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Showing codes 1770594202 — 1215948740
1770594202 -
DR.
DR.
KEVIN
M.
NEAL
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3600;
Practice Fax
: 904-390-3429
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1689685117 -
MS.
MS.
SUZANNE
R.
OKEN
ARNP
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3600;
Practice Fax
: 904-390-3543
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1497766927 -
MS.
MS.
STACY
L.
PAYNE
CCC-A
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3690;
Practice Fax
: 904-390-3502
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1306857834 -
MS.
MS.
EMILY
A
PFISTERER
CCC-A
Other Name
:
Mailing Address
:
13356 CARRACH WAY
ROSEMOUNT
MN
55068-4807
Phone
: 651-344-8543;
Fax
: ;
Practice Location Address
:
2211 PARK AVE
,
, MINNEAPOLIS
, MN
, 55404-3711
Practice Phone
: 612-871-1144;
Practice Fax
:
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1093726531 -
KELI
ARDOIN
WILLIAMS
CRNA
Other Name
:
Mailing Address
:
PO BOX 5587
BEAUMONT
TX
77726-5587
Phone
: 409-838-5214;
Fax
: ;
Practice Location Address
:
755 N 11TH ST
, SUITE P 3600
, BEAUMONT
, TX
, 77702-1500
Practice Phone
: 409-838-5214;
Practice Fax
:
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1992716443 -
DR.
DR.
SANDRA
LEIGH
CASTLE-OH
MD
Other Name
:
Mailing Address
:
1975 HIGHWAY 54 W
SUITE 150
PEACHTREE CITY
GA
30269-4794
Phone
: 770-486-5000;
Fax
: ;
Practice Location Address
:
1975 HIGHWAY 54 W
, SUITE 150
, PEACHTREE CITY
, GA
, 30269-4794
Practice Phone
: 770-486-5000;
Practice Fax
:
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1801807359 -
MARK
ALLEN
BIBO
RPH
Other Name
:
Mailing Address
:
192 SE ANDERSON LN
GRESHAM
OR
97080-1997
Phone
: ;
Fax
: ;
Practice Location Address
:
3710 SW US VETERANS HOSPITAL RD
,
, PORTLAND
, OR
, 97239-2964
Practice Phone
: 503-220-8262;
Practice Fax
:
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1710998265 -
MRS.
MRS.
SHERI
LYNN
JANS
AUD
Other Name
:
SHERI
LYNN
EMIGH
Mailing Address
:
1013 E COVEY CIR
SIOUX FALLS
SD
57108-6427
Phone
: 605-321-2788;
Fax
: ;
Practice Location Address
:
1013 E COVEY CIR
,
, SIOUX FALLS
, SD
, 57108-6427
Practice Phone
: 605-321-2788;
Practice Fax
:
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1629089172 -
MRS.
MRS.
JEANNETTE
ELIZABETH
MARES
PA-C
Other Name
:
Mailing Address
:
PO BOX 4439
HOUSTON
TX
77210-4439
Phone
: 713-792-2991;
Fax
: ;
Practice Location Address
:
1515 HOLCOMBE BLVD
,
, HOUSTON
, TX
, 77030-4095
Practice Phone
: 713-792-6161;
Practice Fax
:
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1538170089 -
NANCY
ANNE
SAWYER
LCSW
Other Name
:
NANCY
ANNE
SAWYER-WING
Mailing Address
:
240 NARROWS POND RD
WINTHROP
ME
04364-3664
Phone
: 207-344-0018;
Fax
: 207-344-0019;
Practice Location Address
:
240 NARROWS POND RD
,
, WINTHROP
, ME
, 04364-3664
Practice Phone
: 207-344-0018;
Practice Fax
: 207-344-0019
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1447261995 -
ELKE
JOST-VU
MD
Other Name
:
Mailing Address
:
39000 BOB HOPE DR
RANCHO MIRAGE
CA
92270-3221
Phone
: 760-321-5257;
Fax
: 760-773-1631;
Practice Location Address
:
39000 BOB HOPE DR STE K-114
,
, RANCHO MIRAGE
, CA
, 92270-3221
Practice Phone
: 760-321-5257;
Practice Fax
: 760-773-1631
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1356352801 -
MRS.
MRS.
LINDA
J
HICKOX
RDH
Other Name
:
Mailing Address
:
PO BOX 114
FORT OGDEN
FL
34267-0114
Phone
: 863-491-7799;
Fax
: ;
Practice Location Address
:
2785 TAMIAMI TRL
,
, PORT CHARLOTTE
, FL
, 33952-5101
Practice Phone
: 941-625-4421;
Practice Fax
:
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1265443717 -
DR.
DR.
TANIA
DIMITROVA
KOLEV
M.D.
Other Name
:
Mailing Address
:
25 N 32ND ST
CAMP HILL
PA
17011-2918
Phone
: 717-730-9782;
Fax
: 717-730-9854;
Practice Location Address
:
25 N 32ND ST
,
, CAMP HILL
, PA
, 17011-2918
Practice Phone
: 717-730-9782;
Practice Fax
: 717-730-9854
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1174534622 -
JOHANNA
B.
LUND
N.P.
Other Name
:
Mailing Address
:
560 W MITCHELL ST
SUITE 185
PETOSKEY
MI
49770-2275
Phone
: 231-487-3390;
Fax
: 231-487-3578;
Practice Location Address
:
560 W MITCHELL ST
, SUITE 185
, PETOSKEY
, MI
, 49770-2275
Practice Phone
: 231-487-3390;
Practice Fax
: 231-487-3578
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1083625537 -
MR.
MR.
ELLIOT
WINTERS
CSW
Other Name
:
Mailing Address
:
127 S BROADWAY
YONKERS
NY
10701-4006
Phone
: 914-378-7000;
Fax
: ;
Practice Location Address
:
127 S BROADWAY
,
, YONKERS
, NY
, 10701-4006
Practice Phone
: 914-378-7000;
Practice Fax
:
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1891706347 -
DR.
DR.
MICHAEL
AUSTIN
MELTON
PSY.D.
Other Name
:
Mailing Address
:
425 FEATHERBED LN
GLEN MILLS
PA
19342-1548
Phone
: 610-558-3235;
Fax
: ;
Practice Location Address
:
1400 BLACKHORSE HILL RD
,
, COATESVILLE
, PA
, 19320-2040
Practice Phone
: 610-384-7711;
Practice Fax
:
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1700897253 -
ARTHUR
C.
LYON
MPT
Other Name
:
Mailing Address
:
2100 S. LINCOLN AVE.
LEBANON
PA
17042
Phone
: 717-272-6621;
Fax
: ;
Practice Location Address
:
1700 S LINCOLN AVE
,
, LEBANON
, PA
, 17042-7529
Practice Phone
: 717-272-6621;
Practice Fax
:
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1619988169 -
DR.
DR.
JOHN
L
LUNDBERG
MD
Other Name
:
Mailing Address
:
3270 ROUTE 27
SUITE 2200
KENDALL PARK
NJ
08824
Phone
: 732-422-8989;
Fax
: ;
Practice Location Address
:
3270 ROUTE 27
, SUITE 2200
, KENDALL PARK
, NJ
, 08824
Practice Phone
: 732-422-8989;
Practice Fax
:
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1528079076 -
DR.
DR.
ALBERT
C
CHEN
M.D.
Other Name
:
Mailing Address
:
3440 LOMITA BLVD STE 346
TORRANCE
CA
90505-4820
Phone
: 310-325-1198;
Fax
: 310-325-1699;
Practice Location Address
:
3440 LOMITA BLVD STE 346
,
, TORRANCE
, CA
, 90505-4820
Practice Phone
: 310-325-1198;
Practice Fax
: 310-325-1699
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1508877051 -
MATTHEW J CAVENDISH, DDS, PLLC
Other Name
:
Mailing Address
:
4646 E GREENWAY RD
SUITE 102
PHOENIX
AZ
85032-4805
Phone
: 602-482-2785;
Fax
: 602-482-7689;
Practice Location Address
:
4646 E GREENWAY RD
, SUITE 102
, PHOENIX
, AZ
, 85032-4805
Practice Phone
: 602-482-2785;
Practice Fax
: 602-482-7689
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1417968967 -
DR.
DR.
ROBERT
BRUCE
EINERTSON
DC
Other Name
:
Mailing Address
:
1030 OLD DES PERES RD
DES PERES
MO
63131-1865
Phone
: 314-966-8989;
Fax
: 314-966-0001;
Practice Location Address
:
1030 OLD DES PERES RD
,
, DES PERES
, MO
, 63131-1865
Practice Phone
: 314-966-8989;
Practice Fax
: 314-966-0001
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1043221591 -
MRS.
MRS.
ANN
C.
NEEB
LCSW
Other Name
:
Mailing Address
:
N48W34100 JAECKLES DR
NASHOTAH
WI
53058-9631
Phone
: 262-567-7713;
Fax
: ;
Practice Location Address
:
119 A SOUTH SILVER LAKE ST.
,
, OCONOMOWOC
, WI
, 53066
Practice Phone
: 262-567-4455;
Practice Fax
:
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1801807367 -
HECTOR
LUIS
ROUBERT
M.D.
Other Name
:
Mailing Address
:
PO BOX 1510
GUAYAMA
PR
00785-1510
Phone
: 787-866-4073;
Fax
: ;
Practice Location Address
:
RIEKCHOL #99
,
, PATILLAS
, PR
, 00723
Practice Phone
: 787-839-4351;
Practice Fax
: 787-271-0004
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1710998273 -
MELODY
A
BARRETT
L.M.P.
Other Name
:
MELODY
A
WAGNER
Mailing Address
:
PO BOX 15073
FRITZ CREEK
AK
99603-6073
Phone
: 425-327-0979;
Fax
: ;
Practice Location Address
:
808 E. END RD
,
, HOMER
, AK
, 99603
Practice Phone
: 907-226-2228;
Practice Fax
:
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1629089180 -
TOD
JOHNSON
LCSW
Other Name
:
Mailing Address
:
9263 REDWOOD ROAD
STE B
WEST JORDAN
UT
84088
Phone
: 801-566-8749;
Fax
: ;
Practice Location Address
:
9263 REDWOOD RD
, STE B
, WEST JORDAN
, UT
, 84088-6571
Practice Phone
: 801-566-8749;
Practice Fax
:
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1538170097 -
GOLD BAR CHIROPRACTIC P.L.L.C
Other Name
:
Mailing Address
:
301 CROFT AVE
PO BOX 175
GOLD BAR
WA
98251-0175
Phone
: 360-793-0904;
Fax
: 360-799-0923;
Practice Location Address
:
211 W. HILL STREET
,
, MONROE
, WA
, 98272
Practice Phone
: 360-793-0904;
Practice Fax
: 360-799-0923
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1447261904 -
DR.
DR.
ARNE
F.
GRUSPE
D.D.S.
Other Name
:
Mailing Address
:
375 MDG
310 W LOSEY ST
SCOTT AFB
IL
62225-5252
Phone
: ;
Fax
: ;
Practice Location Address
:
375 MDG
, 310 WEST LOSEY STREET
, SCOTT AFB
, IL
, 62225-5252
Practice Phone
: 618-256-6667;
Practice Fax
:
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1356352819 -
CECILIA
JACQUES
O.D.
Other Name
:
Mailing Address
:
1 BROOKDALE PLZ
BROOKLYN
NY
11212-3139
Phone
: ;
Fax
: ;
Practice Location Address
:
82-68 164TH STREET
, QUEENS HOSPITAL CENTER, PAVILION P-452
, JAMAICA
, NY
, 11432
Practice Phone
: 718-883-2392;
Practice Fax
:
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1265443725 -
MRS.
MRS.
DONNA
KAY
COWART
LPC-S
Other Name
:
Mailing Address
:
271 SADIE FREEMAN DR # A
LUFKIN
TX
75901-3570
Phone
: 936-899-5672;
Fax
: ;
Practice Location Address
:
520 S 1ST ST
,
, LUFKIN
, TX
, 75901-3828
Practice Phone
: 936-465-2184;
Practice Fax
:
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1174534630 -
DR.
DR.
SAMIRA
THOMPSON
D.D.S
Other Name
:
Mailing Address
:
106 W GRAY ST
HOUSTON
TX
77019-5509
Phone
: ;
Fax
: ;
Practice Location Address
:
7400 MERTON MINTER ST
,
, SAN ANTONIO
, TX
, 78229
Practice Phone
: --;
Practice Fax
:
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1083625545 -
DR.
DR.
DOMENIC
ANTHONY
CUSANO
JR.
D.C.
Other Name
:
Mailing Address
:
305 MORGAN LANE
FOX RIVER GROVE
IL
60021
Phone
: 773-631-0660;
Fax
: 773-631-1869;
Practice Location Address
:
6580 N NORTHWEST HWY
,
, CHICAGO
, IL
, 60631-1415
Practice Phone
: 773-631-0660;
Practice Fax
: 773-631-1869
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1891706354 -
DR.
DR.
KIETH
J
BURKART
O.D.
Other Name
:
Mailing Address
:
PO BOX 2226
LAKE ARROWHEAD
CA
92352-2226
Phone
: 909-337-4310;
Fax
: ;
Practice Location Address
:
29099 HOSPITAL RD
, SUITE 205
, LAKE ARROWHEAD
, CA
, 92352-2226
Practice Phone
: 909-337-4310;
Practice Fax
: 909-336-5937
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1700897261 -
DR.
DR.
BLANIZZA
LORRAINE
BEY - VINAS
M.D.
Other Name
:
Mailing Address
:
PO BOX 734
ARECIBO
PR
00613-0734
Phone
: 787-594-8400;
Fax
: ;
Practice Location Address
:
186 MUNOZ RIVERA AVE
, COSSMA
, SAN LORENZO
, PR
, 00754
Practice Phone
: 787-739-8182;
Practice Fax
:
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1033120597 -
RICHARD
GEORGE
SCHAMBACH
DDS
Other Name
:
Mailing Address
:
308 W MAIN ST
SALTVILLE
VA
24370-3112
Phone
: 276-496-4141;
Fax
: 276-496-4839;
Practice Location Address
:
308 W MAIN ST
,
, SALTVILLE
, VA
, 24370-3112
Practice Phone
: 276-496-4141;
Practice Fax
: 276-496-4839
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1447261912 -
JAMES
R
BARTON
MD
Other Name
:
Mailing Address
:
4600 W LOOMIS RD
SUITE 201
GREENFIELD
WI
53220-4858
Phone
: 414-281-4466;
Fax
: 414-281-4528;
Practice Location Address
:
4600 W LOOMIS RD
, SUITE 201
, GREENFIELD
, WI
, 53220-4858
Practice Phone
: 414-281-4466;
Practice Fax
: 414-281-4528
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1356352827 -
CHILDRENS CLINIC OF DIMMIT AND ZAVALA PA
Other Name
:
Mailing Address
:
403 S 7TH STREET
CARRIZO SPRINGS
TX
78834
Phone
: 830-876-9870;
Fax
: 830-876-3661;
Practice Location Address
:
1313 VETERANS AVENUE
, SUITE C
, CRYSTAL CITY
, TX
, 78839
Practice Phone
: 830-374-4436;
Practice Fax
: 830-374-4437
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1740291210 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1477564953 -
DR.
DR.
JUAN
JOSE
FERNANDEZ ADORNO
PH.P.
Other Name
:
Mailing Address
:
217 ITURREGUI PLAZA
217-A
SAN JUAN
PR
00924
Phone
: 787-768-5501;
Fax
: 787-768-8094;
Practice Location Address
:
217 ITURREGUI PLAZA
, 217-A
, SAN JUAN
, PR
, 00924
Practice Phone
: 787-768-5501;
Practice Fax
: 787-768-8094
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1386655868 -
TNT HEALTHCARE PROFESSIONALS LLP
Other Name
:
Mailing Address
:
225 EXCHANGE ST
SUITE K
BURLESON
TX
76028-4588
Phone
: 817-447-2888;
Fax
: 817-447-2330;
Practice Location Address
:
225 EXCHANGE ST
, SUITE K
, BURLESON
, TX
, 76028-4588
Practice Phone
: 817-447-2888;
Practice Fax
: 817-447-2330
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1194736678 -
MS.
MS.
CHRISTINE
THERESE
MATTHEWS
M.S.
Other Name
:
Mailing Address
:
400 MAPLE AVE
APARTMENT 1
PITTSBURGH
PA
15215-3128
Phone
: ;
Fax
: ;
Practice Location Address
:
UNIVERSITY DRIVE C
, 1N106
, PITTSBURGH
, PA
, 15240-1001
Practice Phone
: 412-688-6000;
Practice Fax
:
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1003827585 -
DR.
DR.
DIANA
AGNES
FRANCU
M.D.
Other Name
:
Mailing Address
:
360 S GARFIELD ST
SUITE 550
DENVER
CO
80209-3186
Phone
: 239-331-7782;
Fax
: 239-331-7786;
Practice Location Address
:
360 S GARFIELD ST
, SUITE 550
, DENVER
, CO
, 80209-3186
Practice Phone
: 239-331-7782;
Practice Fax
: 239-331-7786
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1912918491 -
DR.
DR.
JAMES
L
WILLIAMS
II
MD
Other Name
:
Mailing Address
:
500 HOSPITAL DR
TRENTON
TN
38382
Phone
: 731-855-3510;
Fax
: 731-855-1387;
Practice Location Address
:
500 HOSPITAL DR
,
, TRENTON
, TN
, 38382
Practice Phone
: 731-855-3510;
Practice Fax
: 731-855-1387
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1821009309 -
ROBYN
KIA
GANTT
M.D.
Other Name
:
Mailing Address
:
30 BERGEN ST
ADMC 12 1205
NEWARK
NJ
07107-3000
Phone
: 973-972-0037;
Fax
: 973-972-9355;
Practice Location Address
:
30 BERGEN ST
, ADMC 12 1205
, NEWARK
, NJ
, 07107-3000
Practice Phone
: 973-972-0037;
Practice Fax
: 973-972-9355
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1730190216 -
EDWARD
MARC
HARABURDA
PH.D., DBSM
Other Name
:
Mailing Address
:
6500 EMERALD PKWY STE 100
DUBLIN
OH
43016-6236
Phone
: 614-767-9354;
Fax
: 888-972-8141;
Practice Location Address
:
6500 EMERALD PKWY STE 100
,
, DUBLIN
, OH
, 43016-6236
Practice Phone
: 614-767-9354;
Practice Fax
: 888-972-8141
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1649281122 -
DR.
DR.
EMILY
PORTER
GERSON
MD
Other Name
:
Mailing Address
:
4910 MASSACHUSETTS AVE NW STE 302
WASHINGTON
DC
20016-4388
Phone
: 202-991-9000;
Fax
: 202-793-4900;
Practice Location Address
:
4910 MASSACHUSETTS AVE NW STE 302
,
, WASHINGTON
, DC
, 20016-4388
Practice Phone
: 202-991-9000;
Practice Fax
: 202-793-4900
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1558372037 -
STEPHANIE
L
MEARS
LCSW
Other Name
:
Mailing Address
:
2568 WOODGATE BLVD APT 201
ORLANDO
FL
32822-5881
Phone
: 352-394-5922;
Fax
: 352-360-6582;
Practice Location Address
:
655 W HIGHWAY 50
, SUITE 104
, CLERMONT
, FL
, 34711-2982
Practice Phone
: 352-394-5922;
Practice Fax
: 352-360-6582
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1467463943 -
MR.
MR.
PETER
FRANK
FRONTIERO
L.L.P.
Other Name
:
Mailing Address
:
2991 MILITARY ST
PORT HURON
MI
48060-6630
Phone
: 810-434-4159;
Fax
: ;
Practice Location Address
:
3111 ELECTRIC AVE
,
, PORT HURON
, MI
, 48060-8127
Practice Phone
: 810-966-7832;
Practice Fax
: 810-985-7620
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1962413468 -
PRO PHARMACY INC
Other Name
:
Mailing Address
:
45-47 E FULLERTON AVE
ADDISON
IL
60101-4601
Phone
: 773-928-6850;
Fax
: 773-928-5662;
Practice Location Address
:
45-47 E FULLERTON AVE
,
, ADDISON
, IL
, 60101-4601
Practice Phone
: 773-928-6850;
Practice Fax
: 773-928-5662
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1871504373 -
TIMMERMANN & ASSOCIATES INC
Other Name
:
Mailing Address
:
117 CLINTONIAN PLZ
BREESE
IL
62230-1501
Phone
: 618-526-8040;
Fax
: 618-526-8072;
Practice Location Address
:
117 CLINTONIAN PLZ
,
, BREESE
, IL
, 62230-1501
Practice Phone
: 618-526-8040;
Practice Fax
: 618-526-8072
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1780695288 -
ST BERNARD HOSPITAL & HEALTH CARE CENTER
Other Name
:
Mailing Address
:
326 W 64TH ST
CHICAGO
IL
60621-3114
Phone
: 773-962-6660;
Fax
: 773-962-4401;
Practice Location Address
:
326 W 64TH ST
,
, CHICAGO
, IL
, 60621-3114
Practice Phone
: 773-962-6660;
Practice Fax
: 773-962-4401
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1598776098 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1407867906 -
VERNON ANDERSEN INC
Other Name
:
Mailing Address
:
341 W BETHALTO DR
BETHALTO
IL
62010-1779
Phone
: 618-377-5356;
Fax
: 618-377-0159;
Practice Location Address
:
341 W BETHALTO DR
,
, BETHALTO
, IL
, 62010-1779
Practice Phone
: 618-377-5356;
Practice Fax
: 618-377-0159
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1316958812 -
BAKER PHARMACIES INC
Other Name
:
Mailing Address
:
301 E MAIN ST
WEST FRANKFORT
IL
62896-2401
Phone
: ;
Fax
: ;
Practice Location Address
:
301 E MAIN ST
,
, WEST FRANKFORT
, IL
, 62896-2401
Practice Phone
: 618-937-6434;
Practice Fax
: 618-937-1848
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1225049729 -
MORTON-WUEBBELS PHARMACY INC
Other Name
:
Mailing Address
:
817 E MCCORD
CENTRALIA
IL
62801
Phone
: ;
Fax
: ;
Practice Location Address
:
817 E MCCORD
,
, CENTRALIA
, IL
, 62801
Practice Phone
: 618-533-5411;
Practice Fax
: 618-533-4153
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1134130636 -
MORGAN PHARMACY INC
Other Name
:
Mailing Address
:
1056 W ARGYLE ST
CHICAGO
IL
60640-3708
Phone
: ;
Fax
: ;
Practice Location Address
:
1056 W ARGYLE ST
,
, CHICAGO
, IL
, 60640-3708
Practice Phone
: 773-989-9208;
Practice Fax
: 773-989-7633
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1043221542 -
ELFMAN PHARMACY INC
Other Name
:
Mailing Address
:
3202 W NORTH AVE
CHICAGO
IL
60647-4940
Phone
: 773-292-1030;
Fax
: 773-292-1053;
Practice Location Address
:
3202 W NORTH AVE
,
, CHICAGO
, IL
, 60647-4940
Practice Phone
: 773-292-1030;
Practice Fax
: 773-292-1053
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1952312456 -
HEALTH DELIVERY MANAGEMENT L L C
Other Name
:
Mailing Address
:
PO BOX 88273
CHICAGO
IL
60680-1273
Phone
: 312-563-3225;
Fax
: 312-563-3223;
Practice Location Address
:
610 S MAPLE AVE
, STE 1200
, OAK PARK
, IL
, 60304-1091
Practice Phone
: 708-660-6200;
Practice Fax
: 708-660-6199
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1861403362 -
POWER PARTNERS LLC
Other Name
:
Mailing Address
:
1542 W DEVON AVE
CHICAGO
IL
60660-1344
Phone
: 773-465-8688;
Fax
: 773-465-8677;
Practice Location Address
:
1542 W DEVON AVE
,
, CHICAGO
, IL
, 60660-1344
Practice Phone
: 773-465-8688;
Practice Fax
: 773-465-8677
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1770594277 -
FAIRFIELD MEMORIAL HOSPITAL
Other Name
:
Mailing Address
:
303 NW 11TH ST
FAIRFIELD
IL
62837-1203
Phone
: ;
Fax
: ;
Practice Location Address
:
303 NW 11TH ST
,
, FAIRFIELD
, IL
, 62837-1203
Practice Phone
: 618-842-2611;
Practice Fax
: 618-847-8370
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1134130644 -
CHS COMMUNITY PHARMACY NETWORK LLC
Other Name
:
Mailing Address
:
RX ADMINISTRATION OFFICE
2401 W. UNIVERSITY AVE
MUNCIE
IN
47303
Phone
: 765-751-5316;
Fax
: 765-741-1950;
Practice Location Address
:
RX ADMINISTRATION OFFICE
, 2401 W. UNIVERSITY AVE
, MUNCIE
, IN
, 47303
Practice Phone
: 765-751-5316;
Practice Fax
: 765-741-1950
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1043221559 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1740291251 -
BARRYS PHARMACY INC
Other Name
:
Mailing Address
:
700 N GREEN ST
HENDERSON
KY
42420-2951
Phone
: 270-826-3957;
Fax
: 270-827-8446;
Practice Location Address
:
700 N GREEN ST
,
, HENDERSON
, KY
, 42420-2951
Practice Phone
: 270-826-3957;
Practice Fax
: 270-826-7767
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1285645796 -
DECATUR PHARMACY
Other Name
:
Mailing Address
:
100 W SHERWOOD ST
DECATUR
MI
49045-1120
Phone
: ;
Fax
: ;
Practice Location Address
:
100 W SHERWOOD ST
,
, DECATUR
, MI
, 49045-1120
Practice Phone
: 269-423-2821;
Practice Fax
: 269-423-7443
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1093726507 -
WATERFORD MEDICAL PHARMACY INC
Other Name
:
Mailing Address
:
3560 PONTIAC LAKE RD
WATERFORD
MI
48328-2337
Phone
: 248-674-4853;
Fax
: 248-674-3356;
Practice Location Address
:
3560 PONTIAC LAKE RD
,
, WATERFORD
, MI
, 48328-2337
Practice Phone
: 248-674-4853;
Practice Fax
: 248-674-3356
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1902817414 -
ELMERS PHARMACY INC
Other Name
:
Mailing Address
:
412 N LINCOLN RD
ESCANABA
MI
49829-1365
Phone
: 906-789-9200;
Fax
: 906-789-2118;
Practice Location Address
:
412 N LINCOLN RD
,
, ESCANABA
, MI
, 49829-1365
Practice Phone
: 906-789-9200;
Practice Fax
: 906-789-2118
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1811908320 -
WAYLAND VILLAGE DRUG INC
Other Name
:
Mailing Address
:
300 RENO DR
WAYLAND
MI
49348-1277
Phone
: 269-792-6223;
Fax
: 269-792-6349;
Practice Location Address
:
300 RENO DR
,
, WAYLAND
, MI
, 49348-1277
Practice Phone
: 269-792-6223;
Practice Fax
: 269-792-6349
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1356352868 -
L CHARLES SENDELBACH
Other Name
:
Mailing Address
:
101 W MAIN ST
PIPESTONE
MN
56164-1651
Phone
: ;
Fax
: ;
Practice Location Address
:
101 W MAIN ST
,
, PIPESTONE
, MN
, 56164-1651
Practice Phone
: 507-825-3100;
Practice Fax
: 507-825-5810
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1265443774 -
PHILLIP A QUALEY
Other Name
:
Mailing Address
:
PO BOX 324
ADAMS
MN
55909-0324
Phone
: 507-582-3380;
Fax
: 507-582-1024;
Practice Location Address
:
11 SW 4TH ST
,
, ADAMS
, MN
, 55909-9688
Practice Phone
: 507-582-3380;
Practice Fax
: 507-582-1024
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1174534689 -
HASS ENTERPRISES, INC.
Other Name
:
Mailing Address
:
3366 OAKDALE AVE N
STE 140
ROBBINSDALE
MN
55422-2948
Phone
: ;
Fax
: ;
Practice Location Address
:
3366 OAKDALE AVE N
, STE 140
, ROBBINSDALE
, MN
, 55422-2948
Practice Phone
: 763-520-5281;
Practice Fax
: 763-520-1549
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1083625594 -
GCR INC
Other Name
:
Mailing Address
:
PO BOX 251
BRECKENRIDGE
MN
56520-0251
Phone
: 218-643-3871;
Fax
: 218-643-1459;
Practice Location Address
:
126 5TH ST N
,
, BRECKENRIDGE
, MN
, 56520-1421
Practice Phone
: 218-643-3871;
Practice Fax
: 218-643-1459
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1790796209 -
UNITY HEALTH MEDSCRIPT INC
Other Name
:
Mailing Address
:
PO BOX 504207
SAINT LOUIS
MO
63150-0001
Phone
: ;
Fax
: ;
Practice Location Address
:
13185 LAKEFRONT DR
, STE 100
, EARTH CITY
, MO
, 63045-1510
Practice Phone
: 314-506-6066;
Practice Fax
: 314-506-6067
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1235140740 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1144231655 -
SYSTEMS HEALTHCORP INC
Other Name
:
Mailing Address
:
3744 S 132ND ST
OMAHA
NE
68144-3608
Phone
: 402-339-4036;
Fax
: 402-339-4081;
Practice Location Address
:
3744 S 132ND ST
,
, OMAHA
, NE
, 68144-3608
Practice Phone
: 402-339-4036;
Practice Fax
: 402-339-4081
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1053322560 -
HALES 50 KIRMAN INC
Other Name
:
Mailing Address
:
901 E 2ND ST
STE 102
RENO
NV
89502-1175
Phone
: 775-322-2171;
Fax
: 775-322-8902;
Practice Location Address
:
901 E 2ND ST
, STE 102
, RENO
, NV
, 89502-1175
Practice Phone
: 775-322-2171;
Practice Fax
: 775-322-8902
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1962413476 -
WELLS PHARMACY INC
Other Name
:
Mailing Address
:
PO BOX 336
WELLS
NV
89835-0336
Phone
: ;
Fax
: ;
Practice Location Address
:
647 HUMBOLDT AVE
,
, WELLS
, NV
, 89835-0336
Practice Phone
: 775-752-3556;
Practice Fax
: 775-752-3392
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1780695296 -
SPRING CREEK PHARMACY LLC
Other Name
:
Mailing Address
:
PO BOX 8270
SPRING CREEK
NV
89815-0005
Phone
: ;
Fax
: ;
Practice Location Address
:
568 SPRING VALLEY CT
,
, SPRING CREEK
, NV
, 89815-6821
Practice Phone
: 775-777-9119;
Practice Fax
: 775-777-3342
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1699786111 -
J MARSHALL ANTHONY DO JD LTD
Other Name
:
Mailing Address
:
3100 E CHARLESTON BLVD
STE 109
LAS VEGAS
NV
89104-6665
Phone
: ;
Fax
: ;
Practice Location Address
:
3100 E CHARLESTON BLVD
, STE 109
, LAS VEGAS
, NV
, 89104-6665
Practice Phone
: 702-641-6008;
Practice Fax
: 702-641-7085
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1215948732 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
1905 N NOVA RD
,
, DAYTONA BEACH
, FL
, 32117-1421
Practice Phone
: 386-672-8955;
Practice Fax
: 479-277-4331
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1548271067 -
EVANS
PIERRE
VALERIE
M.D.
Other Name
:
Mailing Address
:
333 N SANTA ROSA STE 1135
SAN ANTONIO
TX
78207-3108
Phone
: 210-704-3342;
Fax
: ;
Practice Location Address
:
333 N SANTA ROSA
,
, SAN ANTONIO
, TX
, 78207-3108
Practice Phone
: 210-704-3030;
Practice Fax
:
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1457362972 -
MARIE
A
DI NOME
MD
Other Name
:
Mailing Address
:
13400 E SHEA BLVD
SCOTTSDALE
AZ
85259
Phone
: ;
Fax
: ;
Practice Location Address
:
13400 E SHEA BLVD
,
, SCOTTSDALE
, AZ
, 85259
Practice Phone
: 480-301-8000;
Practice Fax
:
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1366453888 -
JERUSSA
MARIA
AITA-LEVY
MD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
NEW ORLEANS
LA
70112-1221
Phone
: ;
Fax
: ;
Practice Location Address
:
200 HENRY CLAY AVE
,
, NEW ORLEANS
, LA
, 70118-5720
Practice Phone
: 504-896-2798;
Practice Fax
:
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1275544793 -
RICHARD
N
COSTA
PSY D
Other Name
:
Mailing Address
:
1340 POYDRAS ST
SUITE 1640
NEW ORLEANS
LA
70112-1221
Phone
: 504-412-1835;
Fax
: ;
Practice Location Address
:
3450 CHESTNUT ST
, 3RD FLOOR
, NEW ORLEANS
, LA
, 70115-2443
Practice Phone
: 504-412-1580;
Practice Fax
:
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1184635609 -
JOHN
PATRICK
HUNT
MD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
SUITE 1640
NEW ORLEANS
LA
70112-1221
Phone
: 504-412-1835;
Fax
: ;
Practice Location Address
:
2021 PERDIDO ST
,
, NEW ORLEANS
, LA
, 70112-1352
Practice Phone
: 504-903-3000;
Practice Fax
:
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1538170055 -
MR.
MR.
ABRAHAM
GEDALIA
M.D.
Other Name
:
Mailing Address
:
200 HENRY CLAY AVENUE
NEW ORLEANS
LA
70118
Phone
: 504-896-9385;
Fax
: 504-896-2720;
Practice Location Address
:
200 HENRY CLAY AVENUE
,
, NEW ORLEANS
, LA
, 70118
Practice Phone
: 504-896-2723;
Practice Fax
: 504-896-2720
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1447261961 -
RACHEL
KAPLAN
HAUSMANN
MD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
NEW ORLEANS
LA
70112-1221
Phone
: 504-412-1860;
Fax
: ;
Practice Location Address
:
1401 N FOSTER DR
,
, BATON ROUGE
, LA
, 70806-1818
Practice Phone
: 225-987-9000;
Practice Fax
:
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1356352876 -
LEIGH
ANNE
GEISLER BURNS
RD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
NEW ORLEANS
LA
70112-1221
Phone
: 504-412-1860;
Fax
: ;
Practice Location Address
:
2025 GRAVIER ST
, SUITE 613
, NEW ORLEANS
, LA
, 70112-2260
Practice Phone
: 504-412-1860;
Practice Fax
:
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1265443782 -
REKHA
KUMARI AGARWAL
MD
Other Name
:
REKHA
KUMARI
Mailing Address
:
13640 N PLAZA DEL RIO BLVD
PEORIA
AZ
85381-4846
Phone
: 623-876-3800;
Fax
: 623-876-6909;
Practice Location Address
:
9165 W THUNDERBIRD RD
, STE 200
, PEORIA
, AZ
, 85381-4847
Practice Phone
: 623-876-6960;
Practice Fax
: 623-876-6909
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1255342770 -
LINDA
JOY
MATHISON-EZIEME
MD
Other Name
:
Mailing Address
:
1101 MADISON PLZ
SUITE 201
CHESAPEAKE
VA
23320-5179
Phone
: 757-547-2322;
Fax
: 757-547-9439;
Practice Location Address
:
1101 MADISON PLZ
, SUITE 201
, CHESAPEAKE
, VA
, 23320-5179
Practice Phone
: 757-547-2322;
Practice Fax
: 757-547-9439
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1164433686 -
HOWARD
JOSEPH
OSOFSKY
MD
Other Name
:
Mailing Address
:
1340 POYDRAS ST
SUITE 1640
NEW ORLEANS
LA
70112-1221
Phone
: 504-412-1835;
Fax
: ;
Practice Location Address
:
3450 CHESTNUT ST
, 3RD FLOOR
, NEW ORLEANS
, LA
, 70115-2443
Practice Phone
: 504-412-1580;
Practice Fax
: 504-412-1530
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1073524591 -
ROBERT
S.
MUHUMUZA
M.D.
Other Name
:
Mailing Address
:
8235 YMCA PLAZA DR
STE 100
BATON ROUGE
LA
70810-0939
Phone
: 504-412-1860;
Fax
: ;
Practice Location Address
:
1401 N FOSTER DR
, SUITE 100
, BATON ROUGE
, LA
, 70806-1818
Practice Phone
: 225-987-9000;
Practice Fax
:
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1982615407 -
THEODORUS
JOHANNES
MULDER
M.D.
Other Name
:
Mailing Address
:
1514 JEFFERSON HWY
NEW ORLEANS
LA
70121
Phone
: 504-842-4000;
Fax
: ;
Practice Location Address
:
1514 JEFFERSON HIGHWAY
,
, NEW ORLEANS
, LA
, 70121
Practice Phone
: 504-842-4000;
Practice Fax
:
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1790796217 -
ANDREA
JEAN
PARMELEE
M.D.
Other Name
:
Mailing Address
:
3442 LOMA VISTA RD
STE C
VENTURA
CA
93003-3086
Phone
: 805-642-8107;
Fax
: 805-642-0964;
Practice Location Address
:
3442 LOMA VISTA RD
, STE C
, VENTURA
, CA
, 93003-3086
Practice Phone
: 805-642-8107;
Practice Fax
: 805-642-0964
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1609887124 -
DR.
DR.
ALEX
N
ORSINI
MD
Other Name
:
Mailing Address
:
9501 LILE DR
STE 600
LITTLE ROCK
AR
72205-6225
Phone
: 501-227-7596;
Fax
: 501-227-7787;
Practice Location Address
:
9501 LILE DR STE 600
,
, LITTLE ROCK
, AR
, 72205-6231
Practice Phone
: 501-227-7596;
Practice Fax
: 501-978-1919
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1518978030 -
MRS.
MRS.
LORI
M.
CRAWFORD
LCSW
Other Name
:
Mailing Address
:
27951 SMYTH DR STE 108
VALENCIA
CA
91355-4049
Phone
: 661-993-2645;
Fax
: ;
Practice Location Address
:
27951 SMYTH DR STE 108
,
, VALENCIA
, CA
, 91355-4049
Practice Phone
: 661-993-2645;
Practice Fax
:
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1427069947 -
DR.
DR.
HARRY
S.
ABRAM
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3780;
Practice Fax
: 904-390-3429
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1336150853 -
DR.
DR.
HOLLY
M.
ANTAL
PHD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3785;
Practice Fax
: 904-390-3512
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1962413492 -
DR.
DR.
JASON
E.
LANG
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-390-3600;
Practice Fax
: 904-390-3550
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1871504308 -
DR.
DR.
MARJORIE
A.
LEWIS
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207-8426
Practice Phone
: 904-697-3694;
Practice Fax
: 302-651-4945
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1780695213 -
ERIC
LOVELESS
MD
Other Name
:
Mailing Address
:
807 CHILDRENS WAY
JACKSONVILLE
FL
32207-8426
Phone
: 904-755-7152;
Fax
: ;
Practice Location Address
:
807 CHILDRENS WAY
,
, JACKSONVILLE
, FL
, 32207
Practice Phone
: 904-755-7152;
Practice Fax
:
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1215948740 -
DR.
DR.
LEAH
M
PIKE
MD
Other Name
:
Mailing Address
:
5357 E THE TOLEDO UNIT A
LONG BEACH
CA
90803-7222
Phone
: 562-936-9200;
Fax
: 562-936-9201;
Practice Location Address
:
3742 KATELLA AVE
, 303
, LOS ALAMITOS
, CA
, 90720-3102
Practice Phone
: 562-936-9200;
Practice Fax
: 562-936-9201
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