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Showing codes 1144312638 — 1396837142
1144312638 -
DR.
DR.
PIERRE
JACOB
MONTROSE
MD
Other Name
:
Mailing Address
:
PO BOX 12717
FORT PIERCE
FL
34979-2717
Phone
: 772-871-7800;
Fax
: 772-871-7822;
Practice Location Address
:
2550 SE WALTON RD
,
, PORT ST LUCIE
, FL
, 34952-7168
Practice Phone
: 772-408-5861;
Practice Fax
:
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1053403543 -
EYE CLINIC OF AUSTIN PLLC THOMAS HENDERSON SOLE MBR
Other Name
:
Mailing Address
:
3410 FAR WEST BLVD
SUITE 140
AUSTIN
TX
78731-3167
Phone
: 512-427-1100;
Fax
: 512-427-1208;
Practice Location Address
:
3410 FAR WEST BLVD
, SUITE 140
, AUSTIN
, TX
, 78731-3167
Practice Phone
: 512-427-1100;
Practice Fax
: 512-427-1207
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1871685362 -
LUXOTTICA RETAIL NORTH AMERICA INC
Other Name
:
Mailing Address
:
4000 LUXOTTICA PL
ATTN MEDICARE DEPT
MASON
OH
45040-8114
Phone
: 337-983-0214;
Fax
: ;
Practice Location Address
:
4313 AMBASSADOR CAFFERY PKWY
,
, LAFAYETTE
, LA
, 70508-6703
Practice Phone
: 337-983-0214;
Practice Fax
:
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1588756076 -
ALL WAYS HOMECARE INC
Other Name
:
Mailing Address
:
9200 S DADELAND BLVD STE 425
MIAMI
FL
33156-2792
Phone
: 305-446-6120;
Fax
: 305-446-6121;
Practice Location Address
:
9200 S DADELAND BLVD
,
, MIAMI
, FL
, 33156-2723
Practice Phone
: 305-446-6120;
Practice Fax
: 305-446-6121
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1396837886 -
MS.
MS.
LA'SHON
FELICIA
BLACK
L.C.S.W., C.A.P.
Other Name
:
Mailing Address
:
560 NW 47 STREET
MIAMI
FL
33127-2453
Phone
: 305-541-5864;
Fax
: 305-541-8614;
Practice Location Address
:
1492 WEST FLAGLER STREET, SUITE 108
,
, MIAMI
, FL
, 33135
Practice Phone
: 305-541-5864;
Practice Fax
: 305-541-8614
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1205928793 -
CARLOS
F
GARCIA
MD
Other Name
:
Mailing Address
:
PO BOX 88487
CHICAGO
IL
60680-1487
Phone
: 312-791-2000;
Fax
: 312-791-2076;
Practice Location Address
:
2525 S MICHIGAN AVENUE
, MERCY HOSPITAL AND MEDICAL CENTER
, CHICAGO
, IL
, 60616-2477
Practice Phone
: 312-567-2082;
Practice Fax
: 312-328-7711
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1114019601 -
MR.
MR.
RANDALL
L
LINDVALL
RPH
Other Name
:
Mailing Address
:
501 SW WINDMILL LN
LEES SUMMIT
MO
64082-4620
Phone
: 816-616-9182;
Fax
: ;
Practice Location Address
:
2323 E 63RD ST
,
, KANSAS CITY
, MO
, 64130-3462
Practice Phone
: 816-234-8121;
Practice Fax
:
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1023100518 -
MS.
MS.
ANASTASIA
CONSTANCE
DENDRINOS
MSW, LCSW
Other Name
:
Mailing Address
:
8148 DORSTEP LANE
ORLAND PARK
IL
60462-2995
Phone
: 708-460-3653;
Fax
: 312-569-8151;
Practice Location Address
:
820 SOUTH DAMEN AVENUE
,
, CHICAGO
, IL
, 60612
Practice Phone
: 312-569-7134;
Practice Fax
: 312-569-8151
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1932291424 -
DOLORES
CONNOY
RN, CNS
Other Name
:
Mailing Address
:
914 S 8TH ST
MINNEAPOLIS
MN
55404-1210
Phone
: ;
Fax
: ;
Practice Location Address
:
914 S 8TH ST
, S100
, MINNEAPOLIS
, MN
, 55404-1210
Practice Phone
: 612-347-1855;
Practice Fax
:
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1841382330 -
MANASI
KOLPE
MD
Other Name
:
Mailing Address
:
701 PARK AVE
MINNEAPOLIS
MN
55415-1623
Phone
: ;
Fax
: ;
Practice Location Address
:
914 S 8TH ST
, S100
, MINNEAPOLIS
, MN
, 55404-1204
Practice Phone
: 612-873-5764;
Practice Fax
:
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1750473245 -
VILLAGE PODIATRY GROUP LLC
Other Name
:
Mailing Address
:
4101 CHARLOTTE AVE STE F185
NASHVILLE
TN
37209-4066
Phone
: 678-426-2171;
Fax
: ;
Practice Location Address
:
550 PEACHTREE STREET
, SUITE 1960
, ATLANTA
, GA
, 30308-2225
Practice Phone
: 404-589-1330;
Practice Fax
: 404-589-1387
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1669564159 -
DR.
DR.
THUYTIEN
THI
DO
MD
Other Name
:
Mailing Address
:
3223 8TH ST
METAIRIE
LA
70002-1623
Phone
: 504-833-7770;
Fax
: 504-833-7796;
Practice Location Address
:
3223 8TH ST
,
, METAIRIE
, LA
, 70002-1623
Practice Phone
: 504-833-7770;
Practice Fax
: 504-833-7796
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1578655064 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1487746970 -
PLAYA AZUL HOME HEALTH CARE, INC.
Other Name
:
Mailing Address
:
945 SW 87TH AVE
MIAMI
FL
33174-3206
Phone
: 305-503-9042;
Fax
: 305-509-5241;
Practice Location Address
:
945 SW 87TH AVE
,
, MIAMI
, FL
, 33174-3206
Practice Phone
: 305-503-9042;
Practice Fax
: 305-509-5241
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1295827780 -
DEGC ENTERPRISES (U.S.), INC.
Other Name
:
Mailing Address
:
3030 LBJ FWY STE 1525
DALLAS
TX
75234-7758
Phone
: 972-628-2100;
Fax
: ;
Practice Location Address
:
14255 49TH ST N STE 301
,
, CLEARWATER
, FL
, 33762-2813
Practice Phone
: 888-308-8882;
Practice Fax
:
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1104918697 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1013009505 -
DR.
DR.
DAVID
YAO
M.D.
Other Name
:
Mailing Address
:
3801 MIRANDA AVE
MEDICAL SERVICES (111A)
PALO ALTO
CA
94304-1207
Phone
: 650-493-5000;
Fax
: ;
Practice Location Address
:
3801 MIRANDA AVE
, MEDICAL SERVICES (111A)
, PALO ALTO
, CA
, 94304-1207
Practice Phone
: 650-493-5000;
Practice Fax
:
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1922190412 -
BRUCE
S
DAVID
CRNA
Other Name
:
Mailing Address
:
PO BOX 755
BENTON
KY
42025-0755
Phone
: 270-274-0480;
Fax
: 270-274-0482;
Practice Location Address
:
615 OLD SYMSONIA RD
,
, BENTON
, KY
, 42025-5042
Practice Phone
: 270-527-4800;
Practice Fax
:
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1831281328 -
JOSEPH
D.
FISHER
M.D.
Other Name
:
Mailing Address
:
PO BOX 9007
CHARLOTTESVILLE
VA
22906-9007
Phone
: 434-295-1000;
Fax
: ;
Practice Location Address
:
57 BEAM LN STE 202
,
, FISHERSVILLE
, VA
, 22939-2350
Practice Phone
: 540-932-0980;
Practice Fax
: 540-932-0979
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1740372234 -
DR.
DR.
VIVIEN
M. B.
THAM
MD
Other Name
:
Mailing Address
:
1401 S BERETANIA ST
#560
HONOLULU
HI
96814-1870
Phone
: 808-428-3288;
Fax
: 808-312-6308;
Practice Location Address
:
1401 S BERETANIA ST
, #560
, HONOLULU
, HI
, 96814-1870
Practice Phone
: 808-428-3288;
Practice Fax
: 808-312-6308
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1659463149 -
REBECCA
SERAZIN
PHD PSYCHOLOGY
Other Name
:
Mailing Address
:
2350 POLE AVE
LORAIN
OH
44052-4301
Phone
: 440-960-5800;
Fax
: ;
Practice Location Address
:
2350 POLE AVE
,
, LORAIN
, OH
, 44052-4301
Practice Phone
: 440-960-5800;
Practice Fax
:
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1568554053 -
KAREN
A
STANFORD
M.D.
Other Name
:
Mailing Address
:
121 DEKALB AVE
BROOKLYN
NY
11201-5425
Phone
: 718-250-6805;
Fax
: 718-250-6616;
Practice Location Address
:
121 DEKALB AVE
,
, BROOKLYN
, NY
, 11201-5425
Practice Phone
: 718-250-6805;
Practice Fax
: 718-250-6616
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1477645968 -
EVAN
M
WENZLER
PT
Other Name
:
Mailing Address
:
121 EVERETT RD
ALBANY
NY
12205-1474
Phone
: 518-453-9088;
Fax
: 518-689-3895;
Practice Location Address
:
121 EVERETT RD
,
, ALBANY
, NY
, 12205-1474
Practice Phone
: 518-453-9088;
Practice Fax
: 518-689-3895
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1386736874 -
LUXOTTICA OF AMERICA INC.
Other Name
:
Mailing Address
:
4000 LUXOTTICA PL
ATTN MEDICARE DEPT
MASON
OH
45040-8114
Phone
: 817-503-0618;
Fax
: ;
Practice Location Address
:
8532 DAVIS BLVD
,
, NORTH RICHLAND HILLS
, TX
, 76180-1300
Practice Phone
: 817-503-0618;
Practice Fax
:
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1194817684 -
LRG HEALTHCARE
Other Name
:
Mailing Address
:
PO BOX 10005
LEWISTON
ME
04243-9432
Phone
: 603-524-5151;
Fax
: ;
Practice Location Address
:
724 N MAIN ST
,
, LACONIA
, NH
, 03246-2742
Practice Phone
: 603-524-5151;
Practice Fax
:
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1003908591 -
DR.
DR.
JOHN
R
NELSON
MD
Other Name
:
Mailing Address
:
7061 N WHITNEY
SUITE 101
FRESNO
CA
93720
Phone
: 559-299-0224;
Fax
: 559-299-4201;
Practice Location Address
:
7061 N WHITNEY
, SUITE 101
, FRESNO
, CA
, 93720
Practice Phone
: 559-299-0224;
Practice Fax
: 559-299-4201
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1912099409 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1821180316 -
DR.
DR.
DOUGLAS
DANE
WOLFORD
D.O.
Other Name
:
Mailing Address
:
321 E HARRIS ST
CHARLOTTE
MI
48813-1629
Phone
: 517-543-1050;
Fax
: 517-543-0875;
Practice Location Address
:
321 E HARRIS ST
,
, CHARLOTTE
, MI
, 48813-1629
Practice Phone
: 517-543-1050;
Practice Fax
: 517-543-0875
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1730271222 -
BERT J. ALTMANSHOFER,DPM AND ASSOICATE, LTD
Other Name
:
Mailing Address
:
PO BOX 412
HOLLIDAYSBURG
PA
16648-0412
Phone
: 814-696-3397;
Fax
: 814-696-9477;
Practice Location Address
:
1798 OLD ROUTE 220 N
, SUITE 201
, DUNCANSVILLE
, PA
, 16635-8341
Practice Phone
: 814-696-3397;
Practice Fax
:
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1346332848 -
ALICIA
KEY
Other Name
:
Mailing Address
:
800 E 55TH ST
CHICAGO
IL
60615-4906
Phone
: 773-795-2260;
Fax
: 773-834-3756;
Practice Location Address
:
800 E 55TH ST
,
, CHICAGO
, IL
, 60615
Practice Phone
: 773-702-0660;
Practice Fax
:
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1255423752 -
SUSIE
Q.
LEW
MD
Other Name
:
Mailing Address
:
2150 PENNSYLVANIA AVE NW
DEPT. OF MEDICINE
WASHINGTON
DC
20037-3201
Phone
: 202-741-3333;
Fax
: ;
Practice Location Address
:
2150 PENNSYLVANIA AVE NW
, DEPT. OF MEDICINE
, WASHINGTON
, DC
, 20037-3201
Practice Phone
: 202-741-3333;
Practice Fax
:
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1457443285 -
DR.
DR.
OSCAR
A
AREVALO
DDS
Other Name
:
Mailing Address
:
300 S BISCAYNE BLVD
APT 3310
MIAMI
FL
33131-5312
Phone
: 267-738-2600;
Fax
: ;
Practice Location Address
:
3601 NW 107TH AVE
,
, DORAL
, FL
, 33178-4377
Practice Phone
: 305-418-7781;
Practice Fax
: 305-662-8314
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1366534190 -
SUNGNAI
CHO
M.D.
Other Name
:
Mailing Address
:
251 CONTINENTAL DR
NEW HYDE PARK
NY
11040-1003
Phone
: 516-627-5412;
Fax
: 516-869-0572;
Practice Location Address
:
251 CONTINENTAL DR
,
, NEW HYDE PARK
, NY
, 11040-1003
Practice Phone
: 516-627-5412;
Practice Fax
: 516-869-0572
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1275625006 -
MRS.
MRS.
MILOSLAVA
SOUCKOVA
MICIAN
MD
Other Name
:
MILA
MICIAN
Mailing Address
:
3619 W WATERS AVENUE
TAMPA
FL
33614
Phone
: 813-932-8866;
Fax
: 813-932-9668;
Practice Location Address
:
3619 W WATERS AVENUE
,
, TAMPA
, FL
, 33614
Practice Phone
: 813-932-8866;
Practice Fax
: 813-932-9668
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1184716912 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1992897722 -
GARY
P
STEINER
R. EEG/EP T/RPSGT
Other Name
:
Mailing Address
:
2232 N 7TH ST #4
GRAND JUNCTION
CO
81501-7454
Phone
: 970-640-1650;
Fax
: 970-257-1301;
Practice Location Address
:
2232 N 7TH ST #4
,
, GRAND JUNCTION
, CO
, 81501-7454
Practice Phone
: 970-640-1650;
Practice Fax
: 970-257-1301
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1801988639 -
CARIBE GASTROENTEROLOGY LLC
Other Name
:
Mailing Address
:
PO BOX 1449
MARYLAND HEIGHTS
MO
63043-0449
Phone
: 314-432-2580;
Fax
: 314-569-3162;
Practice Location Address
:
6 JUNGERMANN CIR
, SUITE 207
, SAINT PETERS
, MO
, 63376-1621
Practice Phone
: 636-498-1700;
Practice Fax
: 636-498-1702
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1710079546 -
DR.
DR.
CATHIE
CEE
GROSS
M.D.
Other Name
:
Mailing Address
:
101 S BERGEN PL
FREEPORT
NY
11520-3528
Phone
: 516-415-7344;
Fax
: 516-415-7345;
Practice Location Address
:
101 S BERGEN PL
,
, FREEPORT
, NY
, 11520-3528
Practice Phone
: 516-415-7344;
Practice Fax
: 516-415-7345
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1083706816 -
DAVID
LEE
MASTERS
M.D.
Other Name
:
Mailing Address
:
100 KIMEL FOREST DR
WINSTON SALEM
NC
27103-6074
Phone
: 336-716-1331;
Fax
: ;
Practice Location Address
:
2933 MAPLEWOOD AVE
,
, WINSTON SALEM
, NC
, 27103-4001
Practice Phone
: 336-794-3380;
Practice Fax
: 336-794-3378
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1992897730 -
MRS.
MRS.
PAULA
OTTAWAY
DDS
Other Name
:
Mailing Address
:
13403 13 MILE RD
WARREN
MI
48088
Phone
: 586-979-2800;
Fax
: 586-979-2720;
Practice Location Address
:
13403 13 MILE RD
,
, WARREN
, MI
, 48088
Practice Phone
: 586-979-2800;
Practice Fax
: 586-979-2720
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1801988647 -
TIMOTHY
J
HART
DPM
Other Name
:
Mailing Address
:
301 MENDON ROAD
WOONSOCKET
RI
02895
Phone
: 401-769-5011;
Fax
: 401-769-2125;
Practice Location Address
:
1376 BRONCOS HWY RTE 102
,
, BURRILLVILLE
, RI
, 02858
Practice Phone
: 401-568-9980;
Practice Fax
: 401-769-2125
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1710079553 -
STEPHEN
MICHAEL
SCAPPA
MD
Other Name
:
Mailing Address
:
827 GALLOWAY STREET
PACIFIC PALISADES
CA
90272-3848
Phone
: 310-573-1269;
Fax
: 310-573-1500;
Practice Location Address
:
9730 WILSHIRE BLVD
, SUITE 213
, BEVERLY HILLS
, CA
, 90212-2022
Practice Phone
: 310-273-2598;
Practice Fax
:
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1629160460 -
SANDRA
MELLIN
CSW
Other Name
:
Mailing Address
:
6773 WEST MAPLE ROAD
WEST BLOOMFIELD
MI
48322
Phone
: 248-661-6100;
Fax
: 248-661-7347;
Practice Location Address
:
6773 WEST MAPLE ROAD
,
, WEST BLOOMFIELD
, MI
, 48322
Practice Phone
: 248-661-6100;
Practice Fax
: 248-661-7347
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1538251376 -
MRS.
MRS.
DANIELLE
GEHLERT
DDS
Other Name
:
Mailing Address
:
13403 13 MILE RD
WARREN
MI
48088
Phone
: 586-979-2800;
Fax
: 586-979-2720;
Practice Location Address
:
13403 13 MILE RD
,
, WARREN
, MI
, 48088
Practice Phone
: 586-979-2800;
Practice Fax
: 586-979-2720
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1447342282 -
MS.
MS.
KATHLEEN
L.
PEEKE
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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1356433197 -
MS.
MS.
KAREN
M.
SACKS
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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1265524003 -
PBC MEDICAL SERVICES INC
Other Name
:
Mailing Address
:
15715 S DIXIE HWY
STE 334
PALMETTO BAY
FL
33157-1800
Phone
: ;
Fax
: ;
Practice Location Address
:
15715 S DIXIE HWY
, STE 334
, PALMETTO BAY
, FL
, 33157-1800
Practice Phone
: 305-238-6578;
Practice Fax
:
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1174615918 -
SOUTHEASTERN HAND CENTER, P.A.
Other Name
:
Mailing Address
:
6100 KENNERLY RD
SUITE 202
JACKSONVILLE
FL
32216-4368
Phone
: 904-733-5550;
Fax
: 904-733-5515;
Practice Location Address
:
6100 KENNERLY RD
, SUITE 202
, JACKSONVILLE
, FL
, 32216-4368
Practice Phone
: 904-733-5550;
Practice Fax
: 904-733-5515
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1083706824 -
TODD
FOSTER
FARRIS
D. C.
Other Name
:
Mailing Address
:
1801 N BROADWAY AVE
OKLAHOMA CITY
OK
73103-3446
Phone
: 405-528-1936;
Fax
: 405-521-8260;
Practice Location Address
:
1801 N BROADWAY AVE
,
, OKLAHOMA CITY
, OK
, 73103-3446
Practice Phone
: 405-528-1936;
Practice Fax
: 405-521-8260
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1891887634 -
MRS.
MRS.
BARBARA
BLACKMORE
HEADING
BS PHARMACY
Other Name
:
Mailing Address
:
2540 S SHORE DR
BILOXI
MS
39532-3010
Phone
: 228-388-8453;
Fax
: ;
Practice Location Address
:
2384 PASS RD
,
, BILOXI
, MS
, 39531-2236
Practice Phone
: 228-388-4015;
Practice Fax
:
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1700978541 -
SUSAN
E
KEENEY
MD
Other Name
:
Mailing Address
:
6620 CYPRESSWOOD DR.
SUITE 200
SPRING
TX
77379
Phone
: 281-477-8660;
Fax
: 281-477-8662;
Practice Location Address
:
6620 CYPRESSWOOD DR.
, SUITE 200
, SPRING
, TX
, 77379
Practice Phone
: 281-477-8660;
Practice Fax
: 281-477-8662
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1790877538 -
KEVIN
ALBERT
PAULSEN
PT
Other Name
:
Mailing Address
:
PO BOX 14890
ALBANY
NY
12212-4890
Phone
: 518-525-5634;
Fax
: 518-649-4094;
Practice Location Address
:
1240 NEW SCOTLAND RD STE 100
,
, SLINGERLANDS
, NY
, 12159-9222
Practice Phone
: 518-475-1818;
Practice Fax
:
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1295827020 -
DR.
DR.
ERIC
MCCUTCHEON
DDS
Other Name
:
Mailing Address
:
22646 E 9 MILE RD
STE. B
SAINT CLAIR SHORES
MI
48080-1951
Phone
: 586-778-4151;
Fax
: 586-778-3291;
Practice Location Address
:
22646 E 9 MILE RD
, STE. B
, SAINT CLAIR SHORES
, MI
, 48080-1951
Practice Phone
: 586-778-4151;
Practice Fax
: 586-778-3291
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1013009844 -
DR.
DR.
FRANCES
R.
ZAPPALLA
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
:
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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1831281666 -
MRS.
MRS.
ELIZABETH
ANNETTE
KRALL
RN
Other Name
:
Mailing Address
:
542 MIDLAND TRL
HURRICANE
WV
25526-1628
Phone
: 304-562-3506;
Fax
: ;
Practice Location Address
:
9 COURTHOUSE DR
,
, WINFIELD
, WV
, 25213-9347
Practice Phone
: 304-586-0500;
Practice Fax
:
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1740372572 -
DR.
DR.
THOMAS
JOSEPH
CAROLLO
JR.
M.D.
Other Name
:
Mailing Address
:
1200 NORTHSIDE FORSYTH DR
CUMMING
GA
30041-7659
Phone
: 770-844-3200;
Fax
: 404-851-6325;
Practice Location Address
:
1200 NORTHSIDE FORSYTH DR
,
, CUMMING
, GA
, 30041-7659
Practice Phone
: 770-844-3200;
Practice Fax
: 404-851-6325
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1639261464 -
MRS.
MRS.
DAWN
M
KACY
DDS
Other Name
:
Mailing Address
:
13403 13 MILE RD
WARREN
MI
48088
Phone
: 586-979-2800;
Fax
: 586-979-2720;
Practice Location Address
:
45720 SCHOENHERR RD
,
, SHELBY TWP
, MI
, 48315
Practice Phone
: 586-566-1600;
Practice Fax
: 586-566-1696
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1548352370 -
DR.
DR.
JUDITH
A
JONES
MD
Other Name
:
Mailing Address
:
PO BOX 191
ROCKLAND
DE
19723-0191
Phone
: 302-651-4000;
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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1336231174 -
JOSEPH
SABOURIN
LLP
Other Name
:
Mailing Address
:
6773 W. MAPLE ROAD
W. BLOOMFIELD
MI
48322
Phone
: 248-661-6100;
Fax
: 248-661-7347;
Practice Location Address
:
6773 W. MAPLE ROAD
,
, W. BLOOMFIELD
, MI
, 48322
Practice Phone
: 248-661-6100;
Practice Fax
: 248-661-7347
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1245322080 -
MS.
MS.
LESLIE
CHEREIS
COLEMAN
PTA FI
Other Name
:
Mailing Address
:
3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY
MN
55422-4298
Phone
: 763-520-0369;
Fax
: 763-520-0392;
Practice Location Address
:
3915 GOLDEN VALLEY ROAD
, COURAGE CENTER
, GOLDEN VALLEY
, MN
, 55422-4298
Practice Phone
: 763-520-0369;
Practice Fax
: 763-520-0355
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1154413995 -
MR.
MR.
KENNETH
A.
MOLCZAN
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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1063504801 -
DR.
DR.
KIRK
W.
REICHARD
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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1972695716 -
MS.
MS.
KATHLEEN
M.
TRZCINSKI
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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1053403899 -
MS.
MS.
KAY
ROBERSON
MS, MFTI
Other Name
:
Mailing Address
:
161 W VICTORIA ST
LONG BEACH
CA
90805-2175
Phone
: 323-242-5000;
Fax
: ;
Practice Location Address
:
161 W VICTORIA ST
,
, LONG BEACH
, CA
, 90805-2175
Practice Phone
: 323-242-5000;
Practice Fax
:
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1962594705 -
LAURIE
GORDON
MD
Other Name
:
Mailing Address
:
PO BOX 27842
NEW YORK
NY
10087-7842
Phone
: 718-670-1651;
Fax
: 516-437-4167;
Practice Location Address
:
5645 MAIN ST
,
, FLUSHING
, NY
, 11355-5045
Practice Phone
: 718-670-1800;
Practice Fax
: 516-437-4167
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1871685610 -
MR.
MR.
JOHN
K.
PEPPARD
PHD IN PSYCHOLOGY
Other Name
:
Mailing Address
:
32 MOONSTONE
IRVINE
CA
92602-1610
Phone
: 714-734-3448;
Fax
: 714-734-3449;
Practice Location Address
:
23521 PASEO DE VALENCIA
, SUITE 304A THE TAJ MAHAL MEDICAL CENTER
, LAGUNA HILLS
, CA
, 92653-3107
Practice Phone
: 714-734-3448;
Practice Fax
: 714-734-3449
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1780776526 -
MS.
MS.
DONNA
MARIE
FOSTER
M.S. CCC-SLP/L
Other Name
:
Mailing Address
:
5500 E KELLOGG DR
DEPT VET AFFAIRS ROBERT J. DOLE MEDICAL & REG OFFICE
WICHITA
KS
67218-1607
Phone
: 316-685-2221;
Fax
: 316-681-5591;
Practice Location Address
:
5500 E KELLOGG DR
, DEPT VET AFFAIRS ROBERT J. DOLE MEDICAL & REG OFFICE
, WICHITA
, KS
, 67218-1607
Practice Phone
: 316-685-2221;
Practice Fax
: 316-681-5591
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1598857336 -
MS.
MS.
SHILPA
KOLHATKAR
DDS, MDS
Other Name
:
Mailing Address
:
40400 ANN ARBOR RD E
SUITE 204A
PLYMOUTH
MI
48170-6615
Phone
: 734-459-4077;
Fax
: ;
Practice Location Address
:
40400 ANN ARBOR RD E
, SUITE 204A
, PLYMOUTH
, MI
, 48170-6615
Practice Phone
: 734-459-4077;
Practice Fax
:
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1407948243 -
ROBERT
M.
FEDE
M.D.
Other Name
:
Mailing Address
:
30 BERGEN ST.
ADMC 12 1205
NEWARK
NJ
07107-3000
Phone
: ;
Fax
: ;
Practice Location Address
:
30 BERGEN ST.
, ADMC 12 1205
, NEWARK
, NJ
, 07107-3000
Practice Phone
: 973-972-1880;
Practice Fax
: 973-972-1879
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1316039159 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1225120066 -
ELIE
K
CHAMOUN
D.M.D.
Other Name
:
Mailing Address
:
230 E 10TH ST STE 106
ANNISTON
AL
36207-5771
Phone
: 256-741-7340;
Fax
: 256-741-7373;
Practice Location Address
:
230 E 10TH ST STE 106
,
, ANNISTON
, AL
, 36207-5771
Practice Phone
: 256-741-7340;
Practice Fax
: 256-741-7373
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1932291770 -
MRS.
MRS.
WALINDA
BLATCHFORD
SANCHEZ
R.N.
Other Name
:
Mailing Address
:
PO BOX 1337
GALLUP
NM
87305-1337
Phone
: 505-722-1000;
Fax
: ;
Practice Location Address
:
516 NIZHONI BLVD
,
, GALLUP
, NM
, 87301-5748
Practice Phone
: 505-722-1000;
Practice Fax
: 505-722-1310
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1578655312 -
DR.
DR.
ASMA
QURESHI
M.D.
Other Name
:
Mailing Address
:
5841 SOUTHWATER DR
MASON
OH
45040-7608
Phone
: 937-208-4380;
Fax
: ;
Practice Location Address
:
1 WYOMING ST
,
, DAYTON
, OH
, 45409-2722
Practice Phone
: 937-208-4380;
Practice Fax
:
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1659463495 -
RAGAN FAMILY EYE CARE, LLC
Other Name
:
Mailing Address
:
PO BOX 2150
MADISON
MS
39130-2150
Phone
: 601-853-7640;
Fax
: 601-853-7614;
Practice Location Address
:
127 GRANDVIEW DR
,
, MADISON
, MS
, 39110-7595
Practice Phone
: 601-853-7640;
Practice Fax
: 601-853-7614
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1568554301 -
DR.
DR.
LIYEN
LIN
KEEN
D.D.S.
Other Name
:
LI-YEN
LIN
Mailing Address
:
17320 W GRAND PKWY S STE B
SUGAR LAND
TX
77479-2667
Phone
: 832-595-2505;
Fax
: 832-595-2290;
Practice Location Address
:
17320 W GRAND PKWY S
, STE. B
, SUGAR LAND
, TX
, 77479-2666
Practice Phone
: 832-595-2505;
Practice Fax
: 832-595-2290
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1477645216 -
KEITH C WINTERNHEIMER DDS PC
Other Name
:
Mailing Address
:
4301 S POSEY COUNTY LINE ROAD
EVANSVILLE
IN
47712-9301
Phone
: 812-985-7772;
Fax
: ;
Practice Location Address
:
610 NORTH COURT
,
, GRAYVILLE
, IL
, 62844-1002
Practice Phone
: 618-375-6341;
Practice Fax
:
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1386736122 -
MR.
MR.
MOHAMAD
MOINZADEH
LPCC
Other Name
:
Mailing Address
:
7750 SPRING GARDEN LN
POWELL
OH
43065-6938
Phone
: 614-257-3106;
Fax
: ;
Practice Location Address
:
1492 E BROAD ST
,
, COLUMBUS
, OH
, 43205-1546
Practice Phone
: 614-257-3106;
Practice Fax
: 614-257-3148
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1194817932 -
DR.
DR.
PUSADEE
SUCHINDA
MD
Other Name
:
Mailing Address
:
635 W WESMARK BLVD
SUMTER
SC
29150-1900
Phone
: 803-469-7500;
Fax
: 803-469-7519;
Practice Location Address
:
635 W WESMARK BLVD
,
, SUMTER
, SC
, 29150-1900
Practice Phone
: 803-469-7500;
Practice Fax
: 803-469-7519
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1003908849 -
PECK OPTICIANS INC
Other Name
:
Mailing Address
:
370 LONGVIEW DRIVE
LEXINGTON
KY
40503-1817
Phone
: 859-276-2573;
Fax
: 859-276-2574;
Practice Location Address
:
370 LONGVIEW DRIVE
,
, LEXINGTON
, KY
, 40503-1817
Practice Phone
: 859-276-2573;
Practice Fax
: 859-276-2574
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1912099755 -
SUE
H
TRIPP
RN, FNP-C
Other Name
:
Mailing Address
:
900 JEROME ST STE 400
FORT WORTH
TX
76104-3942
Phone
: 817-732-6060;
Fax
: 817-731-2541;
Practice Location Address
:
900 JEROME ST STE 400
,
, FORT WORTH
, TX
, 76104-3942
Practice Phone
: 817-732-6060;
Practice Fax
: 817-731-2541
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1457443202 -
RAYPAR INC
Other Name
:
Mailing Address
:
550 POPE AVE NW
SUITE 100
WINTER HAVEN
FL
33881-4679
Phone
: 863-293-2144;
Fax
: 863-293-3732;
Practice Location Address
:
550 POPE AVE NW
, SUITE 100
, WINTER HAVEN
, FL
, 33881-4679
Practice Phone
: 863-293-2144;
Practice Fax
: 863-293-3732
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1366534117 -
MR.
MR.
DAVID
J
BARTOLOVIC
DDS
Other Name
:
Mailing Address
:
13403 13 MILE RD
WARREN
MI
48088
Phone
: 586-979-2800;
Fax
: 586-979-2720;
Practice Location Address
:
13403 13 MILE RD
,
, WARREN
, MI
, 48088
Practice Phone
: 586-979-2800;
Practice Fax
: 586-979-2720
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1275625022 -
CHARLES
D.
LEVINE
M.D.
Other Name
:
Mailing Address
:
579A CRANBURY RD
EAST BRUNSWICK
NJ
08816-5426
Phone
: 732-390-0040;
Fax
: 732-390-1856;
Practice Location Address
:
483 CRANBURY RD
,
, EAST BRUNSWICK
, NJ
, 08816-3610
Practice Phone
: 732-390-0030;
Practice Fax
: 732-390-1856
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1184716938 -
DR.
DR.
REZA
J
DAUGHERTY
MD
Other Name
:
Mailing Address
:
PO BOX 749112
ATLANTA
GA
30374-9112
Phone
: 434-295-1000;
Fax
: ;
Practice Location Address
:
1215 LEE ST
,
, CHARLOTTESVILLE
, VA
, 22908-0816
Practice Phone
: 434-924-9400;
Practice Fax
: 434-982-1618
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1992897748 -
MS.
MS.
MICHELLE
N.
RHOADS
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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1801988654 -
MIHIR
THACKER
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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1710079561 -
MRS.
MRS.
PATRICIA
L
TRAVIS
CRNA
Other Name
:
Mailing Address
:
10400 LITTLE PATUXENT PKWY STE 240
COLUMBIA
MD
21044-3540
Phone
: 321-422-7110;
Fax
: 407-667-4338;
Practice Location Address
:
10400 LITTLE PATUXENT PKWY STE 240
,
, COLUMBIA
, MD
, 21044-3540
Practice Phone
: 321-422-7110;
Practice Fax
: 407-667-4338
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1346332194 -
NIHIR
BIHARILAL
SHAH
MD
Other Name
:
Mailing Address
:
317 GEORGE ST
SUITE 440
NEW BRUNSWICK
NJ
08901-2008
Phone
: 732-994-3278;
Fax
: 732-354-3181;
Practice Location Address
:
317 GEORGE ST
, SUITE 440
, NEW BRUNSWICK
, NJ
, 08901-2008
Practice Phone
: 732-994-3278;
Practice Fax
: 732-354-3181
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1881786630 -
FAMILY PRACTICE SPECIALISTS, PLLC
Other Name
:
Mailing Address
:
280 VIRGINIA AVE NE
SUITE 106
NORTON
VA
24273-1538
Phone
: 276-679-0899;
Fax
: 276-679-0803;
Practice Location Address
:
280 VIRGINIA AVE NE
, SUITE 106
, NORTON
, VA
, 24273-1538
Practice Phone
: 276-679-0899;
Practice Fax
: 276-679-0803
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1699867440 -
ANGELA
NICOLLE
WILSON
CRNA
Other Name
:
Mailing Address
:
3206 REVERE ST APT 215
HOUSTON
TX
77098-2236
Phone
: 713-301-1105;
Fax
: ;
Practice Location Address
:
500 MEDICAL CENTER BLVD
,
, WEBSTER
, TX
, 77598-4220
Practice Phone
: 281-218-9515;
Practice Fax
:
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1508958356 -
JOSEPH
C.
GIANONI
M.S., P.T.
Other Name
:
Mailing Address
:
430 INNOVATION DRIVE
BLAIRSVILLE
PA
15717-8096
Phone
: 724-343-4060;
Fax
: 724-343-4069;
Practice Location Address
:
800 BETHLEHEM PIKE
, SUITE 2
, SELLERSVILLE
, PA
, 18960-1660
Practice Phone
: 215-257-3900;
Practice Fax
: 215-257-7545
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1417049263 -
MS.
MS.
MARYANNE
TRASK
PHYSICAL THERAPIST
Other Name
:
Mailing Address
:
12 BRANDON ST
N BILLERICA
MA
01862-3107
Phone
: 978-667-7421;
Fax
: 781-246-1098;
Practice Location Address
:
384 LOWELL ST
,
, WAKEFIELD
, MA
, 01880-1986
Practice Phone
: 781-246-2266;
Practice Fax
: 781-246-1098
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1326130170 -
AUGUSTUS
LLUCH
GUERRERO
MD
Other Name
:
Mailing Address
:
2545 CAPITAL AVE SW STE 201
BATTLE CREEK
MI
49015-7103
Phone
: 269-979-5550;
Fax
: 269-979-3593;
Practice Location Address
:
4625 BECKLEY RD STE 301
,
, BATTLE CREEK
, MI
, 49015
Practice Phone
: 269-979-5550;
Practice Fax
: 269-979-3593
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1235221086 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1144312992 -
JOHN
C
PETERSON
MD
Other Name
:
Mailing Address
:
7822 DAVENPORT ST
OMAHA
NE
68114-3629
Phone
: 402-391-4855;
Fax
: 402-391-6818;
Practice Location Address
:
7822 DAVENPORT ST
,
, OMAHA
, NE
, 68114-3629
Practice Phone
: 402-391-4855;
Practice Fax
: 402-391-6818
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1053403808 -
DR.
DR.
MANUEL
ANTONIO
MACHIRAN
M.D.
Other Name
:
Mailing Address
:
802 MAPLEHURST LN
MONKTON
MD
21111-1433
Phone
: 410-329-6027;
Fax
: ;
Practice Location Address
:
7850 ROSSVILLE BLVD
, SUITE 210
, BALTIMORE
, MD
, 21236-3934
Practice Phone
: 410-661-9020;
Practice Fax
: 410-661-5587
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1871685628 -
COLLABORATIVE LABORATORY SERVICES LLC
Other Name
:
Mailing Address
:
1005 PENNSYLVANIA AVE
SUITE 102
OTTUMWA
IA
52501-6408
Phone
: 641-684-4621;
Fax
: 641-682-8976;
Practice Location Address
:
1005 PENNSYLVANIA AVE
, SUITE 102
, OTTUMWA
, IA
, 52501-6413
Practice Phone
: 641-684-4621;
Practice Fax
: 641-682-8976
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1679665426 -
SALLY
S.
ROBINSON
M.D.
Other Name
:
Mailing Address
:
301 UNIVERSITY BLVD
PROVIDER ENROLLMENT -- RT. 1022
GALVESTON
TX
77555-1022
Phone
: 409-747-0890;
Fax
: 409-772-0885;
Practice Location Address
:
301 UNIVERSITY BLVD
,
, GALVESTON
, TX
, 77555-1022
Practice Phone
: 409-772-2222;
Practice Fax
:
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1588756332 -
MS.
MS.
DELIA
ESTHER
BANCHS
MPH, BS, PA-C
Other Name
:
Mailing Address
:
402 GINA DR
HARKER HEIGHTS
TX
76548-6087
Phone
: 254-698-2086;
Fax
: ;
Practice Location Address
:
1901 S 1ST ST
, CENTRAL TX VETERANS HEALTH CARE SYSTEM
, TEMPLE
, TX
, 76504-7451
Practice Phone
: 254-743-0712;
Practice Fax
: 254-743-0135
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1396837142 -
MADHUSUDAN
P
DAVE
Other Name
:
Mailing Address
:
1770 WINDMILL COURT
ADDISON
IL
60101
Phone
: ;
Fax
: ;
Practice Location Address
:
5TH AND ROOSEVELT ROAD
,
, HINES
, IL
, 60141
Practice Phone
: 708-202-8387;
Practice Fax
:
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