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Showing codes 1861583247 — 1275624587
1861583247 -
DR.
DR.
ANTHONY
M.
POLICASTRO
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
:
NEMOURS PEDIATRICS SEAFORD
, 121 S. FRONT STREET
, SEAFORD
, DE
, 19973-3511
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1770674152 -
DR.
DR.
AIXA
I
SILVERA-SCHWARTZ
M.D.
Other Name
:
Mailing Address
:
562 CONCORD RD SE
SMYRNA
GA
30082-2608
Phone
: 770-384-9900;
Fax
: 770-384-9912;
Practice Location Address
:
562 CONCORD ROAD SE
,
, SMYRNA
, GA
, 30082
Practice Phone
: 770-384-9900;
Practice Fax
: 770-384-9912
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1689765067 -
DR.
DR.
CAROL
A
SQUYRES
MD
Other Name
:
Mailing Address
:
PO BOX 3158
PORTLAND
OR
97208-3158
Phone
: 503-215-6900;
Fax
: ;
Practice Location Address
:
16770 SW EDY RD
, STE 102
, SHERWOOD
, OR
, 97140-9678
Practice Phone
: 503-215-9600;
Practice Fax
:
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1497846877 -
LARRY
JAMES
ALLEN
O.D.
Other Name
:
Mailing Address
:
PO BOX 680317
FORT PAYNE
AL
35968-1604
Phone
: 256-845-0231;
Fax
: ;
Practice Location Address
:
103 GRAND AVE SW
,
, FORT PAYNE
, AL
, 35967-1915
Practice Phone
: 256-845-0231;
Practice Fax
:
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1306937784 -
DR.
DR.
ASMA
SYED
Other Name
:
Mailing Address
:
1 BROOKDALE PLAZA
PHYSICIAN ENTERPRISE
BROOKLYN
NY
11212
Phone
: 718-240-7143;
Fax
: 718-240-5808;
Practice Location Address
:
1 BROOKDALE PLZ
, OBH HEART - 3 SNAPPER
, BROOKLYN
, NY
, 11212-3198
Practice Phone
: 718-240-6201;
Practice Fax
: 718-240-6618
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1215028691 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
1024 S STATE ROAD 19
,
, PALATKA
, FL
, 32177-9000
Practice Phone
: 386-328-6733;
Practice Fax
:
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1124119508 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
1619 DEL PRADO BLVD S
,
, CAPE CORAL
, FL
, 33990-3713
Practice Phone
: 239-772-9220;
Practice Fax
:
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1033200415 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
3653 S ORLANDO DR
,
, SANFORD
, FL
, 32773-5611
Practice Phone
: 407-321-1371;
Practice Fax
:
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1942391321 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1851482236 -
DR.
DR.
GERARD
A.
KUHN
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
:
NEMOURS PEDIATRICS MIDDLETOWN
, 200 CLEAVER FARM ROAD SUITE 201
, MIDDLETOWN
, DE
, 19709-1630
Practice Phone
: 302-378-5100;
Practice Fax
: 302-378-5106
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1760573141 -
DR.
DR.
GARY
S.
LYTLE
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
:
NEMOURS PEDIATRICS MIDDLETOWN
, 200 CLEAVER FARM ROAD SUITE 201
, MIDDLETOWN
, DE
, 19709-1630
Practice Phone
: 302-378-5100;
Practice Fax
: 302-378-5106
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1679664056 -
DR.
DR.
FRANCIS
J.
MONTONE
D.O.
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
:
NEMOURS PEDIATRICS DOVER
, 102 W. WATER STREET SUITE 1
, DOVER
, DE
, 19904-6750
Practice Phone
: 302-672-5650;
Practice Fax
: 302-672-5655
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1588755961 -
DR.
DR.
DOLORES
L
UN
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
:
NEMOURS PEDIATRICS PEOPLES PLAZA
, 1400 PEOPLES PLAZA STE. 300
, NEWARK
, DE
, 19702
Practice Phone
: 302-836-7820;
Practice Fax
: 302-836-7826
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1396836771 -
DR.
DR.
COLLEEN
R.
WITHERELL
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
:
NEMOURS PEDIATRICS JESSUP ST.
, 1602 JESSUP STREET
, WILMINGTON
, DE
, 19802-4210
Practice Phone
: 302-576-5050;
Practice Fax
: 302-576-5065
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1205927688 -
MR.
MR.
RALPH
A
PRETE
RPH
Other Name
:
Mailing Address
:
7915 S DIXIE HWY
WEST PALM BEACH
FL
33405-4821
Phone
: 561-585-8460;
Fax
: 561-585-8770;
Practice Location Address
:
7915 S DIXIE HWY
,
, WEST PALM BEACH
, FL
, 33405-4821
Practice Phone
: 561-585-8460;
Practice Fax
: 561-585-8770
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1114018595 -
MICHELLE
L
RAAD
M.D.
Other Name
:
Mailing Address
:
240 WILLIAMSON ST STE 503
ELIZABETH
NJ
07202-3673
Phone
: 908-355-1010;
Fax
: 908-355-5629;
Practice Location Address
:
240 WILLIAMSON ST STE 503
,
, ELIZABETH
, NJ
, 07202-3673
Practice Phone
: 908-355-1010;
Practice Fax
: 908-355-5629
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1023109402 -
DR.
DR.
RICHMOND
LEMOS
D.O.
Other Name
:
Mailing Address
:
2950 ROBERTSON AVE
CINCINNATI
OH
45209-1268
Phone
: 513-281-4400;
Fax
: 513-587-8213;
Practice Location Address
:
1 WYOMING ST
,
, DAYTON
, OH
, 45409-2722
Practice Phone
: 513-281-4400;
Practice Fax
: 513-587-8213
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1932290319 -
DR.
DR.
EDUARDO
AUGUSTIN
SALVATI
M.D.
Other Name
:
Mailing Address
:
PO BOX 29234
NEW YORK
NY
10087-9234
Phone
: ;
Fax
: ;
Practice Location Address
:
535 E 70TH ST
,
, NEW YORK
, NY
, 10021-4823
Practice Phone
: 646-797-8973;
Practice Fax
:
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1841381225 -
DIANA
UGLOVA
PA-C
Other Name
:
Mailing Address
:
1400 VFW PARKWAY
VA MC (112)
WEST ROXBURY
MA
02132
Phone
: 857-203-6200;
Fax
: 857-203-5738;
Practice Location Address
:
1400 VFW PKWY
, VA MC (112)
, WEST ROXBURY
, MA
, 02132-4927
Practice Phone
: 857-203-6200;
Practice Fax
: 857-203-5738
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1750472130 -
MR.
MR.
MATT
ALLEN
SOOTER
P.T.
Other Name
:
Mailing Address
:
4350 S NATIONAL AVE
SUITE A108
SPRINGFIELD
MO
65810-2607
Phone
: 417-823-8670;
Fax
: 417-823-8625;
Practice Location Address
:
4350 S NATIONAL AVE
, SUITE A108
, SPRINGFIELD
, MO
, 65810-2607
Practice Phone
: 417-823-8670;
Practice Fax
: 417-823-8625
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1578654950 -
GRAND LAKE SLEEP CENTER
Other Name
:
Mailing Address
:
1040 HAGER ST
SAINT MARYS
OH
45885-2421
Phone
: 419-394-9992;
Fax
: 419-394-9629;
Practice Location Address
:
1040 HAGER ST
,
, SAINT MARYS
, OH
, 45885-2421
Practice Phone
: 419-394-9992;
Practice Fax
: 419-394-9629
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1487745865 -
DR.
DR.
JOHN
BRET
HOOD
M.D.
Other Name
:
Mailing Address
:
5430 FREDERICKSBURG RD
STE 200
SAN ANTONIO
TX
78229-3539
Phone
: 210-348-4012;
Fax
: ;
Practice Location Address
:
5430 FREDERICKSBURG RD
, STE 200
, SAN ANTONIO
, TX
, 78229-3539
Practice Phone
: 210-348-4012;
Practice Fax
:
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1295826675 -
MICHAEL
R.
MUSTARD
MD
Other Name
:
Mailing Address
:
1005 BROADWAY ST
QUINCY
IL
62301-2834
Phone
: 217-223-8400;
Fax
: 217-277-3960;
Practice Location Address
:
1005 BROADWAY ST
,
, QUINCY
, IL
, 62301-2834
Practice Phone
: 217-223-8400;
Practice Fax
: 217-214-5837
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1104917582 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1528159902 -
DR.
DR.
KATHLEEN
ANN
MALONE
M.D.
Other Name
:
Mailing Address
:
2950 ROBERTSON AVE
2ND FLOOR
CINCINNATI
OH
45209-1268
Phone
: 513-281-4400;
Fax
: 513-587-8213;
Practice Location Address
:
1 WYOMING ST
,
, DAYTON
, OH
, 45409-2722
Practice Phone
: 513-281-4400;
Practice Fax
: 513-587-8213
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|
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|
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1437240819 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1346331725 -
PALOMA MEDICAL GROUP INC
Other Name
:
Mailing Address
:
PO BOX 509082
DEPT 160
SAN DIEGO
CA
92150-9082
Phone
: 714-571-5000;
Fax
: 714-571-5055;
Practice Location Address
:
30230 RANCHO VIEJO RD
, SUITE 200
, SAN JUAN CAPISTRANO
, CA
, 92675-1557
Practice Phone
: 949-443-4303;
Practice Fax
: 949-443-4033
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1255422630 -
MYSTICK WOMEN'S HEALTH, INC.
Other Name
:
Mailing Address
:
13 BRADLEE RD
MEDFORD
MA
02155-3110
Phone
: 781-395-1110;
Fax
: 781-395-8553;
Practice Location Address
:
13 BRADLEE RD
,
, MEDFORD
, MA
, 02155-3110
Practice Phone
: 781-395-1110;
Practice Fax
: 781-395-8553
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1164513545 -
DR.
DR.
INSOOK
PATTY
YANG
D.D.S.
Other Name
:
Mailing Address
:
214 E ERIE ST
MISSOURI VALLEY
IA
51555-1533
Phone
: 712-642-4136;
Fax
: 712-642-3664;
Practice Location Address
:
214 E ERIE ST
,
, MISSOURI VALLEY
, IA
, 51555-1533
Practice Phone
: 712-642-4136;
Practice Fax
: 712-642-3664
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1073604450 -
DR.
DR.
BETH
J
DUBOIS
D.C.
Other Name
:
Mailing Address
:
55 E BRIDGE ST
OSWEGO
NY
13126-2120
Phone
: 315-342-6300;
Fax
: 315-342-6302;
Practice Location Address
:
55 E BRIDGE ST
,
, OSWEGO
, NY
, 13126-2120
Practice Phone
: 315-342-6300;
Practice Fax
: 315-342-6302
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1982795365 -
CANTON PODAITRY ASSOCIATES
Other Name
:
Mailing Address
:
742 WASHINGTON ST
CANTON
MA
02021-3039
Phone
: 781-821-2696;
Fax
: 781-821-6282;
Practice Location Address
:
742 WASHINGTON ST
,
, CANTON
, MA
, 02021-3039
Practice Phone
: 781-821-2696;
Practice Fax
: 781-821-6282
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1790876175 -
MICHELLE
YOUNG
N.P.
Other Name
:
Mailing Address
:
323 LOWELL ST STE 302
ANDOVER
MA
01810-4501
Phone
: 978-475-2731;
Fax
: ;
Practice Location Address
:
323 LOWELL ST STE 302
,
, ANDOVER
, MA
, 01810-4501
Practice Phone
: 978-475-2731;
Practice Fax
:
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1609967082 -
MICHAEL
STEVEN
RAPPAPORT
MD
Other Name
:
Mailing Address
:
2051 KAEN RD
OREGON CITY
OR
97045-4035
Phone
: 503-655-8471;
Fax
: 503-655-8595;
Practice Location Address
:
998 LIBRARY CT
,
, OREGON CITY
, OR
, 97045-4041
Practice Phone
: 503-655-8401;
Practice Fax
: 503-655-8429
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1518058999 -
MS.
MS.
LYNN
RENEE
HALLOWELL-GOTTSLEBEN
PT, DPT
Other Name
:
LYNN
RENEE
HALLOWELL
Mailing Address
:
5401 SOUTH ST
LINCOLN
NE
68506-2150
Phone
: 402-483-9502;
Fax
: 402-486-8285;
Practice Location Address
:
5401 SOUTH ST
,
, LINCOLN
, NE
, 68506-2150
Practice Phone
: 402-486-7704;
Practice Fax
: 402-486-7701
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1427149806 -
MR.
MR.
MARK
ANTON
KRIPAL
MS CCCA
Other Name
:
Mailing Address
:
BOX 795
NORTH PLATTE
NE
69101-0795
Phone
: 308-532-3330;
Fax
: 308-532-6354;
Practice Location Address
:
801 WILLIAM ST
,
, NORTH PLATTE
, NE
, 69101
Practice Phone
: 308-532-3330;
Practice Fax
: 308-532-6354
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1336230713 -
GENERATIONS: COMMUNITY SUPPORT SERVICES
Other Name
:
Mailing Address
:
2649 PARK AVE S.
MINNEAPOLIS
MN
55047
Phone
: 612-676-1604;
Fax
: 612-379-8235;
Practice Location Address
:
60 MARIE AVE E
,
, SAINT PAUL
, MN
, 55118-5910
Practice Phone
: 651-552-9071;
Practice Fax
: 651-552-9874
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1245321629 -
MRS.
MRS.
STACEY
BETH
ROVINSKY
BSW,CPRP
Other Name
:
Mailing Address
:
190 WESTFORT DR
MERIDEN
CT
06451-3600
Phone
: 203-634-9264;
Fax
: ;
Practice Location Address
:
950 CAMPBELL AVE
,
, WEST HAVEN
, CT
, 06516-2770
Practice Phone
: 203-931-4010;
Practice Fax
:
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1609967090 -
CAROLYN
P
BRAINARD
LMP
Other Name
:
Mailing Address
:
1917 N LAKEWOOD DR
COEUR D ALENE
ID
83814-2634
Phone
: 208-664-8194;
Fax
: 208-667-1847;
Practice Location Address
:
1172 W HAYDEN AVE
,
, HAYDEN
, ID
, 83835-8700
Practice Phone
: 208-762-3332;
Practice Fax
: 208-762-4268
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1518058908 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1427149814 -
WHITE RIVER HEALTH SYSTEM, INC.
Other Name
:
Mailing Address
:
1710 HARRISON ST
BATESVILLE
AR
72501-7303
Phone
: 870-269-4361;
Fax
: 870-269-3093;
Practice Location Address
:
2106 E. MAIN ST.
,
, MOUNTAIN VIEW
, AR
, 72560-6439
Practice Phone
: 870-262-5056;
Practice Fax
: 870-262-6088
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1336230721 -
MR.
MR.
STEPHEN
GEORGE
DUNN
DMD
Other Name
:
Mailing Address
:
1408 EAST CARSON ST
PITTSBURGH
PA
15203
Phone
: 412-431-6631;
Fax
: 412-431-6297;
Practice Location Address
:
1408 E CARSON ST
, 145 BROWNSVILLE RD
, PITTSBURGH
, PA
, 15203
Practice Phone
: 412-431-6631;
Practice Fax
: 412-431-6297
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1245321637 -
BEATRICE
KAY
RANKIN
DC
Other Name
:
Mailing Address
:
1931 RICHMOND AVE
HOUSTON
TX
77098
Phone
: 713-526-2225;
Fax
: 713-590-0054;
Practice Location Address
:
1931 RICHMOND AVE
,
, HOUSTON
, TX
, 77098
Practice Phone
: 713-526-2225;
Practice Fax
: 713-590-0054
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1154412542 -
NEIL
M
CAMPBELL
DO
Other Name
:
Mailing Address
:
PO BOX 416457
BOSTON
MA
02241-6457
Phone
: ;
Fax
: ;
Practice Location Address
:
108 BILBY RD
, SUITE 305
, HACKETTSTOWN
, NJ
, 07840-4174
Practice Phone
: 908-813-8811;
Practice Fax
:
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1063503456 -
THERESA
M
FOSTER
MP
Other Name
:
Mailing Address
:
1917 N LAKEWOOD DR
COEUR D ALENE
ID
83814-2634
Phone
: 208-664-8194;
Fax
: 208-667-1847;
Practice Location Address
:
1101 E POLSTON AVE
, SUITE A
, POST FALLS
, ID
, 83854-6045
Practice Phone
: 208-773-8111;
Practice Fax
: 208-773-8385
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1134210529 -
MAUREEN
G
DEVEREAUX
CES, OT
Other Name
:
Mailing Address
:
2450 RIVERSIDE AVE
MINNEAPOLIS
MN
55454-1450
Phone
: ;
Fax
: ;
Practice Location Address
:
2450 RIVERSIDE AVE
,
, MINNEAPOLIS
, MN
, 55454-1450
Practice Phone
: 612-672-6000;
Practice Fax
:
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1043301435 -
LAKEPOINTE DENTAL
Other Name
:
Mailing Address
:
279 W MAIN ST STE 110
FRISCO
TX
75034-4307
Phone
: 469-633-9925;
Fax
: ;
Practice Location Address
:
279 W MAIN ST STE 110
,
, FRISCO
, TX
, 75034-4307
Practice Phone
: 469-633-9925;
Practice Fax
:
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1952492340 -
MS.
MS.
PATRICIA
A
HERRMANN
D.C.
Other Name
:
Mailing Address
:
616 EAGLES LANDING PKWY # 10
STOCKBRIDGE
GA
30281-5096
Phone
: 678-565-1500;
Fax
: 678-565-7411;
Practice Location Address
:
616 EAGLES LANDING PKWY # 10
,
, STOCKBRIDGE
, GA
, 30281-5096
Practice Phone
: 678-565-1500;
Practice Fax
: 678-565-7411
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1861583254 -
JENNIFER
TALBERT
ORT/L
Other Name
:
Mailing Address
:
PO BOX 1753
MT PLEASANT
SC
29465-1753
Phone
: 843-216-0290;
Fax
: 843-216-2445;
Practice Location Address
:
120C SPRINGHALL DR
,
, GOOSE CREEK
, SC
, 29445-5335
Practice Phone
: 843-216-0290;
Practice Fax
: 843-216-2445
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1770674160 -
ALLISON
LYNN
WIEDEMANN
OD
Other Name
:
Mailing Address
:
570 NORTHTOWN DR NE
BLAINE
MN
55434-1043
Phone
: 763-784-4081;
Fax
: 866-822-2088;
Practice Location Address
:
570 NORTHTOWN DR NE
,
, BLAINE
, MN
, 55434-1043
Practice Phone
: 763-784-4081;
Practice Fax
: 866-822-2088
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1689765075 -
V & E GUZMAN MD SC
Other Name
:
Mailing Address
:
600 S WASHINGTON ST
NAPERVILLE
IL
60540-6656
Phone
: 630-305-0900;
Fax
: ;
Practice Location Address
:
600 S WASHINGTON ST
,
, NAPERVILLE
, IL
, 60540-6656
Practice Phone
: 630-305-0900;
Practice Fax
:
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1497846885 -
DR.
DR.
JANE
L
BURKE
M.D.
Other Name
:
Mailing Address
:
250 PLEASANT STREET
EMERGENCY DEPARTMENT
CONCORD
NH
03301-7539
Phone
: 603-225-2711;
Fax
: 603-224-6527;
Practice Location Address
:
250 PLEASANT STREET
, EMERGENCY DEPARTMENT
, CONCORD
, NH
, 03301-7539
Practice Phone
: 603-225-2711;
Practice Fax
: 603-224-6527
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1306937792 -
ROBERT
A
STRASBERGER
DPM
Other Name
:
Mailing Address
:
31961 OLDE FRANKLIN DR
FARMINGTON HILLS
MI
48334-1731
Phone
: 248-895-7635;
Fax
: 248-865-7244;
Practice Location Address
:
31961 OLDE FRANKLIN DR
,
, FARMINGTON HILLS
, MI
, 48334-1731
Practice Phone
: 248-895-7635;
Practice Fax
: 248-865-7244
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1215028600 -
MRS.
MRS.
MICHELE
PATRICIA
POSS
PT
Other Name
:
Mailing Address
:
4875 MILLS CIVIC PKWY
WEST DES MOINES
IA
50265-5268
Phone
: 515-440-6700;
Fax
: 515-440-6715;
Practice Location Address
:
4875 MILLS CIVIC PKWY
,
, WEST DES MOINES
, IA
, 50265-5268
Practice Phone
: 515-440-6700;
Practice Fax
: 515-440-6715
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1124119516 -
SUSAN
EICK
PSY.D
Other Name
:
Mailing Address
:
3043 SMOKY HOLLOW RD
LYNCHBURG
VA
24504-4347
Phone
: 434-993-8124;
Fax
: ;
Practice Location Address
:
3712 OLD FOREST RD STE 500
,
, LYNCHBURG
, VA
, 24501-6959
Practice Phone
: 434-385-0744;
Practice Fax
:
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1033200423 -
MS.
MS.
AMY
CHILDERS
PT
Other Name
:
Mailing Address
:
750 E ADAMS ST
PHYSICAL MEDICINE AND REHABILITATION
SYRACUSE
NY
13210-2306
Phone
: 315-464-2300;
Fax
: ;
Practice Location Address
:
750 E ADAMS ST
, PHYSICAL MEDICINE AND REHABILITATION
, SYRACUSE
, NY
, 13210-2306
Practice Phone
: 315-464-2300;
Practice Fax
:
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1942391339 -
NATALIA
BLACK
MD
Other Name
:
Mailing Address
:
5810 JAMESON CT
STE 1
CARMICHAEL
CA
95608
Phone
: 916-979-0621;
Fax
: 916-979-1110;
Practice Location Address
:
5810 JAMESON CT
, STE 1
, CARMICHAEL
, CA
, 95608
Practice Phone
: 916-979-0621;
Practice Fax
: 916-979-1110
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1851482244 -
MIGUEL
A.
RODRIGUEZ-BIGAS
M.D.
Other Name
:
Mailing Address
:
PO BOX 4439
HOUSTON
TX
77210-4439
Phone
: 713-792-2991;
Fax
: ;
Practice Location Address
:
1515 HOLCOMBE BLVD
,
, HOUSTON
, TX
, 77030-4009
Practice Phone
: 713-792-6161;
Practice Fax
:
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1114018405 -
DR.
DR.
STEVEN
J.
BACHRACH
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
:
1600 ROCKLAND RD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5948
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1023109311 -
DR.
DR.
STEVEN
P.
COOK
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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1932290228 -
DR.
DR.
STEPHEN
J.
FALCHEK
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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1841381134 -
DR.
DR.
TEODORO
ERNESTO
FIGUEROA
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
:
1600 ROCKLAND ROAD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1083705388 -
MS.
MS.
ERNICE
LASHETTE
ROGERS
ANP
Other Name
:
Mailing Address
:
2306 RIKE DR
PINE BLUFF
AR
71603-3933
Phone
: 870-535-2142;
Fax
: ;
Practice Location Address
:
2306 RIKE DR
,
, PINE BLUFF
, AR
, 71603-3933
Practice Phone
: 870-535-2142;
Practice Fax
:
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1326139627 -
PENN TECK DIAGNOSTICS INC
Other Name
:
Mailing Address
:
820 ST. SEBASTIAN WAY,
SUITE 2B
AUGUSTA
GA
30901
Phone
: 706-722-6612;
Fax
: 706-722-5057;
Practice Location Address
:
820 ST. SEBASTIAN WAY,
, SUITE 2B
, AUGUSTA
, GA
, 30901
Practice Phone
: 706-722-6612;
Practice Fax
: 706-722-5057
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1235220534 -
DR.
DR.
EDWARD
DAVEY
KING
DDS
Other Name
:
Mailing Address
:
5700 OLD RICHMOND AVE
SUITE E 22
RICHMOND
VA
23226-1828
Phone
: 804-285-8609;
Fax
: 804-285-8610;
Practice Location Address
:
5700 OLD RICHMOND AVE
, SUITE E 22
, RICHMOND
, VA
, 23226-1828
Practice Phone
: 804-285-8609;
Practice Fax
: 804-285-8610
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1144311440 -
MRS.
MRS.
FARRA
O
CRISWELL
LPC
Other Name
:
Mailing Address
:
116 N COLUMBIA ST
PONTOTOC
MS
38863-2002
Phone
: 662-347-6310;
Fax
: ;
Practice Location Address
:
398 E MAIN ST STE 216
,
, TUPELO
, MS
, 38804-4016
Practice Phone
: 662-350-0099;
Practice Fax
:
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1053402354 -
DR.
DR.
MARY
ANN
CAMPBELL
M.D.
Other Name
:
Mailing Address
:
6101 PINE RIDGE RD
NAPLES
FL
34119-3900
Phone
: 239-348-4221;
Fax
: 913-338-4606;
Practice Location Address
:
8300 COLLIER BLVD
,
, NAPLES
, FL
, 34114-3549
Practice Phone
: 239-348-4221;
Practice Fax
: 913-338-4606
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1962593269 -
DR.
DR.
DONALD
B
RINDAL
DDS
Other Name
:
Mailing Address
:
8170 33RD AVE S
MS21110Q
MINNEAPOLIS
MN
55425-4516
Phone
: 952-883-5375;
Fax
: 651-641-6205;
Practice Location Address
:
2500 COMO AVENUE - MS 31100A
, HEALTHPARTNERS COMO CLINIC
, ST PAUL
, MN
, 55108-1460
Practice Phone
: 651-641-6200;
Practice Fax
: 651-641-6205
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1497846794 -
PALMETTO MEDICAL EQUIPMENT & SUPPLIES INC.
Other Name
:
Mailing Address
:
14226 SW 167TH TER
MIAMI
FL
33177-1874
Phone
: 786-346-2065;
Fax
: 305-820-3028;
Practice Location Address
:
2100 WEST 76TH ST
, SUITE 302
, HIALEAH
, FL
, 33016-5539
Practice Phone
: 305-820-3028;
Practice Fax
: 305-820-3028
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1306937602 -
ARTHUR
GEORGE
D'SOUZA
M.D.
Other Name
:
Mailing Address
:
249 DANBURY RD
WILTON
CT
06897-4075
Phone
: 203-762-3353;
Fax
: 203-761-8563;
Practice Location Address
:
249 DANBURY RD
,
, WILTON
, CT
, 06897
Practice Phone
: 203-762-3353;
Practice Fax
: 203-761-8563
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1215028519 -
A. I. M. GENERAL INC.
Other Name
:
Mailing Address
:
555 E 25TH ST
SUITE 204
HIALEAH
FL
33013-3848
Phone
: 305-836-9986;
Fax
: 305-693-0481;
Practice Location Address
:
555 E 25TH ST
, SUITE 204
, HIALEAH
, FL
, 33013-3848
Practice Phone
: 305-836-9986;
Practice Fax
: 305-693-0481
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1487745782 -
DR.
DR.
WARREN
MAURICE
PRINGLE
MD
Other Name
:
Mailing Address
:
330 BORTHWICK AVE
STE 303
PORTSMOOTH
NH
03801
Phone
: 603-431-5205;
Fax
: 603-436-4257;
Practice Location Address
:
330 BORTHWICK AVE
, STE 303
, PORTSMOOTH
, NH
, 03801
Practice Phone
: 603-431-5205;
Practice Fax
: 603-436-4257
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1295826592 -
DR.
DR.
ROBERT
L
KANE
PH.D.
Other Name
:
Mailing Address
:
5337 HIGH WHEELS CT
COLUMBIA
MD
21044-5716
Phone
: 410-605-7414;
Fax
: ;
Practice Location Address
:
10 N GREENE ST
, VA MEDICAL CENER (127)
, BALTIMORE
, MD
, 21201-1524
Practice Phone
: 410-605-7414;
Practice Fax
: 410-605-7705
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1104917400 -
CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.
Other Name
:
Mailing Address
:
134 PROFESSIONAL PARK DR
ROCK HILL
SC
29732-1178
Phone
: 803-329-7402;
Fax
: 803-329-2611;
Practice Location Address
:
134 PROFESSIONAL PARK DR
,
, ROCK HILL
, SC
, 29732-1178
Practice Phone
: 803-329-7402;
Practice Fax
: 803-329-2611
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1013008317 -
LOUIS
WANG
MD
Other Name
:
Mailing Address
:
80 SOUTH MAIN STREET
SUITE 102
MIDDLETOWN
CT
06457-3648
Phone
: 860-344-1401;
Fax
: 860-347-1023;
Practice Location Address
:
80 SOUTH MAIN STREET
, SUITE 102
, MIDDLETOWN
, CT
, 06457-3648
Practice Phone
: 860-344-1401;
Practice Fax
: 860-347-1023
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1922199223 -
KEVIN
PONNETT
LPA
Other Name
:
Mailing Address
:
1907 S 17TH ST
SUITE 1
WILMINGTON
NC
28401-6626
Phone
: 910-343-8424;
Fax
: 910-343-6989;
Practice Location Address
:
1907 S 17TH ST
, SUITE 1
, WILMINGTON
, NC
, 28401-6626
Practice Phone
: 910-343-8424;
Practice Fax
: 910-343-6989
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1831280130 -
DR.
DR.
DEEDEE
KAY
SMART
M.D.,PH.D.
Other Name
:
Mailing Address
:
10 CENTER DR
BUILDING 10-CRC, B2-3500
BETHESDA
MD
20892-0001
Phone
: 301-496-5457;
Fax
: 301-480-5439;
Practice Location Address
:
10 CENTER DR
, BUILDING 10-CRC, B2-3500
, BETHESDA
, MD
, 20892-0001
Practice Phone
: 301-496-5457;
Practice Fax
: 301-480-5439
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1740371046 -
JEANNE
LOGAN
APN
Other Name
:
Mailing Address
:
29 BRIDGEPORT DR
MECHANICSBURG
PA
17050-7359
Phone
: 717-918-1270;
Fax
: ;
Practice Location Address
:
500 UNIVERSITY DR
, H073
, HERSHEY
, PA
, 17033-2360
Practice Phone
: 717-531-8515;
Practice Fax
:
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1659462950 -
MRS.
MRS.
GINGER
CORRERO
WILKINSON
MED, CMHT
Other Name
:
GINGER
CORRERO
ROBERTSON
Mailing Address
:
2434 SOUTH EASON BLVD.
TUPELO
MS
38804-6942
Phone
: 662-844-0047;
Fax
: 662-680-6416;
Practice Location Address
:
2434 SOUTH EASON BLVD.
,
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-0047;
Practice Fax
: 662-680-6416
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1568553865 -
MRS.
MRS.
GINA
M
RAY
MA
Other Name
:
Mailing Address
:
6 CR 7515
BALDWYN
MS
38824
Phone
: 662-365-8405;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1477644771 -
MS.
MS.
FREDRIKA
ALYSSA
COWLEY
BS
Other Name
:
Mailing Address
:
1054 NEW TEMPLE ROAD
FULTON
MS
38843
Phone
: 662-862-7771;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1386735686 -
DR.
DR.
MARTHA
SCHWARTZ
PSYD
Other Name
:
Mailing Address
:
1881 UNIVERSITY DR
SUITE 202
CORAL SPRINGS
FL
33071
Phone
: 954-345-0252;
Fax
: 954-345-0253;
Practice Location Address
:
1881 UNIVERSITY DR
, SUITE 202
, CORAL SPRINGS
, FL
, 33071
Practice Phone
: 954-345-0252;
Practice Fax
: 954-345-0253
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1730270034 -
EL-SAYED MD PA
Other Name
:
Mailing Address
:
5800 COLONIAL DR
SUITE #403
MARGATE
FL
33063-5682
Phone
: 954-724-3470;
Fax
: 954-724-3473;
Practice Location Address
:
5800 COLONIAL DR
, SUITE #403
, MARGATE
, FL
, 33063-5682
Practice Phone
: 954-724-3470;
Practice Fax
: 954-724-3473
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1093806390 -
KRISTINA
MARIE
BLAISER
MA, CCC- SLP
Other Name
:
KRISTINA
MARIE
WASMER
Mailing Address
:
420 DELAWARE ST SE
MINNEAPOLIS
MN
55455-0341
Phone
: ;
Fax
: ;
Practice Location Address
:
420 DELAWARE ST SE
,
, MINNEAPOLIS
, MN
, 55455-0341
Practice Phone
: 612-672-6000;
Practice Fax
:
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1902997208 -
JENNIFER
SUE
HEALY-FETTER
PA-C
Other Name
:
JENNIFER
SUE
HEALY
Mailing Address
:
3302 BONITA BEACH RD
# 170
BONITA SPRINGS
FL
34134-4174
Phone
: 239-624-1050;
Fax
: 239-624-1051;
Practice Location Address
:
3302 BONITA BEACH RD
, # 170
, BONITA SPRINGS
, FL
, 34134-4174
Practice Phone
: 239-624-1050;
Practice Fax
: 239-624-1051
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1811088115 -
HERMAN
TALMADGE
PALMER
MD
Other Name
:
Mailing Address
:
529 S FOURTH ST
BALDWYN
MS
38824-2114
Phone
: 662-365-2222;
Fax
: ;
Practice Location Address
:
529 S FOURTH ST
,
, BALDWYN
, MS
, 38824-2114
Practice Phone
: 662-365-2222;
Practice Fax
:
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1720179021 -
GHASSAN
ABDALLAH
DMD
Other Name
:
Mailing Address
:
8841 RIDGELAND AVE
OAK LAWN
IL
60453-1002
Phone
: 708-599-8122;
Fax
: ;
Practice Location Address
:
8841 RIDGELAND AVE
,
, OAK LAWN
, IL
, 60453-1002
Practice Phone
: 708-599-8122;
Practice Fax
:
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1639260938 -
MS.
MS.
SANDRA
L
PASSETTO
M.A., R.D., LDN
Other Name
:
Mailing Address
:
25 GREYLOCK ST
LEE
MA
01238-1300
Phone
: 413-243-2759;
Fax
: ;
Practice Location Address
:
725 NORTH ST
,
, PITTSFIELD
, MA
, 01201-4109
Practice Phone
: 413-447-2676;
Practice Fax
:
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1548351844 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1457442758 -
MERIDIAN EAR NOSE & THROAT CLINICPA
Other Name
:
Mailing Address
:
1521 22ND AVE
MERIDIAN
MS
39301-4016
Phone
: 601-483-9358;
Fax
: 601-483-9664;
Practice Location Address
:
1521 22ND AVE
,
, MERIDIAN
, MS
, 39301-4016
Practice Phone
: 601-483-9358;
Practice Fax
: 601-483-9664
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1275624579 -
EPN URGENT CARE LLC
Other Name
:
Mailing Address
:
1112 GOODLETTE RD N
SUITE 204
NAPLES
FL
34102-5497
Phone
: 888-311-8760;
Fax
: ;
Practice Location Address
:
6400 DAVIS BLVD
,
, NAPLES
, FL
, 34104-5321
Practice Phone
: 239-455-6300;
Practice Fax
:
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1184715484 -
MRS.
MRS.
LOANA
EDITH
EVANS
N.P. - C
Other Name
:
Mailing Address
:
2115 S FREMONT AVE
SUITE 4300
SPRINGFIELD
MO
65804-2239
Phone
: 417-820-3911;
Fax
: 417-820-3924;
Practice Location Address
:
2115 S FREMONT AVE
, SUITE 4300
, SPRINGFIELD
, MO
, 65804-2239
Practice Phone
: 417-820-3911;
Practice Fax
: 417-820-3924
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1093806309 -
DR.
DR.
MICHAEL
G
KELLY
D.C.
Other Name
:
Mailing Address
:
720 20TH AVE SW
MINOT
ND
58701-6441
Phone
: 701-838-8000;
Fax
: 701-838-8444;
Practice Location Address
:
720 20TH AVE SW
,
, MINOT
, ND
, 58701-6441
Practice Phone
: 701-838-8000;
Practice Fax
: 701-838-8444
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1902997216 -
MS.
MS.
ANITA
RAM
SAHGAL
PSYD
Other Name
:
Mailing Address
:
9155 PERSHORE PLACE
TAMARAC
FL
33321-4176
Phone
: 321-591-6538;
Fax
: ;
Practice Location Address
:
700 N HIATUS RD
, #213
, PEMBROKE PINES
, FL
, 33026-5206
Practice Phone
: 954-431-0411;
Practice Fax
: 954-431-0413
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1811088123 -
M.E.E. GENERAL SERVICES
Other Name
:
Mailing Address
:
1490 W 49TH PL
SUITE# 209
HIALEAH
FL
33012-3148
Phone
: 305-826-8660;
Fax
: 305-826-8659;
Practice Location Address
:
1490 W 49TH PL
, SUITE# 209
, HIALEAH
, FL
, 33012-3148
Practice Phone
: 305-826-8660;
Practice Fax
: 305-826-8659
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1720179039 -
MR.
MR.
ROBERT
F
HALL
M.S., CCC-A
Other Name
:
Mailing Address
:
510 E STONER AVE # 126
SHREVEPORT
LA
71101-4243
Phone
: 318-424-6090;
Fax
: 318-429-5749;
Practice Location Address
:
510 E STONER AVE # 126
,
, SHREVEPORT
, LA
, 71101-4243
Practice Phone
: 318-424-6090;
Practice Fax
: 318-429-5749
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1639260946 -
DR.
DR.
RICHARD
LEE
SHARA
M.D.
Other Name
:
Mailing Address
:
1001 LAKESIDE AVE E
#1200
CLEVELAND
OH
44114-1158
Phone
: ;
Fax
: ;
Practice Location Address
:
12301 SNOW RD
,
, PARMA
, OH
, 44130-1002
Practice Phone
: 216-524-7377;
Practice Fax
: 216-362-2593
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1548351851 -
MR.
MR.
HUGH
JAMES
FOSTER
Other Name
:
Mailing Address
:
1984 HWY 178
MYRTLE
MS
38650
Phone
: 662-988-2714;
Fax
: ;
Practice Location Address
:
REGION III MENTAL HEALTH CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1457442766 -
ARCADIA DENTAL, P. C.
Other Name
:
Mailing Address
:
4426 W KL AVE
KALAMAZOO
MI
49006-5723
Phone
: 269-353-7700;
Fax
: 269-353-7788;
Practice Location Address
:
4426 W KL AVE
,
, KALAMAZOO
, MI
, 49006-5723
Practice Phone
: 269-353-7700;
Practice Fax
: 269-353-7788
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1366533671 -
MR.
MR.
JAMES
ERVIN
HOUGH
LPC, NCC
Other Name
:
Mailing Address
:
286 KASANDRA STREET
PONTOTOC
MS
38863
Phone
: 662-419-3200;
Fax
: ;
Practice Location Address
:
REGION III MENTAL CENTER
, 2434 SOUTH EASON BLVD
, TUPELO
, MS
, 38804-6942
Practice Phone
: 662-844-1717;
Practice Fax
: 662-680-6416
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1275624587 -
CORAL DESERT IMAGING
Other Name
:
Mailing Address
:
1490 E FOREMASTER DR
BUILDING C
SAINT GEORGE
UT
84790-4488
Phone
: 435-986-2238;
Fax
: ;
Practice Location Address
:
1490 E FOREMASTER DR
, BUILDING C
, SAINT GEORGE
, UT
, 84790-4488
Practice Phone
: 435-986-2238;
Practice Fax
:
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