: 732-460-0068;
Practice Location Address
:
170 AVENUE AT THE CMN
, STE 6
, SHREWSBURY
, NJ
, 07702-4568
Practice Phone
: 732-460-0045;
Practice Fax
: 732-460-0068
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1992701320 -
DERMATOLOGY CONSULTANTS, PSC
Other Name
:
Mailing Address
:
2405 HARRODSBURG RD
LEXINGTON
KY
40504-3329
Phone
: 859-278-9492;
Fax
: 859-277-3027;
Practice Location Address
:
2405 HARRODSBURG RD
,
, LEXINGTON
, KY
, 40504-3329
Practice Phone
: 859-278-9492;
Practice Fax
: 859-277-3027
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1801892237 -
OPHTHALMOLOGY ASSOCIATES OF MANKATO PA
Other Name
:
Mailing Address
:
1630 ADAMS ST
MANKATO
MN
56001-4801
Phone
: 507-345-6151;
Fax
: 507-625-1096;
Practice Location Address
:
1630 ADAMS ST
,
, MANKATO
, MN
, 56001
Practice Phone
: 507-345-6151;
Practice Fax
: 507-625-1096
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1710983143 -
DR.
DR.
MICHAEL
S
DOMER
MD
Other Name
:
Mailing Address
:
PO BOX 80217
PHOENIX
AZ
85060-0217
Phone
: 602-385-2115;
Fax
: 480-418-3323;
Practice Location Address
:
3033 N 44TH ST STE 100
,
, PHOENIX
, AZ
, 85018-7227
Practice Phone
: 602-631-3161;
Practice Fax
: 602-631-3162
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1629074059 -
BUCKINGHAM AT NORWOOD CARE AND REHABILITATION CENTER LLC
Other Name
:
Mailing Address
:
100 MCCLELLEN ST
NORWOOD
NJ
07648-1555
Phone
: 201-767-0100;
Fax
: 201-881-1191;
Practice Location Address
:
100 MCCLELLEN ST
,
, NORWOOD
, NJ
, 07648-1555
Practice Phone
: 201-768-6222;
Practice Fax
: 201-767-8354
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1538165964 -
DR.
DR.
EDUARDO
DEL ROSARIO
ESPIRIDION
M.D.
Other Name
:
Mailing Address
:
11015 SANI LN
HAGERSTOWN
MD
21742-4034
Phone
: 301-797-4069;
Fax
: ;
Practice Location Address
:
13114 PENNSYLVANIA AVE
,
, HAGERSTOWN
, MD
, 21742-2741
Practice Phone
: 240-520-8287;
Practice Fax
: 240-566-3018
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1447256870 -
RONALD
LEE
SNOW
MD
Other Name
:
Mailing Address
:
1085 S BLUFF ST
ST GEORGE
UT
84770-5245
Phone
: 435-688-2020;
Fax
: 435-634-2646;
Practice Location Address
:
1085 S BLUFF ST
,
, ST GEORGE
, UT
, 84770-5245
Practice Phone
: 435-688-2020;
Practice Fax
: 435-634-2646
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1356347785 -
TRINA
ANNE
KESSINGER
MD
Other Name
:
Mailing Address
:
PO BOX 52631
PHOENIX
AZ
85072-2631
Phone
: 970-395-7878;
Fax
: 970-395-7880;
Practice Location Address
:
1300 MAIN ST
,
, WINDSOR
, CO
, 80550-5989
Practice Phone
: 970-395-7878;
Practice Fax
: 970-395-7880
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1265438691 -
GARY
EDWARD
SIMMONS
M.D.
Other Name
:
Mailing Address
:
816 W CANNON ST
FORT WORTH
TX
76104-3194
Phone
: 817-321-0404;
Fax
: ;
Practice Location Address
:
4005 24TH ST
,
, LUBBOCK
, TX
, 79410-1835
Practice Phone
: 806-792-2767;
Practice Fax
: 888-861-8858
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1174529507 -
STEVEN
CLARK
WHITE
M.D.
Other Name
:
Mailing Address
:
4005 24TH ST
LUBBOCK
TX
79410-1835
Phone
: 806-791-6709;
Fax
: 806-791-6709;
Practice Location Address
:
4005 24TH ST
,
, LUBBOCK
, TX
, 79410-1835
Practice Phone
: 806-792-2767;
Practice Fax
: 888-861-8858
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1083610414 -
RANDALL
LEE
CULBERTSON
DO
Other Name
:
Mailing Address
:
29508 E PINK HILL RD
GRAIN VALLEY
MO
64029-9258
Phone
: 816-228-9448;
Fax
: 816-246-4850;
Practice Location Address
:
29508 E PINK HILL RD
,
, GRAIN VALLEY
, MO
, 64029-9258
Practice Phone
: 816-251-4724;
Practice Fax
: 816-246-4850
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1891791224 -
WILLIAM
ANDREW
CISZEWSKI
M.D.
Other Name
:
Mailing Address
:
2211 LYELL AVE
ROCHESTER
NY
14606-5743
Phone
: ;
Fax
: ;
Practice Location Address
:
2211 LYELL AVE
, STE 107
, ROCHESTER
, NY
, 14606-5743
Practice Phone
: 585-429-6440;
Practice Fax
: 585-429-6661
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1700882131 -
CRYSTAL
E
HUMPHRIES
FNP
Other Name
:
Mailing Address
:
PO BOX 743070
ATLANTA
GA
30374-3070
Phone
: 864-560-4304;
Fax
: 864-560-4413;
Practice Location Address
:
101 E WOOD ST
,
, SPARTANBURG
, SC
, 29303-3040
Practice Phone
: 864-560-7050;
Practice Fax
: 864-560-0800
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1619973047 -
DR.
DR.
DAVID
R
OSTERHUS
M.D.
Other Name
:
Mailing Address
:
5 SHERIDAN SQ
KINGSPORT
TN
37660-7390
Phone
: 423-246-8155;
Fax
: 423-246-8658;
Practice Location Address
:
5 SHERIDAN SQ
,
, KINGSPORT
, TN
, 37660-7390
Practice Phone
: 423-246-8155;
Practice Fax
: 423-246-8658
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1528064953 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1437155868 -
MICHAEL
L
MAGGARD
O.D.
Other Name
:
Mailing Address
:
13930 7TH ST
DADE CITY
FL
33525-4904
Phone
: 352-567-8989;
Fax
: 352-567-0116;
Practice Location Address
:
13930 7TH ST
,
, DADE CITY
, FL
, 33525-4904
Practice Phone
: 352-567-8989;
Practice Fax
: 352-567-0116
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