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Showing codes 1972590065 — 1780671867
1972590065 -
RIPLEY PUBLIC SCHOOLS
Other Name
:
Mailing Address
:
PO BOX 97
RIPLEY
OK
74062-0097
Phone
: 918-372-4242;
Fax
: 918-372-4608;
Practice Location Address
:
403 E COOK
,
, RIPLEY
, OK
, 74062-6456
Practice Phone
: 918-372-4242;
Practice Fax
:
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1881681971 -
DR.
DR.
TANYA
ERMOLOVICH
D.O.
Other Name
:
Mailing Address
:
1259 S CEDAR CREST BLVD
SUITE 100
ALLENTOWN
PA
18103-6206
Phone
: 610-437-4134;
Fax
: 610-770-0993;
Practice Location Address
:
1259 S CEDAR CREST BLVD STE 100
,
, ALLENTOWN
, PA
, 18103-6373
Practice Phone
: 610-437-4134;
Practice Fax
: 610-433-9690
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1699762781 -
DR.
DR.
DEBORAH
LOUISE
GANT
M.D.
Other Name
:
Mailing Address
:
2017 BROADWAY ST
PEARLAND
TX
77581-5501
Phone
: 281-485-9990;
Fax
: 281-485-9469;
Practice Location Address
:
2017 BROADWAY ST
,
, PEARLAND
, TX
, 77581-5501
Practice Phone
: 281-485-9990;
Practice Fax
: 281-485-9469
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1508853698 -
STRAND PHYSICIAN SPECIALISTS, PA
Other Name
:
CAROLINA HEALTH SPECIALISTS
Mailing Address
:
PO BOX 3439
NORTH MYRTLE BEACH
SC
29582-0439
Phone
: 843-839-4447;
Fax
: 843-399-0123;
Practice Location Address
:
809 82ND PKWY
,
, MYRTLE BEACH
, SC
, 29572-4607
Practice Phone
: 843-497-5929;
Practice Fax
:
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1417944505 -
MS.
MS.
LISA
ANNE
ST. LAURENT
MA, LMHC
Other Name
:
Mailing Address
:
384 COUNTY ST
NEW BEDFORD
MA
02740-4980
Phone
: 508-993-3127;
Fax
: 508-993-5278;
Practice Location Address
:
384 COUNTY ST
,
, NEW BEDFORD
, MA
, 02740-4980
Practice Phone
: 508-993-3127;
Practice Fax
: 508-993-5278
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1326035411 -
DR.
DR.
LINDWOOD
ALLEN
ROBINSON
MD
Other Name
:
Mailing Address
:
PO BOX 41213
RALEIGH
NC
27629-1213
Phone
: 919-878-3655;
Fax
: 919-878-3647;
Practice Location Address
:
3509 CAPITAL BLVD STE 101
,
, RALEIGH
, NC
, 27604-3325
Practice Phone
: 919-878-3655;
Practice Fax
: 919-878-3647
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1235126327 -
DR.
DR.
OMAR
MOBIN-UDDIN
M.D.
Other Name
:
Mailing Address
:
10 PLUM STREET
6TH. FLOOR SUITE 600
NEW BRUNSWICK
NJ
08901
Phone
: 732-546-3910;
Fax
: 480-287-9735;
Practice Location Address
:
10 PLUM STREET
, 6TH. FLOOR SUITE 600
, NEW BRUNSWICK
, NJ
, 08901
Practice Phone
: 732-546-3910;
Practice Fax
: 480-287-9735
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1144217233 -
LAURA
J.
SIEVERT
M.D.
Other Name
:
Mailing Address
:
PO BOX 975
COLUMBIA
MO
65205-0975
Phone
: 817-570-7300;
Fax
: ;
Practice Location Address
:
1316 OLD HIGHWAY 63 S
, SUITE 102
, COLUMBIA
, MO
, 65201-6092
Practice Phone
: 573-815-8000;
Practice Fax
:
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1053308148 -
DUBLIN URGENT CARE INC
Other Name
:
AMERICA'S URGENT CARE OF DUBLIN
Mailing Address
:
1875 TAMARACK CIR N
COLUMBUS
OH
43229-4577
Phone
: 614-923-0300;
Fax
: 614-923-0400;
Practice Location Address
:
6955 PERIMETER LOOP RD
,
, DUBLIN
, OH
, 43016-8580
Practice Phone
: 614-923-0300;
Practice Fax
: 614-923-0400
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1962499053 -
ROSS MANOR ASSOCIATES
Other Name
:
ROSS MANOR
Mailing Address
:
758 BROADWAY
BANGOR
ME
04401-3224
Phone
: 207-874-2700;
Fax
: ;
Practice Location Address
:
758 BROADWAY
,
, BANGOR
, ME
, 04401-3224
Practice Phone
: 207-874-2700;
Practice Fax
:
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1871580969 -
MEDICAL REHABILITATION ASSOCIATES, INC PC
Other Name
:
Mailing Address
:
1964 HOWELL BRANCH RD STE 108
WINTER PARK
FL
32792-1042
Phone
: 407-681-2241;
Fax
: 407-279-6779;
Practice Location Address
:
6086 AUBURN CT
,
, BURLINGTON
, KY
, 41005-8022
Practice Phone
: 304-809-5312;
Practice Fax
: 410-250-7756
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1780671875 -
REBECCA
ADAMS-HART
M.ED.
Other Name
:
Mailing Address
:
1045 KLOTZ RD
P.O. BOX 738
BOWLING GREEN
OH
43402-4820
Phone
: 419-352-7588;
Fax
: 419-354-4977;
Practice Location Address
:
1045 KLOTZ RD
,
, BOWLING GREEN
, OH
, 43402-4820
Practice Phone
: 419-352-7588;
Practice Fax
: 419-354-4977
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1699762799 -
DR.
DR.
CATHERINE
LOUISE
YACK
D.P.M.
Other Name
:
Mailing Address
:
2006 FRANKLIN ST SE
SUITE 106
HUNTSVILLE
AL
35801-4551
Phone
: 256-533-3668;
Fax
: 256-533-2577;
Practice Location Address
:
2006 FRANKLIN ST SE
, SUITE 106
, HUNTSVILLE
, AL
, 35801-4551
Practice Phone
: 256-533-3668;
Practice Fax
: 256-533-2577
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1508853607 -
MRS.
MRS.
LAUREN
ADA
HAGAN
CRNA
Other Name
:
Mailing Address
:
416 BELLEVUE AVE
TRENTON
NJ
08618-4513
Phone
: 609-396-4700;
Fax
: 609-396-4900;
Practice Location Address
:
416 BELLEVUE AVE
,
, TRENTON
, NJ
, 08618-4513
Practice Phone
: 609-396-4700;
Practice Fax
: 609-396-4900
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1417944513 -
DR.
DR.
JOSE
MEDINA
MD
Other Name
:
Mailing Address
:
PO BOX 3550
VALDOSTA
GA
31604-3550
Phone
: 229-247-1667;
Fax
: 229-245-7661;
Practice Location Address
:
3334 GREYSTONE WAY
,
, VALDOSTA
, GA
, 31605
Practice Phone
: 229-247-1667;
Practice Fax
: 229-245-7661
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1326035429 -
DIANE
HABBENA
DADY
PHARMACIST
Other Name
:
Mailing Address
:
1411 12TH ST W
MOBRIDGE
SD
57601-1018
Phone
: ;
Fax
: ;
Practice Location Address
:
1401 10TH AVE W
,
, MOBRIDGE
, SD
, 57601-1106
Practice Phone
: 605-845-8115;
Practice Fax
:
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1235126335 -
CENTRAL MASS HEALTH SYSTEMS
Other Name
:
PARSONS HILL NURSING & REHABILITATION CENTER
Mailing Address
:
1350 MAIN ST
WORCESTER
MA
01603-1550
Phone
: 508-791-4200;
Fax
: 508-791-0269;
Practice Location Address
:
1350 MAIN ST
,
, WORCESTER
, MA
, 01603-1550
Practice Phone
: 508-791-4200;
Practice Fax
: 508-791-0269
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1144217241 -
GATEWAY IMAGING LLC
Other Name
:
MIDWEST RADIOLOGIC IMAGING
Mailing Address
:
4087 GATEWAY BLVD
NEWBURGH
IN
47630-8947
Phone
: 812-858-0080;
Fax
: 812-858-6637;
Practice Location Address
:
4087 GATEWAY BLVD
,
, NEWBURGH
, IN
, 47630-8947
Practice Phone
: 812-858-0080;
Practice Fax
: 812-858-6637
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1053308155 -
JAMES
J.
ZWEIFEL
PAAA
Other Name
:
Mailing Address
:
3155 N POINT PKWY
ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100
ALPHARETTA
GA
30005
Phone
: 770-645-9181;
Fax
: 770-645-8455;
Practice Location Address
:
1000 JOHNSON FERRY ROAD
,
, ATLANTA
, GA
, 30342
Practice Phone
: 770-645-9181;
Practice Fax
: 770-645-8455
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1962499061 -
DR.
DR.
CUONG
T.
HA
M.D.
Other Name
:
Mailing Address
:
7051 HEATHCOTE VILLAGE WAY
SUITE 210
GAINESVILLE
VA
20155
Phone
: 571-261-1234;
Fax
: 571-261-2235;
Practice Location Address
:
7051 HEATHCOTE VILLAGE WAY
, SUITE 210
, GAINESVILLE
, VA
, 20155
Practice Phone
: 571-261-1234;
Practice Fax
:
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1871580977 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1780671883 -
DR.
DR.
TAEGEE
KIEHM
M.D.
Other Name
:
Mailing Address
:
810 PARK PL
MISHAWAKA
IN
46545-3520
Phone
: 574-472-6700;
Fax
: 574-472-6746;
Practice Location Address
:
5215 HOLY CROSS PARKWAY
,
, MISHAWAKA
, IN
, 46545-1469
Practice Phone
: 574-237-7168;
Practice Fax
: 574-472-6262
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1598752693 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1407843501 -
DR.
DR.
KEVIN
P
MCCARTHY
MD
Other Name
:
Mailing Address
:
PO BOX 98035
BATON ROUGE
LA
70898-9035
Phone
: 225-766-0050;
Fax
: 225-766-1499;
Practice Location Address
:
7301 HENNESSY BLVD
, SUITE 200
, BATON ROUGE
, LA
, 70808-4300
Practice Phone
: 225-766-0050;
Practice Fax
: 225-766-1499
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1316934417 -
JOSE
M
SAEZ
D.O.
Other Name
:
Mailing Address
:
36022 TARPON DR
LEWES
DE
19958-5058
Phone
: 302-827-2316;
Fax
: ;
Practice Location Address
:
36022 TARPON DR
,
, LEWES
, DE
, 19958-5058
Practice Phone
: 302-430-0442;
Practice Fax
:
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1225025323 -
MARY
K
FEHSKENS
MD
Other Name
:
Mailing Address
:
6861 SPRING RUN DR
WESTERVILLE
OH
43082-8667
Phone
: 614-523-2801;
Fax
: ;
Practice Location Address
:
6955 PERIMETER LOOP RD
,
, DUBLIN
, OH
, 43016-8580
Practice Phone
: 614-923-0300;
Practice Fax
: 614-923-0400
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1134116239 -
LEWIS
WILLIAM
COPPEL
JR.
MD
Other Name
:
Mailing Address
:
6857 NEW ALBANY CONDIT RD
NEW ALBANY
OH
43054-8573
Phone
: 614-855-1114;
Fax
: ;
Practice Location Address
:
6857 NEW ALBANY CONDIT RD
,
, NEW ALBANY
, OH
, 43054-8573
Practice Phone
: 614-855-1114;
Practice Fax
:
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1043207145 -
MS.
MS.
PATRICIA
G
LURIE
MSW
Other Name
:
Mailing Address
:
10821 LISBON ST
HOLLYWOOD
FL
33026-4834
Phone
: 954-432-3818;
Fax
: ;
Practice Location Address
:
6099 STIRLING RD
,
, DAVIE
, FL
, 33314-7234
Practice Phone
: 954-483-9520;
Practice Fax
:
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1952398059 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1861489965 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1770570871 -
DR.
DR.
JONATHAN
DEWEY
WOODY
MD
Other Name
:
Mailing Address
:
1357 OCONEE CONNECTOR BLDG 300
WATKINSVILLE
GA
30677-7314
Phone
: 706-549-8306;
Fax
: 706-549-8351;
Practice Location Address
:
1357 OCONEE CONNECTOR BLDG 300
,
, WATKINSVILLE
, GA
, 30677-7314
Practice Phone
: 706-549-8306;
Practice Fax
: 706-549-8351
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1689661787 -
DR.
DR.
JON
E.
MINTER
D.O
Other Name
:
Mailing Address
:
3400 OLD MILTON PKWY # C
STE 290
ALPHARETTA
GA
30005-3707
Phone
: 770-667-4337;
Fax
: 770-677-4338;
Practice Location Address
:
3400 OLD MILTON PKWY # C
, STE 290
, ALPHARETTA
, GA
, 30005-3707
Practice Phone
: 770-667-4337;
Practice Fax
: 770-677-4338
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1497742597 -
HAVEN HEALTH CENTER OF FARMINGTON, LLC
Other Name
:
Mailing Address
:
416 COLT HWY
FARMINGTON
CT
06032-2534
Phone
: 860-677-1671;
Fax
: 860-676-1116;
Practice Location Address
:
416 COLT HWY
,
, FARMINGTON
, CT
, 06032-2534
Practice Phone
: 860-677-1671;
Practice Fax
: 860-676-1116
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1306833405 -
MAXWELL
LAZINGER
M.D.
Other Name
:
Mailing Address
:
1600 E BROADWAY
COLUMBIA
MO
65201-5844
Phone
: 573-815-3221;
Fax
: 573-815-6343;
Practice Location Address
:
1600 E BROADWAY
,
, COLUMBIA
, MO
, 65201-5844
Practice Phone
: 573-815-3221;
Practice Fax
: 573-815-6343
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1215924311 -
DR.
DR.
LAURA
GAETA
KEHOE
MD
Other Name
:
Mailing Address
:
101 MERRIMAC ST
SUITE 1000
BOSTON
MA
02114-4724
Phone
: 617-724-1100;
Fax
: 617-643-8898;
Practice Location Address
:
101 MERRIMAC ST
, SUITE 1000
, BOSTON
, MA
, 02114-4724
Practice Phone
: 617-724-1100;
Practice Fax
: 617-643-8898
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1124015227 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1033106133 -
SUGAR HILL ASSISTED LIVING
Other Name
:
Mailing Address
:
45 MAIN ST
DALTON
MA
01226-1637
Phone
: 413-684-0100;
Fax
: 413-684-4817;
Practice Location Address
:
45 MAIN ST
,
, DALTON
, MA
, 01226-1637
Practice Phone
: 413-684-0100;
Practice Fax
: 413-684-4817
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1942297049 -
FRANCIS
C.
MCGRATH
CRNA
Other Name
:
Mailing Address
:
150 BERGEN ST
NEWARK
NJ
07103-2496
Phone
: 973-972-4300;
Fax
: ;
Practice Location Address
:
1200 S CEDAR CREST BLVD
,
, ALLENTOWN
, PA
, 18103-6202
Practice Phone
: 610-402-9099;
Practice Fax
: 610-402-9029
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1851388953 -
SHALINI
G
SEHGAL
M.D.
Other Name
:
SHALINI
GROVER
Mailing Address
:
4923 OGLETOWN STANTON RD
SUITE 200
NEWARK
DE
19713-2081
Phone
: 302-225-0451;
Fax
: 302-225-0472;
Practice Location Address
:
34434 KING STREET ROW
, SUITE 4
, LEWES
, DE
, 19958-4787
Practice Phone
: 302-360-0142;
Practice Fax
: 302-360-0145
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1760479869 -
JANET
BRUMBAUGH
LSW
Other Name
:
Mailing Address
:
1045 KLOTZ RD
P.O. BOX 738
BOWLING GREEN
OH
43402-4820
Phone
: 419-352-7588;
Fax
: 419-354-4977;
Practice Location Address
:
1045 KLOTZ RD
,
, BOWLING GREEN
, OH
, 43402-4820
Practice Phone
: 419-352-7588;
Practice Fax
: 419-354-4977
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1679560775 -
JACK
L
FOREST
D.O.
Other Name
:
Mailing Address
:
114 E SOUTH HILLS DR
MARYVILLE
MO
64468-2659
Phone
: 660-562-2600;
Fax
: 660-562-7911;
Practice Location Address
:
2016 S MAIN ST
,
, MARYVILLE
, MO
, 64468-2655
Practice Phone
: 660-562-2600;
Practice Fax
: 660-562-7911
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1588651681 -
PEARLAND PEDIATRICS
Other Name
:
Mailing Address
:
2017 BROADWAY ST # A
PEARLAND
TX
77581-5501
Phone
: 281-485-9990;
Fax
: 281-485-9469;
Practice Location Address
:
2017 BROADWAY ST # A
,
, PEARLAND
, TX
, 77581-5501
Practice Phone
: 281-485-9990;
Practice Fax
: 281-485-9469
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1396732491 -
DR.
DR.
HARJIT
S
ATHWAL
M.D.
Other Name
:
Mailing Address
:
14 MULE RD
SUITE 1
TOMS RIVER
NJ
08755-5028
Phone
: 732-286-0900;
Fax
: 732-244-6063;
Practice Location Address
:
14 MULE RD
, SUITE 1
, TOMS RIVER
, NJ
, 08755-5028
Practice Phone
: 732-286-0900;
Practice Fax
: 732-244-6063
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1205823309 -
MCLEOD PHARMACY INC
Other Name
:
Mailing Address
:
127 N MAIN ST
BISHOPVILLE
SC
29010-1413
Phone
: 803-484-6115;
Fax
: 803-484-4128;
Practice Location Address
:
127 N MAIN ST
,
, BISHOPVILLE
, SC
, 29010-1413
Practice Phone
: 803-484-6115;
Practice Fax
: 803-484-4128
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1114914215 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1023005121 -
DR.
DR.
FELIX
G
VALDEZ
MD
Other Name
:
Mailing Address
:
2501 N PATTERSON ST
VALDOSTA
GA
31602-1735
Phone
: 229-259-4501;
Fax
: 229-259-4502;
Practice Location Address
:
2501 N PATTERSON ST
,
, VALDOSTA
, GA
, 31602-1735
Practice Phone
: 229-259-4501;
Practice Fax
: 229-259-4502
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1932196037 -
SALLY
DUNKLE-FOUTS
LSW
Other Name
:
Mailing Address
:
1045 KLOTZ RD
P.O. BOX 738
BOWLING GREEN
OH
43402-4820
Phone
: 419-352-7588;
Fax
: 419-354-4977;
Practice Location Address
:
1045 KLOTZ RD
,
, BOWLING GREEN
, OH
, 43402-4820
Practice Phone
: 419-352-7588;
Practice Fax
: 419-354-4977
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1841287943 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1750378857 -
VIRGINIA
M.
QUAGLIO
CRNA
Other Name
:
Mailing Address
:
8613 LOCKWOOD ROAD
BREININGSVILLE
PA
18131-6258
Phone
: 412-780-7968;
Fax
: ;
Practice Location Address
:
8613 LOCKWOOD ROAD
,
, BREININGSVILLE
, PA
, 18131-6258
Practice Phone
: 412-780-7968;
Practice Fax
:
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1669469763 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1578550679 -
DR.
DR.
MAYEZ
A
EL-HARAKE
MD
Other Name
:
Mailing Address
:
275 DRY HILL RD
BECKLEY
WV
25801-2605
Phone
: 304-253-6060;
Fax
: 304-929-2248;
Practice Location Address
:
275 DRY HILL RD
,
, BECKLEY
, WV
, 25801-2605
Practice Phone
: 304-253-6060;
Practice Fax
: 304-929-2248
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1487641585 -
FIRST DAYTON RADIATION ONCOLOGY INC
Other Name
:
Mailing Address
:
2632 WOODMAN CENTER CT
KETTERING
OH
45420-1477
Phone
: 937-293-2273;
Fax
: 937-293-6573;
Practice Location Address
:
2632 WOODMAN CENTER CT
,
, KETTERING
, OH
, 45420-1477
Practice Phone
: 937-293-2273;
Practice Fax
: 937-293-6573
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1295722395 -
CINDY
FRANCYN
HOFFMAN
DO
Other Name
:
Mailing Address
:
6 AMALFI DR
CORTLANDT MANOR
NY
10567-7014
Phone
: 914-736-7860;
Fax
: 914-736-3499;
Practice Location Address
:
2050 SAW MILL RIVER RD
,
, YORKTOWN HEIGHTS
, NY
, 10598-4143
Practice Phone
: 914-245-8308;
Practice Fax
: 914-245-8326
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1104813203 -
MS.
MS.
KAREN
EGESDAL
D.PH
Other Name
:
Mailing Address
:
2201 IVY GLENN CT
EDMOND
OK
73034-4231
Phone
: 405-348-1864;
Fax
: ;
Practice Location Address
:
4545 N LINCOLN BLVD
,
, OKLAHOMA CITY
, OK
, 73105-3413
Practice Phone
: 405-522-7459;
Practice Fax
: 405-530-3390
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1013904119 -
KCI USA, INC.
Other Name
:
3M MEDICAL SOLUTIONS
Mailing Address
:
6103 FARINON DR
ATTN HCC
SAN ANTONIO
TX
78249-3442
Phone
: ;
Fax
: ;
Practice Location Address
:
2400 MERCED ST
,
, SAN LEANDRO
, CA
, 94577
Practice Phone
: 510-357-3834;
Practice Fax
:
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1922095025 -
PERRY COUNTY HEALTH DEPARTMENT
Other Name
:
Mailing Address
:
406 N SPRING ST
SUITE #1
PERRYVILLE
MO
63775-1935
Phone
: 573-547-6564;
Fax
: 573-547-3908;
Practice Location Address
:
406 N SPRING ST
, SUITE #1
, PERRYVILLE
, MO
, 63775-1935
Practice Phone
: 573-547-6564;
Practice Fax
: 573-547-3908
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1831186931 -
DEACONESS BREAST CENTER, L.L.C.
Other Name
:
Mailing Address
:
520 MARY ST
SUITE 140
EVANSVILLE
IN
47710-1677
Phone
: 812-424-1200;
Fax
: 812-424-4163;
Practice Location Address
:
520 MARY ST
, SUITE 140
, EVANSVILLE
, IN
, 47710-1677
Practice Phone
: 812-424-1200;
Practice Fax
: 812-424-4163
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1740277847 -
DR.
DR.
JEANNE
LYNN
BIRCHMIER
D.O.
Other Name
:
Mailing Address
:
PO BOX 513
WARRENSBURG
MO
64093-0513
Phone
: 660-429-2228;
Fax
: 660-429-2992;
Practice Location Address
:
415A BURKARTH RD
,
, WARRENSBURG
, MO
, 64093-3101
Practice Phone
: 660-429-2228;
Practice Fax
: 660-429-2992
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1659368751 -
MRS.
MRS.
HEIDI
A
BERDIN
MD
Other Name
:
Mailing Address
:
PO BOX 650
LAKE HAVASU CITY
AZ
86405-0650
Phone
: 928-855-6966;
Fax
: 928-855-6974;
Practice Location Address
:
1830 MESQUITE AVE
, SUITE C
, LAKE HAVASU CITY
, AZ
, 86403-5885
Practice Phone
: 928-855-6966;
Practice Fax
: 928-855-6974
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1568459667 -
DR.
DR.
OTONIEL
DAVID
PUERTO
MD
Other Name
:
Mailing Address
:
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON
ME
04243-7291
Phone
: 207-777-8941;
Fax
: 207-777-8800;
Practice Location Address
:
360 BROADWAY
,
, BANGOR
, ME
, 04401
Practice Phone
: 207-907-1430;
Practice Fax
: 207-907-3508
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1477540573 -
KIM
HIETT
LSW
Other Name
:
Mailing Address
:
1045 KLOTZ RD
P.O. BOX 738
BOWLING GREEN
OH
43402-4820
Phone
: 419-352-7588;
Fax
: 419-354-4977;
Practice Location Address
:
1045 KLOTZ RD
,
, BOWLING GREEN
, OH
, 43402-4820
Practice Phone
: 419-352-7588;
Practice Fax
: 419-354-4977
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1386631489 -
DR.
DR.
RACHEL
PAULA
DULTZ
Other Name
:
Mailing Address
:
300B PRINCETON HIGHTSTOWN RD
EAST WINDSOR MEDICAL COMMONS
EAST WINDSOR
NJ
08520
Phone
: 609-688-2700;
Fax
: 609-688-2701;
Practice Location Address
:
300B PRINCETON HIGHTSTOWN RD
, EAST WINDSOR MEDICAL COMMONS
, EAST WINDSOR
, NJ
, 08520
Practice Phone
: 609-688-2700;
Practice Fax
: 609-688-2701
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1194712299 -
DR.
DR.
KRISHAN
KUMAR
AGGARWAL
MD
Other Name
:
Mailing Address
:
3710 PENNSYLVANIA AVE
WEIRTON
WV
26062-4129
Phone
: 304-723-2430;
Fax
: ;
Practice Location Address
:
3710 PENNSYLVANIA AVE
,
, WEIRTON
, WV
, 26062-4129
Practice Phone
: 304-723-2430;
Practice Fax
: 304-723-6039
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1003803107 -
LAFAYETTE CONVALESCENT HOME
Other Name
:
Mailing Address
:
25 LAFAYETTE ST
MARBLEHEAD
MA
01945-1939
Phone
: 781-631-4535;
Fax
: 781-631-6400;
Practice Location Address
:
25 LAFAYETTE ST
,
, MARBLEHEAD
, MA
, 01945-1939
Practice Phone
: 781-631-4535;
Practice Fax
: 781-631-6400
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1912994013 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1821085929 -
LINDSEY
M
SLATER
M.D.
Other Name
:
Mailing Address
:
4923 OGLETOWN STANTON RD
SUITE 200
NEWARK
DE
19713-2081
Phone
: 302-225-0451;
Fax
: 302-225-0472;
Practice Location Address
:
4923 OGLETOWN STANTON RD
, SUITE 200
, NEWARK
, DE
, 19713-2081
Practice Phone
: 302-225-0451;
Practice Fax
: 302-225-0472
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1730176835 -
DR.
DR.
WILLIAM
TRENT
MD
Other Name
:
Mailing Address
:
PO BOX 11407
BIRMINGHAM
AL
35246-1499
Phone
: 800-897-6169;
Fax
: 800-897-6170;
Practice Location Address
:
5 MOBILE INFIRMARY CIR
,
, MOBILE
, AL
, 36607-3513
Practice Phone
: 251-432-4497;
Practice Fax
: 251-432-0577
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1649267741 -
VALLEY-WIDE HEALTH SYSTEMS, INC
Other Name
:
CENTER DENTAL CLINIC
Mailing Address
:
128 MARKET ST
ALAMOSA
CO
81101-2290
Phone
: 719-589-5161;
Fax
: ;
Practice Location Address
:
135 6TH ST
,
, CENTER
, CO
, 81125
Practice Phone
: 719-754-3584;
Practice Fax
: 719-754-2392
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1558358655 -
MRS.
MRS.
BRENDA
ELDER
A.R.N.P.
Other Name
:
BRENDA
ELDER
Mailing Address
:
23778 S MITCHELL LANE
FORT GIBSON
OK
74434
Phone
: 918-478-4394;
Fax
: ;
Practice Location Address
:
1001 SO. 41ST ST. EAST
,
, MUSKOGEE
, OK
, 74403-1404
Practice Phone
: 918-687-0201;
Practice Fax
: 918-687-0665
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1467449561 -
MR.
MR.
ROBERT
MICHAEL
LUCANIA
PT
Other Name
:
Mailing Address
:
123 BRADLEY BLVD
TRAVIS AFB
CA
94535-1344
Phone
: 707-437-3402;
Fax
: ;
Practice Location Address
:
60 MSGS/SGCP
, 110 BODIN AVENUE
, TRAVIS AFB
, CA
, 94535
Practice Phone
: 707-423-7816;
Practice Fax
:
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1376530477 -
MR.
MR.
EDGAR
REYES
D.M.D.
Other Name
:
Mailing Address
:
PMB 08 BOX 3001
BAJADERO
PR
00616-3001
Phone
: 787-880-3943;
Fax
: ;
Practice Location Address
:
CARR. # 2 KM 70.2
, BO. SANTANA
, ARECIBO
, PR
, 00612
Practice Phone
: 787-880-0828;
Practice Fax
: 787-880-0828
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1285621383 -
MS.
MS.
LAURIE
ASTERN
PA-C
Other Name
:
Mailing Address
:
1301 FAYETTEVILLE ST
DURHAM
NC
27707-2325
Phone
: 919-956-4000;
Fax
: ;
Practice Location Address
:
1301 FAYETTEVILLE ST
, D-3
, DURHAM
, NC
, 27707-2325
Practice Phone
: 919-956-4000;
Practice Fax
:
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1093702193 -
MR.
MR.
ALLEN
JULIAN
POLON
RPH
Other Name
:
Mailing Address
:
6450 3RD PALM PT
ST PETE BEACH
FL
33706-2124
Phone
: 727-398-6661;
Fax
: ;
Practice Location Address
:
10000 BAY PINES BLVD
,
, BAY PINES
, FL
, 33744
Practice Phone
: 727-398-6661;
Practice Fax
:
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1902893001 -
DR.
DR.
STEVEN
A
OBERLENDER
M.D., PH.D.
Other Name
:
Mailing Address
:
1259 S CEDAR CREST BLVD STE 100
ALLENTOWN
PA
18103-6373
Phone
: 610-437-4134;
Fax
: 610-433-9690;
Practice Location Address
:
1259 S CEDAR CREST BLVD STE 100
,
, ALLENTOWN
, PA
, 18103-6373
Practice Phone
: 610-437-4134;
Practice Fax
: 610-433-9690
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1811984917 -
DANIEL
J
HATCH
DPM
Other Name
:
Mailing Address
:
1931 65TH AVE
STE A
GREELEY
CO
80634-7946
Phone
: 970-351-0900;
Fax
: 970-351-0940;
Practice Location Address
:
1931 65TH AVE
, STE A
, GREELEY
, CO
, 80634-7946
Practice Phone
: 970-351-0900;
Practice Fax
: 970-351-0940
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1720075823 -
DAVID
P.
BRUMMETT
M.D.
Other Name
:
Mailing Address
:
1502 E BROADWAY
SUITE 210
COLUMBIA
MO
65201-8076
Phone
: 573-443-4591;
Fax
: 573-874-1369;
Practice Location Address
:
1502 E BROADWAY
, SUITE 210
, COLUMBIA
, MO
, 65201-8076
Practice Phone
: 573-443-4591;
Practice Fax
: 573-874-1369
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1639166739 -
JOEL
L
SEBASTIEN
MD
Other Name
:
Mailing Address
:
PO BOX 9671
DAYTONA BEACH
FL
32120-9671
Phone
: 386-676-7130;
Fax
: 386-676-7125;
Practice Location Address
:
201 NORTH CLYDE MORRIS BLVD.
, SUITE 100
, DAYTONA BEACH
, FL
, 32114-2724
Practice Phone
: 386-238-3295;
Practice Fax
: 386-328-3273
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1548257645 -
STEVEN
B
SPARKS
DO
Other Name
:
Mailing Address
:
1723 COLUMBUS AVE
STE D
SANDUSKY
OH
44870-3546
Phone
: 419-626-5252;
Fax
: 419-626-5335;
Practice Location Address
:
1723 COLUMBUS AVE
, STE D
, SANDUSKY
, OH
, 44870-3546
Practice Phone
: 419-626-5252;
Practice Fax
: 419-626-5335
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1457348559 -
DR.
DR.
JENNY
RANAE
HAHNE
O.D.
Other Name
:
Mailing Address
:
200 HOSPITAL DR
SUITE 600
GLEN BURNIE
MD
21061-5884
Phone
: 410-766-3937;
Fax
: 410-761-4386;
Practice Location Address
:
200 HOSPITAL DR
, SUITE 600
, GLEN BURNIE
, MD
, 21061-5884
Practice Phone
: 410-766-3937;
Practice Fax
: 410-761-4386
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1366439465 -
DR.
DR.
ALAN
J.
FERBER
M.D.
Other Name
:
Mailing Address
:
PO BOX 513
WARRENSBURG
MO
64093-0513
Phone
: 660-429-2228;
Fax
: 660-429-2992;
Practice Location Address
:
415A BURKARTH RD
,
, WARRENSBURG
, MO
, 64093-3101
Practice Phone
: 660-429-2228;
Practice Fax
: 660-429-2992
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1275520371 -
MARK
S
SHULMAN
MD
Other Name
:
Mailing Address
:
1414 MANERA VENTOSA
SAN CLEMENTE
CA
92673-3663
Phone
: 413-813-9539;
Fax
: ;
Practice Location Address
:
1414 MANERA VENTOSA
,
, SAN CLEMENTE
, CA
, 92673-3663
Practice Phone
: 413-813-9539;
Practice Fax
:
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1184611287 -
ANTHONY
S
LATTANZIO
DO
Other Name
:
Mailing Address
:
20 OHLTOWN RD
SUITE 2F
YOUNGSTOWN
OH
44515-2331
Phone
: 330-884-1583;
Fax
: 330-884-1588;
Practice Location Address
:
20 OHLTOWN RD
, SUITE 2F
, YOUNGSTOWN
, OH
, 44515-2331
Practice Phone
: 330-884-1583;
Practice Fax
: 330-884-1588
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1992792097 -
MICHAEL
F
SHEPARD
MD
Other Name
:
Mailing Address
:
PO BOX 905
ORANGE
CA
92856-6905
Phone
: ;
Fax
: ;
Practice Location Address
:
280 S MAIN ST
, STE 200
, ORANGE
, CA
, 92868-3852
Practice Phone
: 714-634-4567;
Practice Fax
: 714-634-4569
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1801883905 -
DR.
DR.
BRYAN
LYNN
YINGLING
M.D.
Other Name
:
Mailing Address
:
694 GOOD DR
SUITE 112
LANCASTER
PA
17601-2433
Phone
: ;
Fax
: ;
Practice Location Address
:
694 GOOD DR
, SUITE 112
, LANCASTER
, PA
, 17601-2433
Practice Phone
: 717-397-8177;
Practice Fax
:
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1710974811 -
DR.
DR.
DARRELL
A
BUNCH
D.O.
Other Name
:
Mailing Address
:
402 N KAUFMAN ST
LINDEN
TX
75563-5234
Phone
: 903-756-5581;
Fax
: 903-756-5005;
Practice Location Address
:
4002 TECHNOLOGY CTR
,
, LONGVIEW
, TX
, 75605-2697
Practice Phone
: 903-247-0484;
Practice Fax
: 903-247-0485
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1245227347 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1154318251 -
EMILIE
KOEPKE
GIBBS
P.A.
Other Name
:
EMILIE
F
MAUKS-KOEPKE
Mailing Address
:
10 QUEEN ST
NEWTOWN
CT
06470-2156
Phone
: 203-426-3267;
Fax
: 203-426-3903;
Practice Location Address
:
10 QUEEN ST
,
, NEWTOWN
, CT
, 06470-2156
Practice Phone
: 203-426-3267;
Practice Fax
: 203-426-3903
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1669469748 -
MEDICAL CENTER ANESTHESIOLOGISTS
Other Name
:
Mailing Address
:
1343 CANTON RD STE C
MARIETTA
GA
30066-6079
Phone
: 318-300-3643;
Fax
: 678-888-0390;
Practice Location Address
:
1 SAINT MARY PL
, ANESTHESIA DEPT
, SHREVEPORT
, LA
, 71101-4343
Practice Phone
: 318-681-4440;
Practice Fax
: 318-681-6862
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1578550653 -
TERESIAN HOUSE NURSING HOME CO INC
Other Name
:
Mailing Address
:
200 WASHINGTON AVENUE EXT
ALBANY
NY
12203-5335
Phone
: 518-456-2000;
Fax
: ;
Practice Location Address
:
200 WASHINGTON AVENUE EXT
,
, ALBANY
, NY
, 12203-5335
Practice Phone
: 518-456-2000;
Practice Fax
:
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1487641569 -
DR.
DR.
MARK
STEVEN
FIXLEY
M.D.
Other Name
:
Mailing Address
:
7800 NW 85TH TER
OKLAHOMA CITY
OK
73132-3385
Phone
: ;
Fax
: ;
Practice Location Address
:
4050 W MEMORIAL RD FL 3
,
, OKLAHOMA CITY
, OK
, 73120-8382
Practice Phone
: 405-608-3800;
Practice Fax
: 405-608-1594
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1699762773 -
BARTOLOME
R
CELLI
MD
Other Name
:
Mailing Address
:
111 CYPRESS ST
BROOKLINE
MA
02445-6002
Phone
: 857-307-0896;
Fax
: ;
Practice Location Address
:
75 FRANCIS ST
,
, BOSTON
, MA
, 02115-6110
Practice Phone
: 617-732-5500;
Practice Fax
:
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1508853680 -
COLONIAL CARE CENTER, LLC
Other Name
:
COLONIAL CARE CTR-CHELSEA-
Mailing Address
:
201 N ELM ST
SUITE A
SALLISAW
OK
74955-4633
Phone
: 918-775-6200;
Fax
: 918-775-5643;
Practice Location Address
:
401 REDBUD LN
,
, CHELSEA
, OK
, 74016-1453
Practice Phone
: 918-789-3215;
Practice Fax
: 918-789-2644
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1417944596 -
DR.
DR.
EDWARD
B
LEE
M.D.
Other Name
:
Mailing Address
:
1729 BURRSTONE RD
NEW HARTFORD
NY
13413-1001
Phone
: 315-798-1700;
Fax
: 315-798-1707;
Practice Location Address
:
1729 BURRSTONE RD
,
, NEW HARTFORD
, NY
, 13413-1001
Practice Phone
: 315-798-1700;
Practice Fax
: 315-798-1707
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1326035403 -
HUGO HEALTH & REHABILITATION CENTER LLC
Other Name
:
HUGO HEALTH & REHABILITATION CENTER LLC
Mailing Address
:
201 N ELM ST
SUITE A
SALLISAW
OK
74955-4633
Phone
: 918-775-6200;
Fax
: 918-775-5643;
Practice Location Address
:
1001 HERITAGE WAY
,
, HUGO
, OK
, 74743
Practice Phone
: 580-326-7771;
Practice Fax
: 580-326-2808
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1235126319 -
DR.
DR.
RODRIGO
DE LA COTERA JULE
M.D.
Other Name
:
RODRIGO
DELACOTERA JULE
Mailing Address
:
129 VISION PARK BLVD STE 200
SHENANDOAH
TX
77384-3024
Phone
: 281-248-8872;
Fax
: 281-248-8875;
Practice Location Address
:
129 VISION PARK BLVD STE 200
,
, SHENANDOAH
, TX
, 77384-3024
Practice Phone
: 281-248-8872;
Practice Fax
: 281-248-8875
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1144217225 -
RAPIDCARE URGENT CARE CENTERS/SO CALIF URGENT CARE MEDICAL GROUP
Other Name
:
RAPIDCARE GLENDAL
Mailing Address
:
801 S CHEVY CHASE DR
#105
GLENDALE
CA
91205-4431
Phone
: 818-265-2200;
Fax
: 818-265-2201;
Practice Location Address
:
801 S CHEVY CHASE DR
, #105
, GLENDALE
, CA
, 91205-4431
Practice Phone
: 818-265-2200;
Practice Fax
: 818-265-2201
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1053308130 -
DR.
DR.
SARAH
MYNATT
APRN, BC
Other Name
:
Mailing Address
:
7504 APPLE VALLEY RD
GERMANTOWN
TN
38138-2147
Phone
: 901-755-5688;
Fax
: ;
Practice Location Address
:
920 MADISON AVE
, SUITE 520
, MEMPHIS
, TN
, 38163-0001
Practice Phone
: 901-448-1584;
Practice Fax
: 901-448-4121
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1962499046 -
KRZYSZTOF
KUBICKI
M.D.
Other Name
:
CHRISTOPHER
KUBICKI
Mailing Address
:
PO BOX 2768
WEIRTON
WV
26062-1968
Phone
: 304-723-6040;
Fax
: 304-723-6039;
Practice Location Address
:
111 1ST ST
,
, CHESTER
, WV
, 26034-1001
Practice Phone
: 304-387-2761;
Practice Fax
: 304-387-3704
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1871580951 -
DR.
DR.
PATRICK
E
TOMENY
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 1074
C/O ANESTHESIA ASSOCIATES OF DUNEDIN
DUNEDIN
FL
34697-1074
Phone
: 727-734-6516;
Fax
: 727-734-4516;
Practice Location Address
:
301 MAIN ST
, SUITE 205
, DUNEDIN
, FL
, 34698-5733
Practice Phone
: 727-734-6516;
Practice Fax
: 727-734-4516
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1780671867 -
DR.
DR.
MICHAEL
RAMJATTANSINGH
MD
Other Name
:
Mailing Address
:
PO BOX 263
LEWES
DE
19958-0263
Phone
: 302-645-7919;
Fax
: ;
Practice Location Address
:
424 SAVANNAH RD
,
, LEWES
, DE
, 19958-1462
Practice Phone
: 302-645-3636;
Practice Fax
:
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