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Showing codes 1831195460 — 1033116678
1831195460 -
INFINIA AT DOUGLAS
Other Name
:
Mailing Address
:
1400 N SAN ANTONIO AVE
DOUGLAS
AZ
85607-2434
Phone
: 520-364-7937;
Fax
: 520-805-9146;
Practice Location Address
:
1400 N SAN ANTONIO AVE
,
, DOUGLAS
, AZ
, 85607-2434
Practice Phone
: 520-364-7937;
Practice Fax
: 520-805-9146
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1649276270 -
AT HOME MEDICAL SUPPLY OF TN LLC
Other Name
:
Mailing Address
:
86 E NORTHSTAR DR
SUITE E
JACKSON
TN
38305
Phone
: 731-512-1895;
Fax
: 731-512-1896;
Practice Location Address
:
86 E NORTHSTAR DR
, SUITE E
, JACKSON
, TN
, 38305
Practice Phone
: 731-512-1895;
Practice Fax
: 731-512-1896
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1558367185 -
BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES
Other Name
:
Mailing Address
:
245 W RACE ST
SOMERSET
PA
15501-1922
Phone
: 814-443-4891;
Fax
: 814-443-4898;
Practice Location Address
:
245 W RACE ST
,
, SOMERSET
, PA
, 15501-1922
Practice Phone
: 814-443-4891;
Practice Fax
: 814-443-4898
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1467458091 -
DR.
DR.
SERENA
MARIE
ROSS
AUD
Other Name
:
Mailing Address
:
307 CONROY ST
SCRANTON
PA
18505-2825
Phone
: 570-343-9544;
Fax
: ;
Practice Location Address
:
444 N MAIN AVE
,
, SCRANTON
, PA
, 18504-1720
Practice Phone
: 570-344-9970;
Practice Fax
:
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1376549907 -
JOY
WILSON
LPC
Other Name
:
Mailing Address
:
1300 E BRADFORD PKWY
SPRINGFIELD
MO
65804-4264
Phone
: 417-269-5400;
Fax
: 417-269-7212;
Practice Location Address
:
1300 E BRADFORD PKWY
,
, SPRINGFIELD
, MO
, 65804-4264
Practice Phone
: 417-269-5400;
Practice Fax
: 417-269-7212
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1285630814 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1093711624 -
RHONDA
L.
NIETO
M.D.
Other Name
:
Mailing Address
:
12995 N ORACLE RD
STE 141, #411
TUCSON
AZ
85739
Phone
: 866-568-9990;
Fax
: ;
Practice Location Address
:
6200 N LA CHOLLA BLVD
,
, TUCSON
, AZ
, 85741-3529
Practice Phone
: 602-273-6770;
Practice Fax
: 602-889-0489
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1902802531 -
JBM LLC
Other Name
:
YORKVILLE PHARMACY
Mailing Address
:
822 E LIBERTY ST STE B
YORK
SC
29745-3501
Phone
: 803-628-7934;
Fax
: 803-628-4194;
Practice Location Address
:
822 E LIBERTY ST STE B
,
, YORK
, SC
, 29745-3501
Practice Phone
: 803-628-7934;
Practice Fax
: 803-628-4194
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1811993447 -
MICHAEL
FERRIS
MD
Other Name
:
Mailing Address
:
188 MILL ST
BURLINGTON
MA
01803-1869
Phone
: 781-221-5653;
Fax
: ;
Practice Location Address
:
1 LYONS ST
,
, DEDHAM
, MA
, 02026-5599
Practice Phone
: 781-329-1400;
Practice Fax
: 781-278-5667
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1720084353 -
DR.
DR.
ROSS
MCHENRY
M.D.
Other Name
:
Mailing Address
:
425 CENTRE VIEW BLVD
CRESTVIEW HILLS
KY
41017-3409
Phone
: 859-341-3575;
Fax
: 859-341-5701;
Practice Location Address
:
425 CENTRE VIEW BLVD
,
, CRESTVIEW HILLS
, KY
, 41017-3409
Practice Phone
: 859-341-3575;
Practice Fax
: 859-341-5701
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1639175268 -
INFINIA AT FARIBAULT
Other Name
:
Mailing Address
:
1738 HULETT AVE
FARIBAULT
MN
55021-2918
Phone
: 507-334-3918;
Fax
: 507-332-2748;
Practice Location Address
:
1738 HULETT AVE
,
, FARIBAULT
, MN
, 55021-2918
Practice Phone
: 507-334-3918;
Practice Fax
: 507-332-2748
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1548266174 -
GREGORY
A
MERRITT
MD
Other Name
:
Mailing Address
:
2330 E MEYER BLVD
SUITE 301
KANSAS CITY
MO
64132-1132
Phone
: 816-333-5424;
Fax
: 816-822-0870;
Practice Location Address
:
2330 E MEYER BLVD
, SUITE 301
, KANSAS CITY
, MO
, 64132-1132
Practice Phone
: 816-333-5424;
Practice Fax
: 816-822-0870
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1457357089 -
MR.
MR.
JOHN
EDWARD
LAYNE
DPT
Other Name
:
Mailing Address
:
101 LA RUE FRANCE
STE 500
LAFAYETTE
LA
70508-3144
Phone
: 337-269-9828;
Fax
: 337-234-1075;
Practice Location Address
:
101 LA RUE FRANCE
, STE 300
, LAFAYETTE
, LA
, 70508-3144
Practice Phone
: 337-269-5929;
Practice Fax
:
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1366448995 -
DR.
DR.
DANIEL
MICHAEL
NAVIN
M.D.
Other Name
:
Mailing Address
:
5087 N ROYAL DR STE B
TRAVERSE CITY
MI
49684-6987
Phone
: 231-935-0440;
Fax
: 231-935-0445;
Practice Location Address
:
5087 N ROYAL DR
,
, TRAVERSE CITY
, MI
, 49684-6987
Practice Phone
: 231-935-0440;
Practice Fax
: 231-935-0445
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1275539801 -
ANDREW
RICHARD
GOULD
MD
Other Name
:
Mailing Address
:
PO BOX 950116
LOUISVILLE
KY
40295-0116
Phone
: 502-893-0159;
Fax
: 502-213-3853;
Practice Location Address
:
2944 BRECKENRIDGE LN
,
, LOUISVILLE
, KY
, 40220-1409
Practice Phone
: 502-893-0159;
Practice Fax
: 502-213-3853
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1184620718 -
CRAIG
COPELIN
C.R.N.A.
Other Name
:
Mailing Address
:
68 S SERVICE RD
SUITE 350
MELVILLE
NY
11747-2354
Phone
: 516-945-3000;
Fax
: ;
Practice Location Address
:
2401 W BELVEDERE AVE
,
, BALTIMORE
, MD
, 21215-5216
Practice Phone
: 410-601-5209;
Practice Fax
:
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1992701528 -
DR.
DR.
NATHANIEL
GILDERSLEEVE
JR.
M.D.
Other Name
:
Mailing Address
:
PO BOX 427
FRIANT
CA
93626-0427
Phone
: 559-822-2618;
Fax
: 781-459-7962;
Practice Location Address
:
4664 MILLERTON ROAD
,
, FRIANT
, CA
, 93626
Practice Phone
: 559-822-2618;
Practice Fax
: 781-459-7962
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1801892435 -
FIRST AMERICAN ENTERPRISES, INC
Other Name
:
HERITAGE MANOR
Mailing Address
:
19 WEST NEWTON ST
RICE LAKE
WI
54868-1744
Phone
: 715-234-2161;
Fax
: 715-234-1705;
Practice Location Address
:
19 WEST NEWTON ST
,
, RICE LAKE
, WI
, 54868-1744
Practice Phone
: 715-234-2161;
Practice Fax
: 715-234-1705
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1710983341 -
DR.
DR.
SAI
KISHORE
NANDAMURU
M.D.
Other Name
:
Mailing Address
:
105 WAILEA CT
COLUMBUS
GA
31909-8059
Phone
: 706-568-6988;
Fax
: ;
Practice Location Address
:
3000 SCHATULGA RD
,
, COLUMBUS
, GA
, 31907-3117
Practice Phone
: 706-568-6988;
Practice Fax
:
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1629074257 -
RUPERT
CHARLES
CURRY
MD
Other Name
:
Mailing Address
:
1613 N MILLS AVE
ORLANDO
FL
32803-1849
Phone
: 407-894-4474;
Fax
: 407-894-7136;
Practice Location Address
:
1613 N MILLS AVE
,
, ORLANDO
, FL
, 32803-1849
Practice Phone
: 407-894-4474;
Practice Fax
: 407-894-7136
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1538165162 -
DR.
DR.
MIGDALIA
MOLINA
M.D.
Other Name
:
Mailing Address
:
730 N MAIN
STE 515
SAN ANTONIO
TX
78205-1116
Phone
: 210-224-7601;
Fax
: 210-224-1763;
Practice Location Address
:
730 N MAIN
, STE 515
, SAN ANTONIO
, TX
, 78205-1116
Practice Phone
: 210-224-2024;
Practice Fax
: 210-224-1763
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1447256078 -
INFINIA AT FLAGSTAFF
Other Name
:
Mailing Address
:
800 W UNIVERSITY AVE
FLAGSTAFF
AZ
86001-7103
Phone
: 928-779-6931;
Fax
: 928-779-2180;
Practice Location Address
:
800 W UNIVERSITY AVE
,
, FLAGSTAFF
, AZ
, 86001-7103
Practice Phone
: 928-779-6931;
Practice Fax
: 928-779-2180
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1356347983 -
DR.
DR.
JOSEPH
SEBASTIANI
DC
Other Name
:
Mailing Address
:
4011 N MARKET ST
WILMINGTON
DE
19802-2219
Phone
: 302-762-0200;
Fax
: 302-762-0500;
Practice Location Address
:
4011 N MARKET ST
,
, WILMINGTON
, DE
, 19802-2219
Practice Phone
: 302-762-0200;
Practice Fax
: 302-762-0500
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1265438899 -
KATHY
CROWLEY
C.R.N.A.
Other Name
:
Mailing Address
:
66 POWERHOUSE RD
FL 3
ROSLYN HTS
NY
11577-1324
Phone
: 516-626-6366;
Fax
: ;
Practice Location Address
:
2401 W BELVEDERE AVE
,
, BALTIMORE
, MD
, 21215-5216
Practice Phone
: 410-601-5209;
Practice Fax
:
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1174529705 -
DR.
DR.
JOEL
MARTIN
GOTTLIEB
I
M.D.
Other Name
:
Mailing Address
:
66SUNSET STRIP
STE107
SUCCASUNNA
NJ
07876-1362
Phone
: 973-584-4451;
Fax
: 973-584-2099;
Practice Location Address
:
66SUNSET STRIP
, STE107
, SUCCASUNNA
, NJ
, 07876-1362
Practice Phone
: 973-584-4451;
Practice Fax
: 973-584-2099
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1083610612 -
ROBERT
F
HALL
JR.
MD
Other Name
:
Mailing Address
:
406 N FRONT ST
STE C
MCHENRY
IL
60050
Phone
: 815-344-3050;
Fax
: 844-971-6459;
Practice Location Address
:
406 N FRONT ST
, STE C
, MCHENRY
, IL
, 60050-5593
Practice Phone
: 815-344-3050;
Practice Fax
: 815-344-3822
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1891791422 -
DR.
DR.
JENNIFER
A.
SIMKINS-BULLOCK
PH.D.
Other Name
:
Mailing Address
:
3949 SUNFOREST CT
STE 105
TOLEDO
OH
43623-4454
Phone
: 419-475-8809;
Fax
: 419-475-8810;
Practice Location Address
:
3949 SUNFOREST CT
, STE 105
, TOLEDO
, OH
, 43623-4454
Practice Phone
: 419-475-8809;
Practice Fax
: 419-475-8810
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1700882339 -
DR.
DR.
KATHRYN
WORTZ
PHD
Other Name
:
Mailing Address
:
11937 US HIGHWAY 271
TYLER
TX
75708-3154
Phone
: 903-877-7248;
Fax
: 903-877-7778;
Practice Location Address
:
11937 US HIGHWAY 271
,
, TYLER
, TX
, 75708-3154
Practice Phone
: 903-877-7248;
Practice Fax
: 903-877-7778
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1619973245 -
TIMOTHY
D
WELBY
M.D.
Other Name
:
Mailing Address
:
920 VIEWMONT DR
DICKSON CITY
PA
18519-1664
Phone
: 570-346-1464;
Fax
: 570-558-9051;
Practice Location Address
:
920 VIEWMONT DR
,
, DICKSON CITY
, PA
, 18519-1664
Practice Phone
: 570-346-1464;
Practice Fax
: 570-558-9051
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1528064151 -
REGINALD
C.
OPARA
M.D.
Other Name
:
Mailing Address
:
PO BOX 39179
PHOENIX
AZ
85069-9179
Phone
: 602-395-0718;
Fax
: 602-277-8146;
Practice Location Address
:
1715 W NORTHERN AVE
, #108
, PHOENIX
, AZ
, 85021
Practice Phone
: 602-395-0718;
Practice Fax
: 602-277-8146
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1437155066 -
RACHEL
WINKLER
LCSW
Other Name
:
Mailing Address
:
1300 E BRADFORD PKWY
SPRINGFIELD
MO
65804-4264
Phone
: 417-761-5000;
Fax
: 417-761-5011;
Practice Location Address
:
1300 E BRADFORD PKWY
,
, SPRINGFIELD
, MO
, 65804-4264
Practice Phone
: 417-761-5000;
Practice Fax
: 417-761-5011
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1346246972 -
MR.
MR.
MARCUS
A
REYES
CRNA
Other Name
:
Mailing Address
:
PO BOX 11538
KILLEEN
TX
76547-1538
Phone
: 254-245-9177;
Fax
: 254-245-9178;
Practice Location Address
:
4351 RIDGEMONT DR STE A
,
, ABILENE
, TX
, 79606-8747
Practice Phone
: 254-245-9175;
Practice Fax
: 254-213-7771
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1255337887 -
M. R. ASSOCIATES
Other Name
:
Mailing Address
:
1948 1ST AVE NE
CEDAR RAPIDS
IA
52402-5321
Phone
: 319-364-0121;
Fax
: 319-364-5684;
Practice Location Address
:
1948 1ST AVE NE
,
, CEDAR RAPIDS
, IA
, 52402-5321
Practice Phone
: 319-364-0121;
Practice Fax
: 319-364-5684
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1164428793 -
MS.
MS.
PAULA
MAY
RUTLEDGE
FNP-BC
Other Name
:
PAULA
WATSON
Mailing Address
:
2 PENNS WAY 412
NEW CASTLE
DE
19720-2407
Phone
: 302-652-2455;
Fax
: 302-322-6251;
Practice Location Address
:
306 E MAIN ST
,
, MIDDLETOWN
, DE
, 19709-1482
Practice Phone
: 302-652-2455;
Practice Fax
: 302-322-6251
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1073519609 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1982600516 -
MR.
MR.
MEHDI
VAZEEN
M.D.
Other Name
:
Mailing Address
:
1104 N DIVISION ST
CARSON CITY
NV
89703-3803
Phone
: 775-882-9123;
Fax
: ;
Practice Location Address
:
1104 N DIVISION ST
,
, CARSON CITY
, NV
, 89703-3803
Practice Phone
: 775-882-9123;
Practice Fax
:
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1790781326 -
DR.
DR.
THOMAS
J
UMSTEAD
MD
Other Name
:
Mailing Address
:
1812 HEALTH CARE DR
NEW PORT RICHEY
FL
34655-5362
Phone
: 727-376-2229;
Fax
: 727-376-5456;
Practice Location Address
:
1812 HEALTH CARE DR
,
, NEW PORT RICHEY
, FL
, 34655-5362
Practice Phone
: 727-376-2229;
Practice Fax
: 727-376-5456
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1609872233 -
R
MATTHEW
MINER
D.D.S.
Other Name
:
Mailing Address
:
PO BOX 9120
DEDHAM
MA
02027-9120
Phone
: 781-329-1400;
Fax
: 781-278-5667;
Practice Location Address
:
1 LYONS ST
,
, DEDHAM
, MA
, 02026-5599
Practice Phone
: 781-329-1400;
Practice Fax
: 781-278-5667
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1518963149 -
MS.
MS.
KIMBERLY
DENISE
HARRIS
LCSW, ACSW
Other Name
:
Mailing Address
:
8011 BROOKS CHAPEL RD STE 3761
BRENTWOOD
TN
37027-3964
Phone
: 417-312-9025;
Fax
: ;
Practice Location Address
:
8011 BROOKS CHAPEL RD STE 3761
,
, BRENTWOOD
, TN
, 37027-3964
Practice Phone
: 417-312-9025;
Practice Fax
:
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1427054055 -
DR.
DR.
JOCELYN
VILLANUEVA
ZARATE
M.D.
Other Name
:
JOCELYN
HIROKO
VILLANUEVA
Mailing Address
:
24014 GRAN PALACIO
SAN ANTONIO
TX
78261-2766
Phone
: 210-587-8787;
Fax
: 210-388-0239;
Practice Location Address
:
1200 BROOKLYN AVE STE 310
,
, SAN ANTONIO
, TX
, 78212-4810
Practice Phone
: 210-587-8787;
Practice Fax
: 210-388-0239
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1336145960 -
.DRS. SASS, FRIEDMAN & ASSOC.
Other Name
:
Mailing Address
:
PO BOX 72594
CLEVELAND
OH
44192-0002
Phone
: 216-371-0181;
Fax
: 216-371-6199;
Practice Location Address
:
14055 CEDAR RD
,
, SOUTH EUCLID
, OH
, 44118-3337
Practice Phone
: 216-371-0181;
Practice Fax
: 216-371-0181
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1245236876 -
CENTRAL FLORIDA KIDNEY CENTERS INC
Other Name
:
MELBOURNE KIDNEY CENTER
Mailing Address
:
203 ERNESTINE STREET
ORLANDO
FL
32801-3621
Phone
: 407-843-6110;
Fax
: 407-425-1526;
Practice Location Address
:
1400 S APOLLO BLVD
,
, MELBOURNE
, FL
, 32901-3145
Practice Phone
: 321-724-0431;
Practice Fax
: 321-728-7562
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1154327781 -
PONNAVOLU
D.
REDDY
MD
Other Name
:
Mailing Address
:
5115 US HIGHWAY 27 N STE 100
SEBRING
FL
33870-1323
Phone
: 863-385-2222;
Fax
: 863-382-8765;
Practice Location Address
:
5115 US HIGHWAY 27 N STE 100
,
, SEBRING
, FL
, 33870-1323
Practice Phone
: 863-385-2222;
Practice Fax
: 863-382-8765
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1063418697 -
MRS.
MRS.
DEA
NASON
COLLINS
MSN, FNP
Other Name
:
Mailing Address
:
2900 DOCTORS PARK DR
SUITE 250
MEDFORD
OR
97504-8198
Phone
: 541-282-8808;
Fax
: 541-618-6452;
Practice Location Address
:
229 W STEWART AVE
,
, MEDFORD
, OR
, 97501-3663
Practice Phone
: 541-282-8808;
Practice Fax
: 541-618-6452
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1972509503 -
ELWYN
HULSE
LPC
Other Name
:
Mailing Address
:
1300 E BRADFORD PKWY
SPRINGFIELD
MO
65804-4264
Phone
: 417-269-5400;
Fax
: 417-269-7212;
Practice Location Address
:
1300 E BRADFORD PKWY
,
, SPRINGFIELD
, MO
, 65804-4264
Practice Phone
: 417-269-5400;
Practice Fax
: 417-269-7212
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1881690410 -
PATRICIA
ADRIANA
GUERRERO
M.D.
Other Name
:
Mailing Address
:
1613 N MILLS AVE
ORLANDO
FL
32803-1849
Phone
: 407-894-4474;
Fax
: 407-894-7136;
Practice Location Address
:
1613 N MILLS AVE
,
, ORLANDO
, FL
, 32803-1849
Practice Phone
: 407-894-4474;
Practice Fax
: 407-894-7136
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1699771220 -
DR.
DR.
RAYMOND
J
HOLMES
MD
Other Name
:
Mailing Address
:
433 CENTRAL AVE
WESTFIELD
NJ
07090-2520
Phone
: 973-759-9000;
Fax
: 973-759-2487;
Practice Location Address
:
1401 BROAD ST
,
, CLIFTON
, NJ
, 07013-4236
Practice Phone
: 973-759-9000;
Practice Fax
: 973-751-3730
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1508862137 -
USHA
I
GOOHYA
MD
Other Name
:
Mailing Address
:
126 CONSTITUTION DRIVE
ORANGEBURG
NY
10962
Phone
: 845-359-8123;
Fax
: 845-942-4223;
Practice Location Address
:
27 LIBERTY SQUARE MALL
, ROUTE 9W
, STONY POINT
, NY
, 10980-2400
Practice Phone
: 845-942-4222;
Practice Fax
: 845-942-4223
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1417953043 -
DR.
DR.
SIDNEY
MARK
FISHMAN
MD
Other Name
:
Mailing Address
:
3801 KATELLA AVE
STE 425
LOS ALAMITOS
CA
90720-6901
Phone
: 562-596-2925;
Fax
: 562-596-5703;
Practice Location Address
:
3801 KATELLA AVE
, STE 425
, LOS ALAMITOS
, CA
, 90720-6901
Practice Phone
: 562-596-2925;
Practice Fax
: 562-596-5703
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1326044959 -
INFINIA AT GRANITE HILLS
Other Name
:
Mailing Address
:
950 E 3300 S
SALT LAKE CITY
UT
84106-2141
Phone
: 801-295-8000;
Fax
: 801-486-5146;
Practice Location Address
:
950 E 3300 S
,
, SALT LAKE CITY
, UT
, 84106-2141
Practice Phone
: 801-295-8000;
Practice Fax
: 801-486-5146
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1235135864 -
ROBERTA
J
MOSS
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
:
65 KANE ST
,
, WEST HARTFORD
, CT
, 06119-2110
Practice Phone
: 860-523-6436;
Practice Fax
: 860-523-3775
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1144226770 -
JOHN
FAN
M.D.
Other Name
:
Mailing Address
:
68 S SERVICE RD
SUITE 350
MELVILLE
NY
11747-2354
Phone
: 516-945-3000;
Fax
: ;
Practice Location Address
:
2401 W BELVEDERE AVE
,
, BALTIMORE
, MD
, 21215-5216
Practice Phone
: 410-601-5209;
Practice Fax
:
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1205832839 -
SUSAN
E
FERREIRA
ARNP
Other Name
:
Mailing Address
:
9040 JACKSON AVE
TACOMA
WA
98431-0001
Phone
: 253-982-0277;
Fax
: ;
Practice Location Address
:
9040 JACKSON AVE
,
, TACOMA
, WA
, 98431-1303
Practice Phone
: 253-982-6254;
Practice Fax
:
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1114923745 -
DR.
DR.
SUSAN
SKOLEK
PSYD
Other Name
:
Mailing Address
:
PO BOX 1449
GUERNEVILLE
CA
95446-1449
Phone
: 707-869-2849;
Fax
: 707-869-1477;
Practice Location Address
:
16319 THIRD STREET
,
, GUERNEVILLE
, CA
, 95446
Practice Phone
: 707-869-2849;
Practice Fax
: 707-869-1477
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1023014651 -
DR.
DR.
RICHARD
STCYR
MD
Other Name
:
Mailing Address
:
PO BOX 25608
SALT LAKE CITY
UT
84125-0608
Phone
: 206-320-4476;
Fax
: 206-568-7043;
Practice Location Address
:
945 HILDEBRAND LN NE
, SUITE 100
, BAINBRIDGE ISLAND
, WA
, 98110-2877
Practice Phone
: 206-991-2121;
Practice Fax
: 206-991-2151
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1932105566 -
DR.
DR.
ROMAN
THOMAS
PACHULSKI
M.D.
Other Name
:
Mailing Address
:
33 LEWIS RD
2ND FL
BINGHAMTON
NY
13905-5227
Phone
: 607-729-8156;
Fax
: ;
Practice Location Address
:
30 HARRISON ST
, SUITE 250
, JOHNSON CITY
, NY
, 13790-2161
Practice Phone
: 607-770-8600;
Practice Fax
:
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1841296472 -
JOSEPH SOLEK DDS, PC
Other Name
:
Mailing Address
:
14512 JOHN HUMPHREY DR
ORLAND PARK
IL
60462-2640
Phone
: 708-460-6699;
Fax
: 708-460-1481;
Practice Location Address
:
14512 JOHN HUMPHREY DR
,
, ORLAND PARK
, IL
, 60462-2640
Practice Phone
: 708-460-6699;
Practice Fax
: 708-460-1481
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1750387387 -
MRS.
MRS.
AMBER
D
LUTZ
PA-C
Other Name
:
AMBER
D
FETCHER
Mailing Address
:
1202 W BUENA VISTA RD.
SUITE # 100
EVANSVILLE
IN
47710-5185
Phone
: 812-429-1520;
Fax
: 812-429-1523;
Practice Location Address
:
1202 W BUENA VISTA RD.
, SUITE #100
, EVANSVILLE
, IN
, 47710-5185
Practice Phone
: 812-429-1520;
Practice Fax
: 812-429-1523
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1669478293 -
THEMIS
KOMODROMOS
MD
Other Name
:
Mailing Address
:
1613 N MILLS AVE
ORLANDO
FL
32803-1849
Phone
: 407-894-4474;
Fax
: 407-894-7136;
Practice Location Address
:
1613 N MILLS AVE
,
, ORLANDO
, FL
, 32803-1849
Practice Phone
: 407-894-4474;
Practice Fax
: 407-894-7136
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1578569109 -
CENTRAL FLORIDA KIDNEY CENTERS INC
Other Name
:
NORTH MELBOURNE DIALYSIS
Mailing Address
:
203 ERNESTINE STREET
CENTRAL FLORIDA KIDNEY CENTERS, INC.
ORLANDO
FL
32801-3621
Phone
: 407-843-6110;
Fax
: 407-425-1526;
Practice Location Address
:
14 SUNTREE PL
, STE 102
, MELBOURNE
, FL
, 32940-7605
Practice Phone
: 321-253-9033;
Practice Fax
: 321-253-8632
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1487650016 -
DR.
DR.
JOSEPH
M
GRECO
M.D.
Other Name
:
Mailing Address
:
3085 HARLEM RD
SUITE 200
CHEEKTOWAGA
NY
14225-2563
Phone
: 716-844-5600;
Fax
: 716-844-5750;
Practice Location Address
:
3085 HARLEM RD
, SUITE 200
, CHEEKTOWAGA
, NY
, 14225-2563
Practice Phone
: 716-844-5600;
Practice Fax
: 716-844-5750
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1396742920 -
SUSAN
B
MUNROE
MA
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
850 BOLTON RD
,
, STORRS
, CT
, 06269-9020
Practice Phone
: 860-486-2629;
Practice Fax
: 860-486-5422
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1205833837 -
DR.
DR.
DEBORAH
DENISE
BOWERS
PHARMD. RPH
Other Name
:
Mailing Address
:
822B E LIBERTY ST
YORK
SC
29745-1661
Phone
: 803-628-7934;
Fax
: 803-628-4194;
Practice Location Address
:
822B E LIBERTY ST
,
, YORK
, SC
, 29745-1661
Practice Phone
: 803-628-7934;
Practice Fax
: 803-628-4194
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1114924743 -
ANGELA
SUE
ZACHAREK
FNP, CNM
Other Name
:
Mailing Address
:
1860 COBURG RD
EUGENE
OR
97401-4945
Phone
: 541-686-2959;
Fax
: ;
Practice Location Address
:
1860 COBURG RD
,
, EUGENE
, OR
, 97401-4945
Practice Phone
: 541-686-2959;
Practice Fax
:
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1023015658 -
LAWRENCE J. KALES DPM
Other Name
:
Mailing Address
:
5327 SPRING HILL DR
SPRING HILL
FL
34606-4558
Phone
: 352-683-5799;
Fax
: ;
Practice Location Address
:
5327 SPRING HILL DR
,
, SPRING HILL
, FL
, 34606-4558
Practice Phone
: 352-683-5799;
Practice Fax
:
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1932106564 -
DR.
DR.
CHRISTIAN
A
PEABODY
DDS
Other Name
:
Mailing Address
:
2201 S. GETTY STREET
MUSKEGON HEIGHTS
MI
49444-1207
Phone
: 231-767-9830;
Fax
: 231-773-2454;
Practice Location Address
:
2201 S. GETTY STREET
,
, MUSKEGON HTS.
, MI
, 49444-1207
Practice Phone
: 231-767-9830;
Practice Fax
: 231-773-2454
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1841297470 -
DR.
DR.
TRISTE
MARIE
COULOMBE
MD
Other Name
:
Mailing Address
:
50 MEMORIAL BLVD
AQUIDNECK MEDICAL ASSOCIATES
NEWPORT
RI
02840-3587
Phone
: 401-683-2290;
Fax
: 401-849-8446;
Practice Location Address
:
77 TURNPIKE AVE
, AQUIDNECK MEDICAL ASSOCIATES
, PORTSMOUTH
, RI
, 02871-1419
Practice Phone
: 401-863-2290;
Practice Fax
: 401-849-8446
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1750388385 -
LIGUANG
HUANG
M.D.
Other Name
:
Mailing Address
:
66 POWERHOUSE RD
FL 3
ROSLYN HTS
NY
11577-1324
Phone
: 516-626-6366;
Fax
: ;
Practice Location Address
:
2401 W BELVEDERE AVE
,
, BALTIMORE
, MD
, 21215-5216
Practice Phone
: 410-601-5209;
Practice Fax
:
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1669479291 -
DOUGLAS
D
FLETCHER
M.D.
Other Name
:
Mailing Address
:
221 PENN AVE
STE 1700
PITTSBURGH
PA
15221-2122
Phone
: 412-731-9911;
Fax
: 412-731-9219;
Practice Location Address
:
221 PENN AVENUE
, STE 1700
, PITTSBURGH
, PA
, 15221
Practice Phone
: 412-731-9911;
Practice Fax
: 412-731-9219
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1578560108 -
DR.
DR.
DAVID
M
PALLOTTA
DMD
Other Name
:
Mailing Address
:
390 AMWELL RD
STE 407
HILLSBOROUGH
NJ
08844-1247
Phone
: 908-359-0440;
Fax
: 908-359-0442;
Practice Location Address
:
390 AMWELL RD
, STE 407
, HILLSBOROUGH
, NJ
, 08844-1247
Practice Phone
: 908-359-0440;
Practice Fax
: 908-359-0442
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1487651014 -
MRS.
MRS.
ITZIA
GONZALEZ MURIEL
M.D.
Other Name
:
Mailing Address
:
CALLE 402 MD2
COUNTRY CLUB
CAROLINA
PR
00982
Phone
: 787-765-6670;
Fax
: 787-765-7601;
Practice Location Address
:
MO1 CALLE 413
, SUITE 201
, CAROLINA
, PR
, 00982-1853
Practice Phone
: 787-765-6670;
Practice Fax
: 787-765-7601
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1295732824 -
DR.
DR.
JOSHUA
ROBERT
SONETT
Other Name
:
Mailing Address
:
5A MEDICAL PARK DR
POMONA
NY
10970-3516
Phone
: 845-362-0075;
Fax
: 845-362-1716;
Practice Location Address
:
161 FORT WASHINGTON AVE
,
, NEW YORK
, NY
, 10032-3729
Practice Phone
: 212-305-3408;
Practice Fax
: 845-362-7475
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1104823731 -
MELBOURNE KIDNEY CENTER INC
Other Name
:
HARBOR CITY DIALYSIS
Mailing Address
:
280 N WICKHAM RD
MELBOURNE
FL
32935-8650
Phone
: 321-308-5005;
Fax
: 321-308-5002;
Practice Location Address
:
280 N WICKHAM RD
,
, MELBOURNE
, FL
, 32935-8650
Practice Phone
: 321-308-5005;
Practice Fax
: 321-308-5002
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1013914647 -
CENTER FOR RADIATION ONCOLOGY OF TAMPA BAY, INC
Other Name
:
Mailing Address
:
407 N PARSONS AVE
STE 103A
BRANDON
FL
33510-4537
Phone
: 813-657-9860;
Fax
: 813-662-6536;
Practice Location Address
:
2715 W VIRGINIA AVE
,
, TAMPA
, FL
, 33607-6327
Practice Phone
: 813-870-0162;
Practice Fax
: 813-872-5604
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1922005552 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1831196468 -
JANE
S
FLYNT
Other Name
:
Mailing Address
:
1114 STELLY LN
SULPHUR
LA
70663-5139
Phone
: 337-527-7087;
Fax
: 337-527-9837;
Practice Location Address
:
1114 STELLY LN
,
, SULPHUR
, LA
, 70663-5139
Practice Phone
: 337-527-7087;
Practice Fax
: 337-527-9831
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1740287374 -
THE COLUMBUS ORTHOPAEDIC CLINIC, P.A.
Other Name
:
Mailing Address
:
670 LEIGH DR
COLUMBUS
MS
39705-3014
Phone
: 662-328-1012;
Fax
: 662-328-1507;
Practice Location Address
:
670 LEIGH DR
,
, COLUMBUS
, MS
, 39705-3014
Practice Phone
: 662-328-1012;
Practice Fax
: 662-328-1507
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1619974243 -
DR.
DR.
CARLOS
A
WIEGERING
MD
Other Name
:
Mailing Address
:
200 HOSPITAL DR
SUITE 3
TYRONE
PA
16686-1825
Phone
: 814-684-4472;
Fax
: 814-684-4780;
Practice Location Address
:
200 HOSPITAL DR
, SUITE 3
, TYRONE
, PA
, 16686-1825
Practice Phone
: 814-684-4472;
Practice Fax
: 814-684-4780
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1528065158 -
MR.
MR.
JASON
MICHAEL
SNYDER
RPT
Other Name
:
Mailing Address
:
706 S 1ST ST
BLACKWELL
OK
74631-3825
Phone
: 580-363-1111;
Fax
: 580-363-1116;
Practice Location Address
:
2005 N 14TH ST
, STE 111
, PONCA CITY
, OK
, 74601-1952
Practice Phone
: 580-765-0101;
Practice Fax
: 580-765-3434
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1437156064 -
DR.
DR.
AWONIYI
O
AWONUGA
MD
Other Name
:
Mailing Address
:
1560 E MAPLE ROAD
SUITE 400-CREDENTIALING
TROY
MI
48083-1189
Phone
: 248-581-5970;
Fax
: 248-581-5640;
Practice Location Address
:
26400 W 12 MILE RD
, STE 140
, SOUTHFIELD
, MI
, 48034-1753
Practice Phone
: 248-352-8200;
Practice Fax
: 248-356-8255
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1346247970 -
DR.
DR.
JOSE
H
ARIAS
MD
Other Name
:
Mailing Address
:
1613 N MILLS AVE
ORLANDO
FL
32803-1849
Phone
: 407-894-4474;
Fax
: 407-894-7136;
Practice Location Address
:
1613 N MILLS AVE
,
, ORLANDO
, FL
, 32803-1849
Practice Phone
: 407-894-4474;
Practice Fax
: 407-894-7136
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1255338885 -
FRANCIS
FAHEY
MD
Other Name
:
Mailing Address
:
1613 N MILLS AVE
ORLANDO
FL
32803-1849
Phone
: 407-894-4474;
Fax
: 407-894-7136;
Practice Location Address
:
1613 N MILLS AVE
,
, ORLANDO
, FL
, 32803-1849
Practice Phone
: 407-894-4474;
Practice Fax
: 407-894-7136
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1164429791 -
KAREN
M
MYRICK
APRN
Other Name
:
KAREN
M
SANDERS
Mailing Address
:
65 KANE ST
PROVIDER ENROLLMENT, 2ND FLOOR
WEST HARTFORD
CT
06119-2110
Phone
: 860-523-6421;
Fax
: 860-523-3701;
Practice Location Address
:
263 FARMINGTON AVE
, UCONN MEDICAL GROUP, ORTHOPAEDICS
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-6600;
Practice Fax
: 860-679-6604
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1073510608 -
MARK
J
SIGMAN
MD
Other Name
:
Mailing Address
:
844 NORTH THORNTON AVENUE
ORLANDO
FL
32803-4003
Phone
: 407-398-6470;
Fax
: 407-894-6872;
Practice Location Address
:
844 N THORNTON AVE
,
, ORLANDO
, FL
, 32803-4003
Practice Phone
: 407-398-6470;
Practice Fax
: 407-894-6872
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1982601514 -
KATHERINE
BELK-ARENAS
PT
Other Name
:
Mailing Address
:
5501 N ORACLE RD
STE 101
TUCSON
AZ
85704-3850
Phone
: 520-293-5551;
Fax
: 520-293-6638;
Practice Location Address
:
888 S CRAYCROFT RD
, STE 140
, TUCSON
, AZ
, 85711-7118
Practice Phone
: 520-747-5557;
Practice Fax
: 520-747-1633
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1790782324 -
NAN
E
NILAND
DDS
Other Name
:
Mailing Address
:
400 COMMONWEALTH AVE
BOSTON
MA
02215-2813
Phone
: 781-329-1400;
Fax
: 781-278-5667;
Practice Location Address
:
1 LYONS ST
,
, DEDHAM
, MA
, 02026-5599
Practice Phone
: 781-329-1400;
Practice Fax
: 781-278-5667
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1609873231 -
MR.
MR.
EDWARD
RAKLER
PA-C
Other Name
:
Mailing Address
:
500 WESTFIELD AVE
ELIZABETH
NJ
07208-1642
Phone
: 908-994-1500;
Fax
: 908-994-0035;
Practice Location Address
:
500 WESTFIELD AVE
,
, ELIZABETH
, NJ
, 07208-1642
Practice Phone
: 908-994-1500;
Practice Fax
:
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1518964147 -
DR.
DR.
DANIEL
G
FAGEL
M.D.
Other Name
:
Mailing Address
:
425 CENTRE VIEW BLVD
CRESTVIEW HILLS
KY
41017-3409
Phone
: 859-341-3575;
Fax
: 859-341-5702;
Practice Location Address
:
425 CENTRE VIEW BLVD
,
, CRESTVIEW HILLS
, KY
, 41017-3409
Practice Phone
: 859-341-3575;
Practice Fax
: 859-341-5702
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1427055052 -
TIMOTHY
MALANEY
M.D.
Other Name
:
Mailing Address
:
66 POWERHOUSE RD
FL 3
ROSLYN HTS
NY
11577-1324
Phone
: 516-626-6366;
Fax
: ;
Practice Location Address
:
2401 W BELVEDERE AVE
,
, BALTIMORE
, MD
, 21215-5216
Practice Phone
: 410-601-5209;
Practice Fax
:
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1336146968 -
DR.
DR.
BENJAMIN
ALBERTO
LARACUENTE
M.D.
Other Name
:
Mailing Address
:
3468 BRODHEAD RD STE 11
MONACA
PA
15061-3149
Phone
: 724-728-5995;
Fax
: 724-728-6705;
Practice Location Address
:
3468 BRODHEAD RD STE 11
,
, MONACA
, PA
, 15061-3149
Practice Phone
: 724-728-5995;
Practice Fax
: 724-728-6705
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1245237874 -
DR.
DR.
WILLIAM
H
HEINS
M.D.
Other Name
:
Mailing Address
:
351 N SAM HOUSTON BLVD
SAN BENITO
TX
78586-4656
Phone
: 956-399-2443;
Fax
: 956-399-6331;
Practice Location Address
:
351 N SAM HOUSTON BLVD
,
, SAN BENITO
, TX
, 78586-4656
Practice Phone
: 956-399-2443;
Practice Fax
: 956-399-6331
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1154328789 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1063419695 -
GRETCHEN
L
SUTTON
P.A.
Other Name
:
GRETCHEN
L
PHELPS
Mailing Address
:
PO BOX 155
CHRISTOPHER
IL
62822-0155
Phone
: 618-724-2401;
Fax
: 618-724-4628;
Practice Location Address
:
209 NW 11TH ST
,
, FAIRFIELD
, IL
, 62837-1218
Practice Phone
: 618-842-4470;
Practice Fax
: 618-842-3437
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1972500502 -
MRS.
MRS.
KAREN
L.
WEBB
ACSW
Other Name
:
Mailing Address
:
18090 MACK AVE
GROSSE POINTE
MI
48230-6251
Phone
: 313-642-1997;
Fax
: 313-642-1998;
Practice Location Address
:
18090 MACK AVE
,
, GROSSE POINTE
, MI
, 48230-6251
Practice Phone
: 313-642-1997;
Practice Fax
: 313-642-1998
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1881691418 -
DR.
DR.
PROMISE
DZAKPASU
M.D.
Other Name
:
Mailing Address
:
9000 W WISCONSIN AVE # MS 958
MILWAUKEE
WI
53226-4874
Phone
: 414-266-7615;
Fax
: 414-266-6238;
Practice Location Address
:
4655 N PORT WASHINGTON RD STE 200
,
, GLENDALE
, WI
, 53212-1076
Practice Phone
: 414-247-9530;
Practice Fax
: 414-247-1875
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1497752034 -
MRS.
MRS.
LAURIE
A.
TARNELL
M.D.
Other Name
:
Mailing Address
:
ONE LYONS ST.
DEDHAM
MA
02026
Phone
: 781-329-1400;
Fax
: 781-461-8235;
Practice Location Address
:
ONE LYONS ST.
,
, DEDHAM
, MA
, 02026
Practice Phone
: 781-329-1400;
Practice Fax
: 781-461-8235
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1306843941 -
DAVID
E.
RIESTER
M.D.
Other Name
:
Mailing Address
:
79 ERDMAN WAY
SUITE 101
LEOMINSTER
MA
01453
Phone
: 978-537-4805;
Fax
: 978-537-2185;
Practice Location Address
:
79 ERDMAN WAY
, SUITE 101
, LEOMINSTER
, MA
, 01453
Practice Phone
: 978-537-4805;
Practice Fax
: 978-537-2185
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1215934856 -
ZAHRA
HEIDARI
M.D.
Other Name
:
Mailing Address
:
2115 LEITER RD STE 100
MIAMISBURG
OH
45342-3698
Phone
: 937-866-0741;
Fax
: 937-866-8861;
Practice Location Address
:
2115 LEITER RD STE 100
,
, MIAMISBURG
, OH
, 45342-3698
Practice Phone
: 937-866-0741;
Practice Fax
: 937-866-8861
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1124025762 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1033116678 -
ALEXANDER
PEDENKO
M.D.
Other Name
:
Mailing Address
:
PO BOX 29211
PHOENIX
AZ
85038-9211
Phone
: 602-273-6770;
Fax
: 602-889-0489;
Practice Location Address
:
4441 E MCDOWELL RD
, # 101
, PHOENIX
, AZ
, 85008-4503
Practice Phone
: 602-273-6770;
Practice Fax
: 602-889-0489
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