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Showing codes 1730270083 — 1467543728
1730270083 -
179ATLANTIC INC
Other Name
:
Mailing Address
:
179 ATLANTIC AVE
FREEPORT
NY
11520-4922
Phone
: 516-377-4050;
Fax
: 516-378-1809;
Practice Location Address
:
179 ATLANTIC AVE
,
, FREEPORT
, NY
, 11520-4922
Practice Phone
: 516-377-4050;
Practice Fax
: 516-378-1809
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1649361999 -
PALM & PANEK DDS PC
Other Name
:
Mailing Address
:
4349 SAWKAW DR NE
GRAND RAPIDS
MI
49525-1768
Phone
: 616-361-7327;
Fax
: ;
Practice Location Address
:
4349 SAWKAW DR NE
,
, GRAND RAPIDS
, MI
, 49525-1768
Practice Phone
: 616-361-7327;
Practice Fax
:
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1558452805 -
MRS.
MRS.
KATHLEEN
TEAMAN
BLAZOFF
APRN, BC
Other Name
:
Mailing Address
:
218 MCKINLEY AVE
GROSSE POINTE FARMS
MI
48236-3507
Phone
: 313-499-4923;
Fax
: 313-499-4089;
Practice Location Address
:
7733 E JEFFERSON AVE
,
, DETROIT
, MI
, 48214-3707
Practice Phone
: 313-499-4923;
Practice Fax
: 313-499-4089
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1467543710 -
HYDE PARK HEALTH ASSOCIATES INC.
Other Name
:
Mailing Address
:
745 RIVER ST
MATTAPAN
MA
02126-1941
Phone
: 617-364-2588;
Fax
: ;
Practice Location Address
:
745 RIVER ST
,
, MATTAPAN
, MA
, 02126-1941
Practice Phone
: 617-364-2588;
Practice Fax
:
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1376634626 -
DR.
DR.
RUPAL
R
DESAI
M.D.
Other Name
:
Mailing Address
:
4801 DORSEY HALL DR
SUITE 201
ELLICOTT CITY
MD
21042-7766
Phone
: 410-997-5191;
Fax
: 410-997-7957;
Practice Location Address
:
4801 DORSEY HALL DR
, SUITE 201
, ELLICOTT CITY
, MD
, 21042-7766
Practice Phone
: 410-997-5191;
Practice Fax
: 410-997-7957
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1285725531 -
DR.
DR.
RICHARD
J.
HOOKER
EDD, LPCC, LICDC
Other Name
:
Mailing Address
:
USAMEDDAC WUERZBURG, UNIT 26610
ATTN: CREDENTIALING OFFICE
APO
AE
09244
Phone
: 011499318043;
Fax
: 011499318043;
Practice Location Address
:
USAMEDDAC WUERZBURG, UNIT 26610
, ASACS WUERZBURG
, APO
, AE
, 09244
Practice Phone
: 011499312964188;
Practice Fax
: 011499312964493
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1093806341 -
DR.
DR.
CARLY
S.
MURPHY
PH.D.
Other Name
:
Mailing Address
:
415 FIRETOWN RD
SIMSBURY
CT
06070-1258
Phone
: 860-810-8881;
Fax
: 844-708-0620;
Practice Location Address
:
10 CRANE AVE
,
, EAST LONGMEADOW
, MA
, 01028-2360
Practice Phone
: 860-810-8881;
Practice Fax
:
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1811088164 -
DR.
DR.
RICHARD
PAUL
LONGORIA
DDS
Other Name
:
Mailing Address
:
4402 VANCE JACKSON RD
SUITE 236
SAN ANTONIO
TX
78230-5336
Phone
: 210-342-0111;
Fax
: 210-342-0117;
Practice Location Address
:
4402 VANCE JACKSON RD
, SUITE 236
, SAN ANTONIO
, TX
, 78230-5336
Practice Phone
: 210-342-0111;
Practice Fax
: 210-342-0117
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1720179070 -
LAKESIDE QUALITY HOME HEALTH CARE, INC.
Other Name
:
Mailing Address
:
485 WEST MAIN ST,
SUITE A
PAHOKEE
FL
33476-2405
Phone
: 561-924-7675;
Fax
: 561-924-7677;
Practice Location Address
:
485 WEST MAIN ST,
, SUITE A
, PAHOKEE
, FL
, 33476-2405
Practice Phone
: 561-924-7675;
Practice Fax
: 561-924-7677
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1639260987 -
CONNIE
AGNEW BRIEN
M.D.
Other Name
:
Mailing Address
:
6651 MAIN ST
SUITE 1020
HOUSTON
TX
77030-2351
Phone
: 832-826-7453;
Fax
: 832-825-9348;
Practice Location Address
:
6651 MAIN ST
,
, HOUSTON
, TX
, 77030-2351
Practice Phone
: 832-824-1000;
Practice Fax
:
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1548351893 -
JASON
J
BLOMSTEDT
DO
Other Name
:
Mailing Address
:
PO BOX 1207
MC COOK
NE
69001-1207
Phone
: 308-344-4110;
Fax
: ;
Practice Location Address
:
1301 E H ST
,
, MC COOK
, NE
, 69001-3482
Practice Phone
: 308-344-4110;
Practice Fax
:
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1457442709 -
DR.
DR.
MATTHEW
CUPP
MD
Other Name
:
Mailing Address
:
88 STONE MOUNTAIN LN
ELKINS
WV
26241-9000
Phone
: 304-637-5800;
Fax
: 888-383-3783;
Practice Location Address
:
88 STONE MOUNTAIN LN
,
, ELKINS
, WV
, 26241-9000
Practice Phone
: 304-637-5800;
Practice Fax
:
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1366533614 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1275624520 -
PAMELA
HARMATA
LCSW
Other Name
:
Mailing Address
:
2620 WALHALA DRIVE
RICHMOND
VA
23236-1360
Phone
: 203-417-4296;
Fax
: ;
Practice Location Address
:
8100 THREE CHOPT RD RM 226
,
, RICHMOND
, VA
, 23229-4833
Practice Phone
: 804-856-6992;
Practice Fax
:
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1184715435 -
RAWAN
H
JUMEAN
MD
Other Name
:
Mailing Address
:
8500SW92ND ST 208B
MIAMI
FL
33156-7390
Phone
: 305-661-0169;
Fax
: 305-661-0407;
Practice Location Address
:
8500 SW 92ND ST STE 208B
,
, MIAMI
, FL
, 33156-7390
Practice Phone
: 305-661-0169;
Practice Fax
:
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1447341797 -
MEMORIAL MRI & DIAGNOSTIC, LLC
Other Name
:
Mailing Address
:
PO BOX 802185
HOUSTON
TX
77280-2185
Phone
: 713-461-3399;
Fax
: 713-461-1969;
Practice Location Address
:
8800 KATY FWY STE 105
,
, HOUSTON
, TX
, 77024-1645
Practice Phone
: 713-461-3399;
Practice Fax
: 713-461-1969
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1356432603 -
SUBHASH C. GULATI, MD , FACS INC
Other Name
:
Mailing Address
:
291 LINCOLN ST
SUITE 204
WORCESTER
MA
01605-3643
Phone
: 508-755-0770;
Fax
: ;
Practice Location Address
:
291 LINCOLN ST
, SUITE 204
, WORCESTER
, MA
, 01605-3643
Practice Phone
: 508-755-0770;
Practice Fax
:
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1265523518 -
DR.
DR.
ANTHONY
JOHN
WRIGHT
M.D.
Other Name
:
Mailing Address
:
2626 CARE DR
SUITE 206
TALLAHASSEE
FL
32308-4495
Phone
: ;
Fax
: ;
Practice Location Address
:
2626 CARE DR
, SUITE 206
, TALLAHASSEE
, FL
, 32308-4495
Practice Phone
: 850-219-2306;
Practice Fax
:
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1174614424 -
RHONDA
M
BAYLESS
P.T.
Other Name
:
Mailing Address
:
252 LONE MTN BOAT DOCK LN
TAZEWELL
TN
37879-6168
Phone
: 423-585-5023;
Fax
: 423-587-4553;
Practice Location Address
:
280 N FAIRMONT AVE
,
, MORRISTOWN
, TN
, 37814-3768
Practice Phone
: 423-585-5023;
Practice Fax
: 423-587-4553
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1083705339 -
PROF.
PROF.
JOHN
DUNCAN
CORSON
MBCHB
Other Name
:
Mailing Address
:
11035 GREENVIEW NE
ALBUQUERQUE
NM
87111-7411
Phone
: 505-991-4771;
Fax
: ;
Practice Location Address
:
1501 SAN PEDRO DR SE
, BLDG 41 RM3B-124C
, ALBUQUERQUE
, NM
, 87108-5153
Practice Phone
: 505-991-4771;
Practice Fax
:
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1891886149 -
SHERI
L
NAUMANN
PT
Other Name
:
Mailing Address
:
11628 OLD BALLAS RD
SAINT LOUIS
MO
63141-7030
Phone
: 314-996-3500;
Fax
: 314-996-3501;
Practice Location Address
:
11628 OLD BALLAS RD
,
, SAINT LOUIS
, MO
, 63141-7030
Practice Phone
: 314-996-3500;
Practice Fax
: 314-996-3501
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1700977055 -
ROSEMARY
GINA
FARRELL
PA-C
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: ;
Fax
: ;
Practice Location Address
:
100 PECAN CROSSING DR
,
, HORSESHOE BAY
, TX
, 78657-6097
Practice Phone
: 830-596-6900;
Practice Fax
:
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1619068962 -
MCHENRY NAPRAPATHIC CENTER, P.C.
Other Name
:
Mailing Address
:
4106 W CRYSTAL LAKE RD
SUITE A
MCHENRY
IL
60050-4204
Phone
: 815-344-5522;
Fax
: ;
Practice Location Address
:
4106 W CRYSTAL LAKE RD
, SUITE A
, MCHENRY
, IL
, 60050-4204
Practice Phone
: 815-344-5522;
Practice Fax
:
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1528159878 -
DR.
DR.
DANIEL
Y
SUH
D.M.D
Other Name
:
YOUNGDAE
SUH
Mailing Address
:
725 RIVER RD
53
EDGEWATER
NJ
07020-1171
Phone
: 201-943-4000;
Fax
: 201-943-9714;
Practice Location Address
:
725 RIVER RD STE 53
,
, EDGEWATER
, NJ
, 07020-1149
Practice Phone
: 201-943-4000;
Practice Fax
: 201-943-9714
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1437240785 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1346331691 -
MARY
LORENO
OTR
Other Name
:
MARY
ROGHLIEN
Mailing Address
:
830 W LINCOLN AVE
FERGUS FALLS
MN
56537-1815
Phone
: ;
Fax
: ;
Practice Location Address
:
1402 HIGHWAY 71
,
, INTERNATIONAL FALLS
, MN
, 56649-2154
Practice Phone
: 763-689-5385;
Practice Fax
:
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1255422507 -
DR.
DR.
CHARLES
HOWARD
COOPER
DDS
Other Name
:
Mailing Address
:
5936 HUBBARD DRIVE
ROCKVILLE
MD
70852
Phone
: 301-881-4430;
Fax
: 301-881-4431;
Practice Location Address
:
5936 HUBBARD DRIVE
,
, ROCKVILLE
, MD
, 70852
Practice Phone
: 301-881-4430;
Practice Fax
: 301-881-4431
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1164513412 -
RICHARD A. SMITH, M.D., P.A.
Other Name
:
Mailing Address
:
3201 UNIVERSITY DR E
STE 430
BRYAN
TX
77802
Phone
: 979-776-5663;
Fax
: 979-774-9243;
Practice Location Address
:
3201 UNIVERSITY DR E
, STE 430
, BRYAN
, TX
, 77802
Practice Phone
: 979-776-5663;
Practice Fax
: 979-774-9243
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1073604328 -
BRENT
KEITH
HOLLENBECK
MD
Other Name
:
Mailing Address
:
3621 S STATE ST
ANN ARBOR
MI
48108-1633
Phone
: 734-647-5299;
Fax
: ;
Practice Location Address
:
1500 E MEDICAL CENTER DR
,
, ANN ARBOR
, MI
, 48109-5000
Practice Phone
: 734-936-4000;
Practice Fax
:
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1982795233 -
DR.
DR.
ABDUL
MAJEED
BHAT
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1790876043 -
DR.
DR.
AARON
S.
CHIDEKEL
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1609967959 -
GREG
WAYNE
EGBERT
M.D.
Other Name
:
Mailing Address
:
20036 HIGHWAY 11
WOODSTOCK
AL
35188-3733
Phone
: 205-938-9727;
Fax
: ;
Practice Location Address
:
20036 HIGHWAY 11
,
, WOODSTOCK
, AL
, 35188-3733
Practice Phone
: 205-938-9727;
Practice Fax
:
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1518058866 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1427149772 -
MRS.
MRS.
JEAN
S
DOAK
PH.D
Other Name
:
Mailing Address
:
2 E GREENWAY PLZ
SUITE 900
HOUSTON
TX
77046-0297
Phone
: 713-798-1750;
Fax
: 713-798-1144;
Practice Location Address
:
6701 FANNIN ST
,
, HOUSTON
, TX
, 77030-2316
Practice Phone
: 832-822-3661;
Practice Fax
:
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1336230689 -
EXCEL HOME HEALTH
Other Name
:
Mailing Address
:
5575 LAKE PARK WAY
SUITE 220
LA MESA
CA
91942
Phone
: 619-460-6622;
Fax
: 619-460-6873;
Practice Location Address
:
5575 LAKE PARK WAY
, SUITE 220
, LA MESA
, CA
, 91942
Practice Phone
: 619-460-6622;
Practice Fax
: 619-460-6873
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1245321595 -
AMI
JAYANT
SHAH
MD
Other Name
:
Mailing Address
:
725 WELCH RD
PALO ALTO
CA
94304-1601
Phone
: 650-497-8000;
Fax
: ;
Practice Location Address
:
725 WELCH RD
,
, PALO ALTO
, CA
, 94304-1601
Practice Phone
: 650-497-8000;
Practice Fax
:
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1154412401 -
DR.
DR.
MARISA
LAWRENCE
MD PC
Other Name
:
Mailing Address
:
980 JOHNSON FY RD NE STE 110
ATLANTA
GA
30342-1607
Phone
: 404-303-7004;
Fax
: 404-303-7020;
Practice Location Address
:
980 JOHNSON FY RD NE STE 110
,
, ATLANTA
, GA
, 30342-1607
Practice Phone
: 404-303-7004;
Practice Fax
: 404-303-7020
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1699866947 -
ROBERT
G
HUTCHEON
M.D.
Other Name
:
Mailing Address
:
450 W 33RD ST
PBS 12TH FLOOR
NEW YORK
NY
10001-2603
Phone
: 212-356-4474;
Fax
: 212-356-4608;
Practice Location Address
:
170 W 12TH ST
, PEDIATRICS/GENETICS
, NEW YORK
, NY
, 10011-8202
Practice Phone
: 212-356-4474;
Practice Fax
: 212-356-4608
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1508957853 -
ROBERT
S
KIPFERL
DPM
Other Name
:
Mailing Address
:
912 NORTHWEST HWY
SUITE G6
FOX RIVER GRV
IL
60021-1925
Phone
: 847-639-2525;
Fax
: 847-639-2522;
Practice Location Address
:
912 NORTHWEST HWY
, SUITE G6
, FOX RIVER GRV
, IL
, 60021-1925
Practice Phone
: 847-639-2525;
Practice Fax
: 847-639-2522
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1417048760 -
MR.
MR.
LARRY
MICHAEL
PROFFITT
DPH
Other Name
:
Mailing Address
:
1000 WEST G ST
BURGIE DRUGSTORE LLC
ELIZABETHTON
TN
37643
Phone
: 423-542-4622;
Fax
: 423-542-2564;
Practice Location Address
:
1000 WEST G ST
, BURGIE DRUGSTORE LLC
, ELIZABETHTON
, TN
, 37643
Practice Phone
: 423-542-4622;
Practice Fax
: 423-542-2564
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1326139676 -
ANTONIO
J
BRAVO
MD
Other Name
:
ANTONIO
JESUS
BRAVO
Mailing Address
:
4201 WINFIELD RD FL 4
WARRENVILLE
IL
60555-4025
Phone
: 331-221-6377;
Fax
: 331-221-2357;
Practice Location Address
:
133 E BRUSH HILL RD STE 308
,
, ELMHURST
, IL
, 60126-5662
Practice Phone
: 331-221-9006;
Practice Fax
: 331-221-2734
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1235220583 -
MS.
MS.
KATHERINE
MARIE
SUMMERS
MS CCC-SLP
Other Name
:
Mailing Address
:
794 SOMERSET DR
WEBSTER
NY
14580-2671
Phone
: 585-703-1772;
Fax
: ;
Practice Location Address
:
119 SOUTH AVE
,
, WEBSTER
, NY
, 14580-3559
Practice Phone
: 585-872-1320;
Practice Fax
:
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1144311499 -
LYNN
MARIE
OSBORNE
PT
Other Name
:
Mailing Address
:
430 HIGH POINT CURV S
MAPLEWOOD
MN
55119-6753
Phone
: ;
Fax
: ;
Practice Location Address
:
7616 CURRELL BLVD
, #270
, WOODBURY
, MN
, 55125-2290
Practice Phone
: 651-702-7944;
Practice Fax
:
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1407947757 -
ASUTOSH
S
GOR
MD
Other Name
:
Mailing Address
:
1583 HEALTHCARE DRIVE
ROCK HILL
SC
29732
Phone
: 803-329-7772;
Fax
: 803-329-9821;
Practice Location Address
:
1583 HEALTHCARE DRIVE
,
, ROCK HILL
, SC
, 29732
Practice Phone
: 803-329-7772;
Practice Fax
: 803-329-9821
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1316038664 -
HONG
CUI
M.D.
Other Name
:
Mailing Address
:
2500 W UTOPIA RD STE 100
PHOENIX
AZ
85027-4172
Phone
: 623-683-4462;
Fax
: 623-683-4963;
Practice Location Address
:
18404 N TATUM BLVD STE 101C
,
, PHOENIX
, AZ
, 85032-1511
Practice Phone
: 602-485-7475;
Practice Fax
: 602-485-7450
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1225129570 -
PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC
Other Name
:
Mailing Address
:
PO BOX 1148
BLOOMINGTON
IN
47402-1148
Phone
: 812-336-6060;
Fax
: 812-333-7760;
Practice Location Address
:
1455 W 2ND STREET
,
, BLOOMINGTON
, IN
, 47403
Practice Phone
: 812-336-6060;
Practice Fax
: 812-333-7760
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1134210487 -
KATHY
LYNN
CHASTAIN
NURSE PRACTITIONER
Other Name
:
Mailing Address
:
1205 E INTL AIRPORT RD STE 100
ANCHORAGE
AK
99518-1409
Phone
: 907-570-6382;
Fax
: ;
Practice Location Address
:
1205 E INTL AIRPORT RD STE 100
,
, ANCHORAGE
, AK
, 99518-1409
Practice Phone
: 907-570-6382;
Practice Fax
:
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1043301393 -
ATRIUM HEALTHCARE SERVICES, LLC
Other Name
:
Mailing Address
:
9415 S WESTERN AVE
SUITE # 110
CHICAGO
IL
60643-6700
Phone
: 773-445-4550;
Fax
: ;
Practice Location Address
:
9415 S WESTERN AVE
, SUITE # 110
, CHICAGO
, IL
, 60643
Practice Phone
: 773-445-4550;
Practice Fax
:
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1952492209 -
DR.
DR.
BRANDY
LYNNETTE
YEARY
M.D.
Other Name
:
Mailing Address
:
1900 MATLOCK RD STE 804
MANSFIELD
TX
76063
Phone
: 682-800-3211;
Fax
: 682-422-7660;
Practice Location Address
:
1900 MATLOCK RD STE 804
,
, MANSFIELD
, TX
, 76063
Practice Phone
: 682-800-3211;
Practice Fax
: 682-422-7660
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1861583114 -
IRAKLIS
S
GEROGIANNIS
MD
Other Name
:
Mailing Address
:
200 MILL RD
STE 180
FAIRHAVEN
MA
02719-5252
Phone
: 508-973-2000;
Fax
: 508-973-2001;
Practice Location Address
:
300 HANOVER ST
, SUITE 2A
, FALL RIVER
, MA
, 02720-5444
Practice Phone
: 508-973-7774;
Practice Fax
: 508-973-7724
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1770674020 -
MS.
MS.
AMY
I.
BINCK
APN
Other Name
:
Mailing Address
:
7777 HENNESSY BLVD SUITE 103
PEDIATRIC HOSPITALISTS OF LA
BATON ROUGE
LA
70808
Phone
: 225-767-6700;
Fax
: 225-767-6721;
Practice Location Address
:
7777 HENNESSY BLVD SUITE 103
, PEDIATRIC HOSPITALISTS OF LA
, BATON ROUGE
, LA
, 70808
Practice Phone
: 225-767-6700;
Practice Fax
: 225-767-6721
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1689765935 -
MS.
MS.
ALISA
L.
CLARK
APN
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1598856858 -
DR.
DR.
ANDREW
T.
COSTARINO
JR.
MD
Other Name
:
Mailing Address
:
100 E PENN SQUARE
WANAMAKER BLDG., 9TH FL, N
PHILADELPHIA
PA
19104-0001
Phone
: 267-425-9320;
Fax
: 267-425-9331;
Practice Location Address
:
3401 CIVIC CENTER BLVD STE 9329
,
, PHILADELPHIA
, PA
, 19104-4319
Practice Phone
: 215-590-1858;
Practice Fax
: 267-425-9331
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1407947765 -
DR.
DR.
ALLAN
R.
DEJONG
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
:
CHILDRENS ADVOCACY CENTER OF DELAWARE
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4566;
Practice Fax
: 302-651-4945
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1316038672 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1225129588 -
DR.
DR.
ALFRED
T.
DORSEY
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1134210495 -
MRS.
MRS.
CHERILYN
ARMSTRONG
HENRY
M.S., CCC-SLP
Other Name
:
Mailing Address
:
4324 W 20TH ST APT E230
PANAMA CITY
FL
32405-1411
Phone
: 850-914-9179;
Fax
: 850-914-9179;
Practice Location Address
:
502 N MACARTHUR AVE
,
, PANAMA CITY
, FL
, 32401-3654
Practice Phone
: 850-769-9008;
Practice Fax
:
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1043301302 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1952492217 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1861583122 -
ROY
LIONEL
ESKOW
D.D.S.
Other Name
:
Mailing Address
:
5626 SHIELDS DR
BETHESDA
MD
20817-3532
Phone
: 301-493-6200;
Fax
: 301-564-4358;
Practice Location Address
:
5626 SHIELDS DR
,
, BETHESDA
, MD
, 20817-3532
Practice Phone
: 301-493-6200;
Practice Fax
: 301-564-4358
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1770674038 -
MRS.
MRS.
BONNIE
MARIE
NEELY
LPC
Other Name
:
Mailing Address
:
15 CATHDRAL LANE
STAFFORD
VA
22554
Phone
: 540-720-1191;
Fax
: ;
Practice Location Address
:
305 HANSON AVE
, STE 170
, FREDERICKSBURG
, VA
, 22401
Practice Phone
: 540-361-4330;
Practice Fax
: 540-361-4331
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1689765943 -
RACHAEL
HYNDS DECOTEAU
PAC
Other Name
:
Mailing Address
:
271 CAREW ST
SPRINGFIELD
MA
01104-2377
Phone
: 413-748-9137;
Fax
: 413-452-6049;
Practice Location Address
:
271 CAREW ST
,
, SPRINGFIELD
, MA
, 01104-2377
Practice Phone
: 413-748-9137;
Practice Fax
: 413-452-6049
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1497846752 -
CHEUKHUNG
A
NG
DDS
Other Name
:
Mailing Address
:
204 E 1ST ST
ALICE
TX
78332-4822
Phone
: 361-396-0370;
Fax
: 361-664-2248;
Practice Location Address
:
700 FLOURNOY RD
, SUITE 2A
, ALICE
, TX
, 78332
Practice Phone
: 361-664-1417;
Practice Fax
: 185-535-0561
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1306937669 -
DR.
DR.
MANJESH
LINGAMURTHY
M.D.
Other Name
:
Mailing Address
:
PO BOX 25487
SARASOTA
FL
34277-2487
Phone
: 941-923-1872;
Fax
: 941-923-3947;
Practice Location Address
:
3830 BEE RIDGE RD
, SUITE 301
, SARASOTA
, FL
, 34233-1105
Practice Phone
: 941-923-1872;
Practice Fax
: 941-923-3947
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1215028576 -
MS.
MS.
KAREN
ELIZABETH
GARZARELLI
LPC
Other Name
:
ELIZABETH
GARZARELLI
Mailing Address
:
25 ORANGE STREET
ASHEVILLE
NC
28801
Phone
: 828-271-4000;
Fax
: ;
Practice Location Address
:
25 ORANGE STREET
,
, ASHEVILLE
, NC
, 28801
Practice Phone
: 828-271-4000;
Practice Fax
:
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1124119482 -
NATHAN
P
DENELL
DO
Other Name
:
Mailing Address
:
3201 PIONEERS BLVD
SUITE 304
LINCOLN
NE
68502-5963
Phone
: 402-483-2987;
Fax
: 402-483-2981;
Practice Location Address
:
3201 PIONEERS BLVD
, SUITE 304
, LINCOLN
, NE
, 68502-5963
Practice Phone
: 402-483-2987;
Practice Fax
: 402-483-2981
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1033200399 -
CHARLOTTE
NAKANISHI
YUEN
NP
Other Name
:
Mailing Address
:
PO BOX 847
PEARL CITY
HI
96782
Phone
: 808-484-5426;
Fax
: 808-484-0955;
Practice Location Address
:
99-902 MOANALVA ROAD
, HALAWA CORRECTIONAL FACILITY
, AIEA
, HI
, 96701
Practice Phone
: 808-484-5426;
Practice Fax
: 808-484-6955
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1942391206 -
MATTHEW
J
D'ORTONA
JR.
PSYD
Other Name
:
MATTHEW
J
DORTONA
Mailing Address
:
100 N MAIN ST STE 202
ELMIRA
NY
14901-2901
Phone
: 607-738-8887;
Fax
: 855-209-5530;
Practice Location Address
:
100 N MAIN ST STE 202
,
, ELMIRA
, NY
, 14901-2901
Practice Phone
: 607-738-8887;
Practice Fax
: 855-209-5530
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1851482111 -
DR.
DR.
BENJAMIN
ALOUF
MD
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
PEDIATRIC CONTINUITY PRACTICE AT AIDHC
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-5245;
Practice Fax
: 302-651-5257
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1760573026 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1679664932 -
DR.
DR.
BRUCE
RANDALL
BRENN
MD
Other Name
:
Mailing Address
:
3601 TVC NASHVILLE
NASHVILLE
TN
37232-0001
Phone
: 615-322-3000;
Fax
: ;
Practice Location Address
:
3601 TVC
,
, NASHVILLE
, TN
, 37232-3607
Practice Phone
: 615-322-3000;
Practice Fax
:
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1588755847 -
DR.
DR.
ANNEMARIE
C.
BRESCIA
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1396836656 -
DR.
DR.
BERNARD
J
CLARK
MD
Other Name
:
Mailing Address
:
CORPORATE CREDENTIALING
P.O. BOX 269
WILMINGTON
DE
19899
Phone
: 302-651-5938;
Fax
: 302-651-6077;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1205927563 -
MS.
MS.
BARBARA
WILLIAMS
FASICK
APN
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1114018470 -
SPARTANBURG RADIATION ONCOLOGY ASSOCIATES, PA
Other Name
:
Mailing Address
:
75 REMITTANCE DR
STE 6588
CHICAGO
IL
60675-1001
Phone
: ;
Fax
: ;
Practice Location Address
:
101 EAST WOOD STREET
, RADIATION ONCOLOGY
, SPARTANBURG
, SC
, 29303-3040
Practice Phone
: 864-560-6917;
Practice Fax
: 864-560-6014
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1023109386 -
MARY
E
HART
LPC
Other Name
:
Mailing Address
:
2215 LANGHORNE RD
SUITE 104
LYNCHBURG
VA
24501-1121
Phone
: 434-455-3047;
Fax
: 434-948-4918;
Practice Location Address
:
2215 LANGHORNE RD
, SUITE 104
, LYNCHBURG
, VA
, 24501-1121
Practice Phone
: 434-455-3047;
Practice Fax
: 434-948-4918
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1932290293 -
JOHN
EMERSON
SUTTON
C.R.N.A.
Other Name
:
Mailing Address
:
4310 LONGTREE CV
LITTLE ROCK
AR
72212-1995
Phone
: 501-868-1748;
Fax
: 501-868-8463;
Practice Location Address
:
4300 W 7TH ST
,
, LITTLE ROCK
, AR
, 72205-5446
Practice Phone
: 501-257-5226;
Practice Fax
:
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1841381100 -
DARREN GEORGE DO PA
Other Name
:
Mailing Address
:
PO BOX 1689
WEATHERFORD
TX
76086-7689
Phone
: 817-573-2601;
Fax
: 817-573-2073;
Practice Location Address
:
303 W PEARL ST
,
, GRANBURY
, TX
, 76048-2408
Practice Phone
: 817-573-2601;
Practice Fax
: 817-573-2073
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1750472015 -
E. EARL WALKER, M.D., P.C.
Other Name
:
Mailing Address
:
2415 HELTON DR STE B
FLORENCE
AL
35630-1067
Phone
: 256-766-8550;
Fax
: 256-766-8002;
Practice Location Address
:
2415 HELTON DR STE B
,
, FLORENCE
, AL
, 35630-1067
Practice Phone
: 256-766-8550;
Practice Fax
: 256-766-8002
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1669563920 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1578654836 -
MRS.
MRS.
LYNN
SHACKELTON
KAHL
CCC-SLP
Other Name
:
Mailing Address
:
2 FOX LAIR CT
ASHEVILLE
NC
28805-1171
Phone
: 828-298-6409;
Fax
: 828-254-8887;
Practice Location Address
:
143 MERRIMON AVE
,
, ASHEVILLE
, NC
, 28801-1815
Practice Phone
: 828-254-8889;
Practice Fax
: 828-254-8887
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1487745741 -
DR.
DR.
MARIE
C
LETSON
O.D.
Other Name
:
MARIE
L
BOURLAND
Mailing Address
:
2801 MEMORIAL PKWY SW
SUITE #193
HUNTSVILLE
AL
35801-6519
Phone
: 256-534-8423;
Fax
: 256-534-8511;
Practice Location Address
:
2801 MEMORIAL PKWY SW
, SUITE #193
, HUNTSVILLE
, AL
, 35801-6519
Practice Phone
: 256-534-8423;
Practice Fax
: 256-534-8511
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1295826550 -
SORBERA CHIROPRACTIC PC
Other Name
:
Mailing Address
:
1962 OLD ROUTE 220 N
DUNCANSVILLE
PA
16635-8305
Phone
: 814-693-3730;
Fax
: 814-693-2160;
Practice Location Address
:
1962 OLD ROUTE 220 N
,
, DUNCANSVILLE
, PA
, 16635-8305
Practice Phone
: 814-693-3730;
Practice Fax
: 814-693-2160
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1104917467 -
ROBERT
M.
SONNENBURG
D.M.D.
Other Name
:
Mailing Address
:
344 N.E. MARSHALL
BEND
OR
97701
Phone
: ;
Fax
: ;
Practice Location Address
:
344 N.E. MARSHALL
,
, BEND
, OR
, 97701
Practice Phone
: 541-389-1704;
Practice Fax
:
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1013008374 -
DR.
DR.
CAROLYN
SUE
LUCAS
PH.D.
Other Name
:
Mailing Address
:
3887 OKEMOS RD
SUITE A2
OKEMOS
MI
48864-3664
Phone
: 517-333-6700;
Fax
: 517-347-3702;
Practice Location Address
:
3887 OKEMOS RD
, SUITE A2
, OKEMOS
, MI
, 48864-3664
Practice Phone
: 517-333-6700;
Practice Fax
: 517-347-3702
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1922199280 -
MR.
MR.
JOE
L
SALAZAR
RCP,CRT
Other Name
:
Mailing Address
:
1805 PINTURA CR WEST
PALM SPRINGS
CA
92264-6801
Phone
: 760-409-7629;
Fax
: 760-322-2088;
Practice Location Address
:
897 WEST VALLEY BLVD
,
, COLTON
, CA
, 92324
Practice Phone
: 909-254-2780;
Practice Fax
: 909-254-2777
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1831280197 -
RICHARD
HESTER
MD
Other Name
:
Mailing Address
:
PO BOX 505673
SAINT LOUIS
MO
63150-5673
Phone
: ;
Fax
: ;
Practice Location Address
:
225 PHYSICIANS PARK
, SUITE# 303
, POPLAR BLUFF
, MO
, 63901-3935
Practice Phone
: 573-785-6536;
Practice Fax
: 573-785-0345
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1740371004 -
SARAH
LEE
WOOD
MSPT
Other Name
:
SARAH
LEE
COLE
Mailing Address
:
1001 WEST ST
CARTHAGE
NY
13619-9703
Phone
: 315-519-5724;
Fax
: 315-493-0105;
Practice Location Address
:
2416 CONSTITUTION AVE
, REHABILITATION TODAY
, OLEAN
, NY
, 14760
Practice Phone
: 716-372-2808;
Practice Fax
: 716-372-2902
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1659462919 -
DR.
DR.
ROBERT
WILLIAM
HARPER
II
M.D.
Other Name
:
Mailing Address
:
1109 MEDICAL CENTER DRIVE
BUILDING 3
AUGUSTA
GA
30909
Phone
: 706-860-6824;
Fax
: 706-651-1331;
Practice Location Address
:
1350 WALTON WAY
,
, AUGUSTA
, GA
, 30901-2612
Practice Phone
: 706-774-5795;
Practice Fax
:
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1568553824 -
MARK
W
VIA
M.D.
Other Name
:
Mailing Address
:
123 W NORTH BEAR CREEK DR
MERCED
CA
95348-3420
Phone
: 209-722-8161;
Fax
: 209-383-9211;
Practice Location Address
:
123 W NORTH BEAR CREEK DR
,
, MERCED
, CA
, 95348-3420
Practice Phone
: 209-722-8161;
Practice Fax
: 209-383-9211
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1477644730 -
MATT
SIDENER
P.A.
Other Name
:
Mailing Address
:
1255 LIBERTY ST
REDDING
CA
96001-0814
Phone
: 530-246-2467;
Fax
: 530-242-9460;
Practice Location Address
:
123 W NORTH BEAR CREEK DR
,
, MERCED
, CA
, 95348-3420
Practice Phone
: 209-722-8161;
Practice Fax
: 209-383-9211
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1386735645 -
DR.
DR.
BRIAN
W.
BINCK
MD
Other Name
:
Mailing Address
:
5959 S SHERWOOD FOREST BLVD
BATON ROUGE
LA
70816-6038
Phone
: 337-470-2605;
Fax
: 225-765-9196;
Practice Location Address
:
8200 CONSTANTIN BLVD STE 200
,
, BATON ROUGE
, LA
, 70809-3481
Practice Phone
: 225-709-8633;
Practice Fax
: 225-767-6721
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1194816454 -
MS.
MS.
CARMEN
M.
CURRY
APN
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
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1003907361 -
MR.
MR.
MICHAEL
DAVID
WILSON
HEALTH SERVICE TECH
Other Name
:
Mailing Address
:
COMDT CG-1122 2100 2ND ST SW
SUITE 5314
WASHINGTON
DC
20593-0001
Phone
: 757-856-2230;
Fax
: 757-856-2276;
Practice Location Address
:
COMDT CG-1122 2100 2ND ST SW
, SUITE 5314
, WASHINGTON
, DC
, 20593-0001
Practice Phone
: 757-856-2230;
Practice Fax
: 757-856-2276
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1912098278 -
MR.
MR.
ROBERT
T
SHAW
LPC
Other Name
:
Mailing Address
:
2528 GREGERSON DR
EAU CLAIRE
WI
54703-9680
Phone
: 715-828-6462;
Fax
: 715-953-2020;
Practice Location Address
:
2528 GREGERSON DR
,
, EAU CLAIRE
, WI
, 54703-9680
Practice Phone
: 715-828-6462;
Practice Fax
: 715-953-2020
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1821189184 -
JULIE
A
DRAFALL
PT
Other Name
:
JULIE
ANN
SUELLENTROP
Mailing Address
:
1177 N. WARSON RD
ST. LOUIS
MO
63132
Phone
: 314-569-2211;
Fax
: 314-569-3656;
Practice Location Address
:
1177 N. WARSON RD
,
, ST. LOUIS
, MO
, 63132
Practice Phone
: 314-569-2211;
Practice Fax
: 314-569-3656
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1730270091 -
MEGAN
MICHELLE
PALMER
MD
Other Name
:
Mailing Address
:
1 MERCADO ST
STE 105
DURANGO
CO
81301-7311
Phone
: 970-382-8800;
Fax
: 970-382-0122;
Practice Location Address
:
1 MERCADO ST STE 105
,
, DURANGO
, CO
, 81301-7311
Practice Phone
: 970-382-8800;
Practice Fax
: 970-382-0122
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1649361908 -
ANGELA
ELAINE
CARREON
FNP
Other Name
:
ANGELA
ELAINE
GUADAGNI
Mailing Address
:
1141 PEAR TREE LN STE 100
NAPA
CA
94558-6485
Phone
: 707-254-1770;
Fax
: 707-251-1779;
Practice Location Address
:
300 HARTLE CT
,
, NAPA
, CA
, 94559-4078
Practice Phone
: 707-254-1775;
Practice Fax
: 707-251-1779
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1558452813 -
DR.
DR.
THEODORE
STEVEN
FRANCO
DDS
Other Name
:
Mailing Address
:
4307 WALNUT ST
OMAHA
NE
68105-2439
Phone
: 402-614-9433;
Fax
: ;
Practice Location Address
:
5709 NW RADIAL HWY
,
, OMAHA
, NE
, 68104-4141
Practice Phone
: 402-551-1757;
Practice Fax
: 402-551-1517
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1467543728 -
DR.
DR.
KENNETH
MAREK
MD
Other Name
:
Mailing Address
:
60 TEMPLE ST
NEW HAVEN
CT
06510-2716
Phone
: 203-401-4300;
Fax
: 203-401-4301;
Practice Location Address
:
60 TEMPLE ST
,
, NEW HAVEN
, CT
, 06510-2716
Practice Phone
: 203-401-4300;
Practice Fax
: 203-401-4301
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