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Showing codes 1114902095 — 1518942424
1114902095 -
PEACH HOME HEALTH CARE, INC.
Other Name
:
Mailing Address
:
3325 BARTLETT BLVD
ORLANDO
FL
32811-6428
Phone
: 407-206-0040;
Fax
: 407-206-0010;
Practice Location Address
:
585 CARL VINSON PKWY STE 700
,
, WARNER ROBINS
, GA
, 31088-3652
Practice Phone
: 478-971-4411;
Practice Fax
: 478-971-1631
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1023093903 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
301 E MIEL DE LUNA
,
, TUCUMCARI
, NM
, 88401
Practice Phone
: 505-461-0141;
Practice Fax
: 505-461-1822
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1932184819 -
MRS.
MRS.
ELIZABETH
A
PERRY
PT
Other Name
:
ELIZABETH
A
BISHOP
Mailing Address
:
PO BOX 5717
LA QUINTA
CA
92248-5717
Phone
: 760-343-5062;
Fax
: ;
Practice Location Address
:
44025 JEFFERSON ST
, STE 104
, LA QUINTA
, CA
, 92253-4874
Practice Phone
: 760-345-5453;
Practice Fax
: 760-345-7063
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1841275724 -
DR.
DR.
LINDLEY
GIFFORD
MD
Other Name
:
Mailing Address
:
30 ELM AVE
HYANNIS
MA
02601-5547
Phone
: 508-778-0300;
Fax
: ;
Practice Location Address
:
30 ELM AVE
,
, HYANNIS
, MA
, 02601-5547
Practice Phone
: 508-778-0300;
Practice Fax
: 508-778-8747
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1750366639 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
2217 DILLON RD
,
, CLOVIS
, NM
, 88101-9454
Practice Phone
: 505-469-7577;
Practice Fax
: 505-769-7595
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1669457545 -
LEANNE
GROBAN
MD
Other Name
:
Mailing Address
:
3975 ROBINSON RD
NEWTON
NC
28658-9715
Phone
: 284-660-4668;
Fax
: 828-466-8862;
Practice Location Address
:
3975 ROBINSON RD
,
, NEWTON
, NC
, 28658-9715
Practice Phone
: 284-660-4668;
Practice Fax
: 828-466-8862
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1578548459 -
DR.
DR.
GEORGE
OLIVER
PICCORELLI
M.D.
Other Name
:
Mailing Address
:
3030 WESTCHESTER AVE
PURCHASE
NY
10577-2574
Phone
: 914-848-8750;
Fax
: 914-848-8751;
Practice Location Address
:
3030 WESTCHESTER AVE
,
, PURCHASE
, NY
, 10577-2574
Practice Phone
: 914-848-8750;
Practice Fax
: 914-848-8751
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1487639365 -
DR.
DR.
KIM
RAMON
MALMAY
M.D.
Other Name
:
Mailing Address
:
205 STUBBS AVE
MONROE
LA
71201-5237
Phone
: 318-322-3025;
Fax
: 318-966-7709;
Practice Location Address
:
205 STUBBS AVE
,
, MONROE
, LA
, 71201-5237
Practice Phone
: 318-322-3025;
Practice Fax
: 318-966-7709
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1295710176 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
2217 DILLON
,
, CLOVIS
, NM
, 88101-9454
Practice Phone
: 505-923-5356;
Practice Fax
: 505-923-5354
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1104801083 -
LABORATORY CORPORATION OF AMERICA
Other Name
:
Mailing Address
:
PO BOX 2240
BURLINGTON
NC
27216-2240
Phone
: 800-222-7566;
Fax
: 336-436-1048;
Practice Location Address
:
209 W MULBERRY ST
,
, KAUFMAN
, TX
, 75142-1940
Practice Phone
: 972-932-8555;
Practice Fax
:
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1013992999 -
RYAN
D
PALKONER
PT
Other Name
:
Mailing Address
:
PO BOX 5718
KALISPELL
MT
59903-5718
Phone
: 406-756-0134;
Fax
: 406-309-2579;
Practice Location Address
:
9250 E COSTILLA AVE STE 201
,
, GREENWOOD VILLAGE
, CO
, 80112-3662
Practice Phone
: 720-572-4873;
Practice Fax
: 720-572-4821
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1922083807 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1831174713 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1740265628 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1659356533 -
DR.
DR.
JAY
MICHAEL
COLBY
MD
Other Name
:
Mailing Address
:
PO BOX 609
LEDYARD
CT
06339-0609
Phone
: 860-415-9248;
Fax
: 860-415-9237;
Practice Location Address
:
25 WELLS STREET
, THE WESTERLY HOSPITAL
, WESTERLY
, RI
, 02891-2460
Practice Phone
: 860-415-9248;
Practice Fax
: 860-415-9237
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1568447449 -
GULF COAST HOME CARE SERVICES, INC.
Other Name
:
Mailing Address
:
4100 CORPORATE SQ
SUITE 163
NAPLES
FL
34104-4714
Phone
: 239-263-0809;
Fax
: 239-263-8217;
Practice Location Address
:
4100 CORPORATE SQ
, SUITE 163
, NAPLES
, FL
, 34104-4714
Practice Phone
: 239-263-0809;
Practice Fax
: 239-263-8217
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1477538353 -
JEFFREY
SCOTT
KELLY
MD
Other Name
:
Mailing Address
:
PO BOX 344
WINSTON SALEM
NC
27102-0344
Phone
: 336-716-2255;
Fax
: ;
Practice Location Address
:
MEDICAL CENTER BLVD
,
, WINSTON SALEM
, NC
, 27157-0001
Practice Phone
: 336-716-2255;
Practice Fax
:
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1386629269 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1194700070 -
R
SCOTT
HOFFMAN
MD
Other Name
:
Mailing Address
:
PO BOX 206068
LOUISVILLE
KY
40250-6068
Phone
: 502-896-2064;
Fax
: 502-897-0489;
Practice Location Address
:
4004 DUPONT CIR
,
, LOUISVILLE
, KY
, 40207-4819
Practice Phone
: 502-897-1604;
Practice Fax
: 502-897-0489
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1003891987 -
DR.
DR.
MICHAEL
PERRY
ROSENBAUM
MD
Other Name
:
Mailing Address
:
9977 WOODS DR
SKOKIE
IL
60077-1057
Phone
: 847-663-8163;
Fax
: 847-663-1024;
Practice Location Address
:
9977 WOODS DR
,
, SKOKIE
, IL
, 60077-1057
Practice Phone
: 847-663-8163;
Practice Fax
: 847-663-1024
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1912982893 -
MR.
MR.
KENNETH
T.
THOM
LPC
Other Name
:
Mailing Address
:
515 W COOPER ST
MARYVILLE
MO
64468-2417
Phone
: 660-562-2531;
Fax
: 660-562-3239;
Practice Location Address
:
515 W COOPER ST
,
, MARYVILLE
, MO
, 64468-2417
Practice Phone
: 660-562-2531;
Practice Fax
: 660-562-3239
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1821073701 -
MICHAEL
LOWRIE
PENDLETON
M.D.
Other Name
:
Mailing Address
:
1040 WEBBER ST
THE DALLES
OR
97058-3749
Phone
: 541-298-4160;
Fax
: ;
Practice Location Address
:
849 PACIFIC AVE
,
, HOOD RIVER
, OR
, 97031-1956
Practice Phone
: 541-308-8370;
Practice Fax
: 541-308-0754
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1730164617 -
JACQUELYN
ANDREA
COATES
PHYSICIAN ASSISTANT
Other Name
:
JACQUELYN
ANDREA
CANTU
Mailing Address
:
601 TEXAN TRAIL
STE. 300
CORPUS CHRISTI
TX
78411-2549
Phone
: 361-854-0811;
Fax
: 361-806-5040;
Practice Location Address
:
601 TEXAN TRAIL
, STE. 300
, CORPUS CHRISTI
, TX
, 78411-2549
Practice Phone
: 361-854-0811;
Practice Fax
: 361-806-5040
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1649255522 -
DR.
DR.
WILLIAM
ANTHONY
MEARES
II
D.D.S., M.S.
Other Name
:
Mailing Address
:
621 LYNNHAVEN PKWY
SUITE 170
VIRGINIA BEACH
VA
23452-7300
Phone
: 757-200-6222;
Fax
: 757-200-6224;
Practice Location Address
:
621 LYNNHAVEN PKWY
, SUITE 170
, VIRGINIA BEACH
, VA
, 23452-7300
Practice Phone
: 757-200-6222;
Practice Fax
: 757-200-6224
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1558346437 -
DR.
DR.
JOHN
C
FAHERTY
DC
Other Name
:
Mailing Address
:
39 MCDOWELL ST
ASHEVILLE
NC
28801-1718
Phone
: 828-254-5212;
Fax
: 828-254-5211;
Practice Location Address
:
39 MCDOWELL ST
,
, ASHEVILLE
, NC
, 28801-1718
Practice Phone
: 828-254-5212;
Practice Fax
: 828-254-5211
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1467437343 -
ANDREW
J
VARNEY
M.D.
Other Name
:
Mailing Address
:
751 N RUTLEDGE ST
STE 3100
SPRINGFIELD
IL
62702-4968
Phone
: 217-545-8000;
Fax
: ;
Practice Location Address
:
751 N RUTLEDGE ST
, STE 1100
, SPRINGFIELD
, IL
, 62702-4909
Practice Phone
: 217-545-0182;
Practice Fax
: 217-545-4735
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1376528257 -
SAMUEL
TURNIPSEED
Other Name
:
Mailing Address
:
4150 V ST
2100
SACRAMENTO
CA
95817-1460
Phone
: 916-734-8583;
Fax
: ;
Practice Location Address
:
4150 V ST
, 2100
, SACRAMENTO
, CA
, 95817-1460
Practice Phone
: 916-734-8583;
Practice Fax
:
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1285619163 -
DR.
DR.
NEWT
PARKS
HARRISON
JR.
M.D.
Other Name
:
Mailing Address
:
440 PEGRAM DR
TUPELO
MS
38801-6319
Phone
: 662-844-5344;
Fax
: 662-844-5363;
Practice Location Address
:
440 PEGRAM DR
,
, TUPELO
, MS
, 38801-6319
Practice Phone
: 662-844-5344;
Practice Fax
: 662-844-5363
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1093790974 -
BERNALILLO COUNTY HEALTH CARE CORPORATION
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5364;
Practice Location Address
:
4500 MONTBEL PL NE
,
, ALBUQUERQUE
, NM
, 87107-6832
Practice Phone
: 505-761-8200;
Practice Fax
:
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1902881881 -
SEAN
MICHAEL
MCKEOWN
PHYSICAL THERAPIST
Other Name
:
Mailing Address
:
317 N EL CAMINO REAL
STE 210 760-634-0248
ENCINITAS
CA
92024-2811
Phone
: 760-634-0248;
Fax
: 760-634-1782;
Practice Location Address
:
4060 4TH AVE
, #105
, SAN DIEGO
, CA
, 92103-2116
Practice Phone
: 619-299-5246;
Practice Fax
: 619-299-5751
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1811972797 -
DR.
DR.
PAUL
GUSTAFSON
MD
Other Name
:
Mailing Address
:
1135 MORTON ST
MATTAPAN
MA
02126-2834
Phone
: 617-533-2300;
Fax
: 617-282-8201;
Practice Location Address
:
398 NEPONSET AVE
,
, DORCHESTER
, MA
, 02122-3134
Practice Phone
: 617-282-3200;
Practice Fax
: 617-282-8201
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1720063605 -
PETER
M
HOLLAND
MD
Other Name
:
Mailing Address
:
675 N SAINT CLAIR ST
CHICAGO
IL
60611-5975
Phone
: 713-442-0000;
Fax
: ;
Practice Location Address
:
675 N SAINT CLAIR ST
, SUITE 15-170
, CHICAGO
, IL
, 60611-5975
Practice Phone
: 312-695-8150;
Practice Fax
:
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1639154511 -
PAUL
A
ALLEYNE
M.D.
Other Name
:
Mailing Address
:
PO BOX 200993
HOUSTON
TX
77216-0993
Phone
: 281-784-1111;
Fax
: 281-784-1555;
Practice Location Address
:
13111 EAST FWY
,
, HOUSTON
, TX
, 77015-5820
Practice Phone
: 713-393-2000;
Practice Fax
: 713-393-2714
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1548245426 -
TIFFANY
NICOLE
WALTON
PT
Other Name
:
Mailing Address
:
10243 GENETIC CENTER DR
SAN DIEGO
CA
92121-6310
Phone
: 858-526-6180;
Fax
: 858-526-6062;
Practice Location Address
:
10243 GENETIC CENTER DR
,
, SAN DIEGO
, CA
, 92121-6310
Practice Phone
: 858-526-6180;
Practice Fax
: 858-526-6062
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1457336331 -
DR.
DR.
MICHAEL
F
YEISER
M.D.
Other Name
:
Mailing Address
:
2200 E. PARRISH AVE
BLDG B, STE 101
OWENSBORO
KY
42303-1449
Phone
: 270-683-3232;
Fax
: 270-852-1600;
Practice Location Address
:
2200 E. PARRISH AVE
, BLDG B, STE 101
, OWENSBORO
, KY
, 42303-1449
Practice Phone
: 270-683-3232;
Practice Fax
: 270-852-1600
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1578548467 -
SURGICAL ASSOCIATES OF NEW CASTLE, PA
Other Name
:
Mailing Address
:
324 E MAIN ST
SUITE 204
NEWARK
DE
19711-7150
Phone
: 302-737-4990;
Fax
: 302-737-5082;
Practice Location Address
:
324 E MAIN ST
, SUITE 204
, NEWARK
, DE
, 19711-7150
Practice Phone
: 302-737-4990;
Practice Fax
: 302-737-5082
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1487639373 -
DR.
DR.
RAYMOND
J
ORGLER
JR.
M.D.
Other Name
:
Mailing Address
:
440 PEGRAM DR
TUPELO
MS
38801-6319
Phone
: 662-844-5344;
Fax
: 662-844-5363;
Practice Location Address
:
440 PEGRAM DR
,
, TUPELO
, MS
, 38801-6319
Practice Phone
: 662-844-5344;
Practice Fax
: 662-844-5363
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1295710184 -
ANDRIJ
GOUZ
DDS
Other Name
:
N/A
N/A
Mailing Address
:
502 ATLANTIC AVE
BROOKLYN
NY
11217-1813
Phone
: 718-643-9010;
Fax
: 718-643-9020;
Practice Location Address
:
502A ATLANTIC AVE
, ATLANTIC DENTAL CARE PC
, BROOKLYN
, NY
, 11217-1813
Practice Phone
: 718-643-9010;
Practice Fax
: 718-643-9020
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1104801091 -
NINA
KUSHNER
MD
Other Name
:
Mailing Address
:
4513 14TH AVE
BROOKLYN
NY
11219-2107
Phone
: 718-633-9191;
Fax
: 718-633-6667;
Practice Location Address
:
4513 14TH AVE
,
, BROOKLYN
, NY
, 11219-2107
Practice Phone
: 718-633-9191;
Practice Fax
: 718-633-6667
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1013992908 -
WAYNE
LEWIS
MEYER
MD
Other Name
:
Mailing Address
:
9715 MEDICAL CENTER DR
SUITE 214
ROCKVILLE
MD
20850-6304
Phone
: 301-294-2955;
Fax
: 301-294-6499;
Practice Location Address
:
9715 MEDICAL CENTER DRIVE
, SUITE 214
, ROCKVILLE
, MD
, 20850-6304
Practice Phone
: 301-294-2955;
Practice Fax
: 301-294-6499
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1922083815 -
DR.
DR.
LUIS
A
TORRES-SEDA
MD
Other Name
:
Mailing Address
:
PO BOX 8917
BAYAMON
PR
00960-8917
Phone
: 787-405-0017;
Fax
: 484-952-2333;
Practice Location Address
:
MEDICAL OPHTALMIC PLAZA
, OFIC 107
, BAYAMON
, PR
, 00959
Practice Phone
: 787-740-5524;
Practice Fax
: 484-952-2333
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1831174721 -
DR.
DR.
JAMES
M
RASMUSSON
DC
Other Name
:
Mailing Address
:
23539 NEON LN
RICHLAND CENTER
WI
53581-6391
Phone
: 608-647-6000;
Fax
: 608-647-4134;
Practice Location Address
:
23539 NEON LN
,
, RICHLAND CENTER
, WI
, 53581-6391
Practice Phone
: 608-647-6000;
Practice Fax
: 608-647-4134
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1740265636 -
DR.
DR.
ROBERT
JOHN
LAPENNA
MD
Other Name
:
Mailing Address
:
1717 SHAFFER ST
SUITE 232
KALAMAZOO
MI
49048-1647
Phone
: 269-226-5050;
Fax
: 269-226-5034;
Practice Location Address
:
1717 SHAFFER ST
, SUITE 232
, KALAMAZOO
, MI
, 49048-1647
Practice Phone
: 269-226-5050;
Practice Fax
: 269-226-5034
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1659356541 -
GEORGE
YOUNG
KUNZE
M.D.
Other Name
:
Mailing Address
:
2080 CLINTON AVE SOUTH
ROCHESTER
NY
14618
Phone
: 585-271-2800;
Fax
: 585-271-0375;
Practice Location Address
:
2080 CLINTON AVE SOUTH
,
, ROCHESTER
, NY
, 14618
Practice Phone
: 585-271-2800;
Practice Fax
: 585-271-0375
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1568447456 -
DR.
DR.
JOANNA
BAGINSKI
Other Name
:
Mailing Address
:
4150 V ST
2100
SACRAMENTO
CA
95817-1460
Phone
: 916-734-8583;
Fax
: ;
Practice Location Address
:
4150 V ST
, 2100
, SACRAMENTO
, CA
, 95817-1460
Practice Phone
: 916-734-8583;
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:
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1477538361 -
USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC
Other Name
:
Mailing Address
:
COMMANDANT USCG HQ (CG-1122)
2100 2ND STREET
WASHINGTON
DC
20593-0001
Phone
: 202-267-0801;
Fax
: ;
Practice Location Address
:
COMMANDANT USCG HQ (CG-1122)
, 2100 2ND STREET
, WASHINGTON
, DC
, 20593-0001
Practice Phone
: 202-267-0801;
Practice Fax
:
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1386629277 -
JUDITH
ANNE
GURDIAN
MD
Other Name
:
Mailing Address
:
8110 MAPLE LAWN BLVD STE 235
FULTON
MD
20759-2694
Phone
: 301-340-8339;
Fax
: 301-340-9027;
Practice Location Address
:
9711 MEDICAL CENTER DR
, STE 109
, ROCKVILLE
, MD
, 20850-3323
Practice Phone
: 301-762-5501;
Practice Fax
: 301-309-8727
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1194700088 -
DR.
DR.
THOMAS
MANNING
HOLT
M.D.
Other Name
:
Mailing Address
:
1005 MAR WALT DR
INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH
FL
32547-6707
Phone
: 850-863-8267;
Fax
: 850-862-6148;
Practice Location Address
:
1005 MAR WALT DR
, INTERNAL MEDICINE DEPARTMENT
, FORT WALTON BEACH
, FL
, 32547-6707
Practice Phone
: 850-863-8267;
Practice Fax
: 850-862-6148
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1003891995 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1912982802 -
MARK
L
PERMAN
M.D.
Other Name
:
Mailing Address
:
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS
FL
33907-1412
Phone
: 239-931-7342;
Fax
: 239-931-7385;
Practice Location Address
:
2107 SE OCEAN BLVD
,
, STUART
, FL
, 34996-3305
Practice Phone
: 772-403-2390;
Practice Fax
: 772-403-2395
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1821073719 -
DR.
DR.
LEONARD
ANDREW
FICHTER
DO
Other Name
:
Mailing Address
:
22207 FOX GLENN TRCE
PANAMA CITY BEACH
FL
32413-8413
Phone
: 304-545-7444;
Fax
: ;
Practice Location Address
:
11501 HUTCHISON BLVD STE 109
,
, PANAMA CITY BEACH
, FL
, 32407-3747
Practice Phone
: 850-250-1311;
Practice Fax
: 850-250-3589
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1730164625 -
DR.
DR.
BRUCE
O
BAILEY
MD
Other Name
:
Mailing Address
:
205 GRANDVIEW AVE
SUITE 210
CAMP HILL
PA
17011-1708
Phone
: ;
Fax
: ;
Practice Location Address
:
1211 FORGE RD
, SUITE 300
, CARLISLE
, PA
, 17013-3183
Practice Phone
: 717-218-3920;
Practice Fax
: 717-218-3921
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1649255530 -
DR.
DR.
JANET
L
LARSON
M.D.
Other Name
:
Mailing Address
:
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK
MN
55426-1728
Phone
: ;
Fax
: ;
Practice Location Address
:
3850 PARK NICOLLET BLVD
,
, ST LOUIS PARK
, MN
, 55416-2527
Practice Phone
: 952-993-5041;
Practice Fax
:
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1558346445 -
DR.
DR.
KATHRYN
PATYK
D.C.
Other Name
:
Mailing Address
:
2434 N WOODLAWN ST STE 170
WICHITA
KS
67220-3959
Phone
: 316-636-4538;
Fax
: 316-683-0630;
Practice Location Address
:
2434 N WOODLAWN ST STE 170
,
, WICHITA
, KS
, 67220-3959
Practice Phone
: 316-636-4538;
Practice Fax
: 316-683-0630
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1467437350 -
DR.
DR.
MAYRA
L.
SANTIAGO
M.D.
Other Name
:
Mailing Address
:
PO BOX 2069
AGUADA
PR
00602-2069
Phone
: 787-868-9999;
Fax
: 787-868-9999;
Practice Location Address
:
CARR 115 KM 0.1 AVE ROTARIO
, EDIFICIO ROSA SUITE 201
, AGUADA
, PR
, 00602
Practice Phone
: 787-868-9999;
Practice Fax
: 787-868-9999
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1376528265 -
MICHELLE
SPECTOR
MD
Other Name
:
Mailing Address
:
8110 MAPLE LAWN BLVD STE 235
FULTON
MD
20759-2694
Phone
: 301-340-8339;
Fax
: ;
Practice Location Address
:
9711 MEDICAL CENTER DR STE 109
,
, ROCKVILLE
, MD
, 20850-3381
Practice Phone
: 301-762-5501;
Practice Fax
: 301-309-8727
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1285619171 -
DR.
DR.
SILVIA
HAFLIGER
MD
Other Name
:
Mailing Address
:
1941 EAST RD
HOUSTON
TX
77054-6010
Phone
: 713-486-2700;
Fax
: 713-486-2721;
Practice Location Address
:
1941 EAST RD
,
, HOUSTON
, TX
, 77054-6010
Practice Phone
: 713-486-2700;
Practice Fax
: 713-486-2721
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1093790982 -
ANASTASIA
SOPHIA
BROWN
MPT
Other Name
:
Mailing Address
:
2001 4TH AVE
SAN DIEGO
CA
92101-2303
Phone
: 619-466-1730;
Fax
: ;
Practice Location Address
:
2001 4TH AVE
,
, SAN DIEGO
, CA
, 92101-2303
Practice Phone
: 619-466-1730;
Practice Fax
:
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1902881899 -
DR.
DR.
DAVID
H
GILLILAND
Other Name
:
Mailing Address
:
440 PEGRAM DR
TUPELO
MS
38801-6319
Phone
: 662-844-5344;
Fax
: 662-844-5363;
Practice Location Address
:
440 PEGRAM DR
,
, TUPELO
, MS
, 38801-6319
Practice Phone
: 662-844-5344;
Practice Fax
: 662-844-5363
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1811972706 -
DR.
DR.
LEO
ALFRED
CARNEY
III
DO
Other Name
:
Mailing Address
:
42010 VILLAGE CENTER PLZ STE 100
STONE RIDGE
VA
20105-3036
Phone
: 703-775-4999;
Fax
: ;
Practice Location Address
:
824 S DIAMOND ST
,
, NAMPA
, ID
, 83686-5960
Practice Phone
: 208-606-0396;
Practice Fax
:
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1720063613 -
DR.
DR.
SUZANNE
T
ICELY
M.D.
Other Name
:
Mailing Address
:
5959 CENTRAL AVE STE 103
ST PETERSBURG
FL
33710-8502
Phone
: 727-767-6060;
Fax
: 727-767-1285;
Practice Location Address
:
5959 CENTRAL AVE STE 103
,
, ST PETERSBURG
, FL
, 33710-8502
Practice Phone
: 727-767-6060;
Practice Fax
: 727-767-1285
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1639154529 -
STEPHEN
E
HESSLER
PHD
Other Name
:
Mailing Address
:
1608 MEMORIAL DR
BURLINGTON
NC
27215-3518
Phone
: ;
Fax
: ;
Practice Location Address
:
1608 MEMORIAL DR
,
, BURLINGTON
, NC
, 27215-3518
Practice Phone
: 336-228-0790;
Practice Fax
: 336-228-0168
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1548245434 -
KERRI
ANNE
JOYCE
PT
Other Name
:
Mailing Address
:
5962 LA PLACE CT
STE 170
CARLSBAD
CA
92008-8807
Phone
: 800-929-4776;
Fax
: 760-931-8370;
Practice Location Address
:
5611 PALMER WAY
, STE A
, CARLSBAD
, CA
, 92008
Practice Phone
: 760-603-9166;
Practice Fax
: 760-603-9161
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1457336349 -
DR.
DR.
EDWARD
LENORD
CHAMBERLAIN
M.D.
Other Name
:
Mailing Address
:
5370 TOSCANA WAY APT H302
SAN DIEGO
CA
92122-6552
Phone
: 858-457-1256;
Fax
: ;
Practice Location Address
:
5370 TOSCANA WAY APT H302
,
, SAN DIEGO
, CA
, 92122-6552
Practice Phone
: 858-457-1256;
Practice Fax
:
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1366427254 -
CHOICE CHIROPRACTIC AND WELLNESS CENTER
Other Name
:
Mailing Address
:
8199 MCKNIGHT RD
SUITE 102
PITTSBURGH
PA
15237-5749
Phone
: 412-364-9699;
Fax
: 412-364-5172;
Practice Location Address
:
8199 MCKNIGHT RD
, SUITE 102
, PITTSBURGH
, PA
, 15237-5749
Practice Phone
: 412-364-9699;
Practice Fax
: 412-364-5172
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1275518169 -
DR.
DR.
CECILIA
R
VENTURA
MD
Other Name
:
Mailing Address
:
PO BOX 31
959 WYOMING AVE.
SCRANTON
PA
18501-0031
Phone
: 570-344-3517;
Fax
: 570-344-6839;
Practice Location Address
:
959 WYOMING AVE
,
, SCRANTON
, PA
, 18509-3023
Practice Phone
: 570-344-3517;
Practice Fax
: 570-344-6839
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1184609075 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1992780886 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1801871793 -
DONALD
L
DOHLMAN
PT
Other Name
:
Mailing Address
:
6475 S YALE AVE
STE 301
TULSA
OK
74136-7816
Phone
: 918-494-9300;
Fax
: 918-494-9324;
Practice Location Address
:
6475 S YALE AVE
, STE 301
, TULSA
, OK
, 74136-7816
Practice Phone
: 918-494-9300;
Practice Fax
: 918-494-9324
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1710962600 -
DR.
DR.
TERRY
LEE
MCCLARNEY
D.C.
Other Name
:
Mailing Address
:
301 WILSON AVE
TULLAHOMA
TN
37388-3394
Phone
: 931-454-0538;
Fax
: 931-454-0563;
Practice Location Address
:
301 WILSON AVE
,
, TULLAHOMA
, TN
, 37388-3394
Practice Phone
: 931-454-0538;
Practice Fax
: 931-454-0563
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1629053517 -
DR.
DR.
SHEILA
S
DEVANESAN
M.D.
Other Name
:
Mailing Address
:
5959 CENTRAL AVE STE 200
ST PETERSBURG
FL
33710-8502
Phone
: 727-727-6060;
Fax
: 727-767-5586;
Practice Location Address
:
5959 CENTRAL AVE STE 200
,
, ST PETERSBURG
, FL
, 33710-8502
Practice Phone
: 727-727-6060;
Practice Fax
: 727-767-5586
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1538144423 -
DR.
DR.
MARK
L
MAYO
MD
Other Name
:
Mailing Address
:
6565 WEST LOOP S
SUITE 650
BELLAIRE
TX
77401-3500
Phone
: 713-797-1010;
Fax
: 713-357-7290;
Practice Location Address
:
6565 WEST LOOP S
, SUITE 650
, BELLAIRE
, TX
, 77401-3500
Practice Phone
: 713-797-1010;
Practice Fax
: 713-357-7290
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1447235338 -
SHYAM
K
BHAT
M.D.
Other Name
:
Mailing Address
:
PO BOX 19639
SPRINGFIELD
IL
62794-9639
Phone
: 217-545-7578;
Fax
: 217-545-1884;
Practice Location Address
:
751 N RUTLEDGE ST
,
, SPRINGFIELD
, IL
, 62702-4909
Practice Phone
: 217-545-4234;
Practice Fax
: 217-545-7063
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1356326243 -
ANIL
KUMAR
MD
Other Name
:
Mailing Address
:
8333 NAAB RD STE 300
INDIANAPOLIS
IN
46260-1983
Phone
: ;
Fax
: ;
Practice Location Address
:
8333 NAAB RD STE 320
,
, INDIANAPOLIS
, IN
, 46260-1983
Practice Phone
: 317-338-3000;
Practice Fax
:
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1265417158 -
DR.
DR.
ARNOLD
D
SILVERMAN
D.D.S.
Other Name
:
Mailing Address
:
46 DAGGETT DR
1C
WEST SPRINGFIELD
MA
01089-4638
Phone
: 413-737-6906;
Fax
: 413-737-6933;
Practice Location Address
:
46 DAGGETT DR
, 1C
, WEST SPRINGFIELD
, MA
, 01089-4638
Practice Phone
: 413-737-6906;
Practice Fax
: 413-737-6933
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1174508063 -
KIMBERLY
A
CAPONE
CRNP
Other Name
:
Mailing Address
:
8110 MAPLE LAWN BLVD STE 235
FULTON
MD
20759-2694
Phone
: 301-340-8339;
Fax
: 13-409-0273;
Practice Location Address
:
61 THOMAS JOHNSON DR
,
, FREDERICK
, MD
, 21702-4301
Practice Phone
: 301-663-6171;
Practice Fax
: 301-695-5569
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1083699979 -
A.
NICOLE
LA VERNE
LPC, MAC, CADC III,
Other Name
:
A.
NICOLE
SPIVEY
Mailing Address
:
5285 MEADOWS RD STE 170
LAKE OSWEGO
OR
97035-3478
Phone
: 503-726-5216;
Fax
: ;
Practice Location Address
:
5285 MEADOWS RD STE 170
,
, LAKE OSWEGO
, OR
, 97035-3478
Practice Phone
: 503-726-5216;
Practice Fax
:
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1891770780 -
WILLIAM
R
KASTEN
M.D.
Other Name
:
Mailing Address
:
PO BOX 2910
WATERLOO
IA
50704-2910
Phone
: 319-233-3044;
Fax
: 319-233-0722;
Practice Location Address
:
3421 W 9TH ST
,
, WATERLOO
, IA
, 50702-5401
Practice Phone
: 319-272-8000;
Practice Fax
: 319-233-0722
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1700861697 -
DEBRA
ERICKSON
NP
Other Name
:
Mailing Address
:
PO BOX 11889
LYNCHBURG
VA
24506-1889
Phone
: 434-947-3944;
Fax
: 434-544-2316;
Practice Location Address
:
2215 LANDOVER PL
,
, LYNCHBURG
, VA
, 24501-2115
Practice Phone
: 434-947-3944;
Practice Fax
: 434-544-2316
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1619952504 -
ANNE
M
MCSHANE
MSN CS RNC
Other Name
:
Mailing Address
:
415 WOODED WAY
NEWTOWN SQUARE
PA
19073-2133
Phone
: 610-353-6468;
Fax
: 610-353-6468;
Practice Location Address
:
721 LANCASTER AVE
,
, DOWNINGTOWN
, PA
, 19335
Practice Phone
: 610-353-6468;
Practice Fax
: 610-353-6468
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1528043411 -
MRS.
MRS.
DEBORAH
MANNELLO
MS CCC SLP
Other Name
:
Mailing Address
:
PO BOX 3568
KINGSTON
NY
12402-3568
Phone
: 845-331-2568;
Fax
: ;
Practice Location Address
:
211 HURLEY AVENUVE
, SUITE 1
, KINGSTON
, NY
, 12401-2400
Practice Phone
: 845-331-2568;
Practice Fax
:
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1437134327 -
MRS.
MRS.
YARIMAR
MARIA
SANDOVAL JIMENEZ
AUD
Other Name
:
Mailing Address
:
PO BOX 9741
CIDRA
PR
00739-8741
Phone
: 787-714-1315;
Fax
: 787-714-1315;
Practice Location Address
:
12 CALLE BARCELO
, ESQUINO CARR 173
, CIDRA
, PR
, 00739-3446
Practice Phone
: 787-714-1315;
Practice Fax
: 787-714-1315
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1346225232 -
GARY
ALLAN
CURRAN
MD
Other Name
:
Mailing Address
:
6 BROOKLET ST
ASHEVILLE
NC
28801-4505
Phone
: 828-250-0898;
Fax
: 828-251-4671;
Practice Location Address
:
6 BROOKLET ST
,
, ASHEVILLE
, NC
, 28801-4505
Practice Phone
: 828-250-0898;
Practice Fax
: 828-251-4671
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1255316147 -
STEPHEN
PATRICK
SHINKLE
DMD
Other Name
:
Mailing Address
:
3020 MADISON RD
CINCINNATI
OH
45209-1710
Phone
: 513-531-0600;
Fax
: 513-531-0600;
Practice Location Address
:
3020 MADISON RD
,
, CINCINNATI
, OH
, 45209-1710
Practice Phone
: 513-531-0600;
Practice Fax
: 513-531-0600
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1164407052 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
11 ELLIOTT BARKER LANE
,
, ANGEL FIRE
, NM
, 87710
Practice Phone
: 505-337-3301;
Practice Fax
: 505-337-3991
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1073598967 -
DR.
DR.
KHALIL
ELIAS
BADAOUI
D.C.
Other Name
:
Mailing Address
:
25 S LAPEER ST
LAKE ORION
MI
48362-3167
Phone
: 248-693-4800;
Fax
: 248-693-3539;
Practice Location Address
:
25 S LAPEER ST
,
, LAKE ORION
, MI
, 48362-3167
Practice Phone
: 248-693-4800;
Practice Fax
: 248-693-3539
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1982689873 -
DR.
DR.
KAREN
SCHULHAFER
DPM
Other Name
:
Mailing Address
:
35 GESNER ST
LINDEN
NJ
07036-4041
Phone
: 908-925-1444;
Fax
: 908-925-3728;
Practice Location Address
:
35 GESNER ST
,
, LINDEN
, NJ
, 07036-4041
Practice Phone
: 908-925-1444;
Practice Fax
: 908-925-3728
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1790760684 -
MS.
MS.
GRACE
G
BALTAZAR
Other Name
:
Mailing Address
:
1527 14TH AVE S
APT 202
SEATTLE
WA
98144-7418
Phone
: 206-251-9184;
Fax
: ;
Practice Location Address
:
1407 BROADWAY
,
, SEATTLE
, WA
, 98122-3854
Practice Phone
: 206-726-3495;
Practice Fax
: 206-726-3498
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1609851591 -
DR.
DR.
THEODORE
W
SCHAFER
MD
Other Name
:
Mailing Address
:
200 MILL RD
FAIRHAVEN
MA
02719-5252
Phone
: 508-973-2000;
Fax
: 508-973-2001;
Practice Location Address
:
208 MILL RD
,
, FAIRHAVEN
, MA
, 02719-5208
Practice Phone
: 508-973-2661;
Practice Fax
: 508-973-0314
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1518942408 -
MICHAEL
JOHN
SCHMIDLING
MD
Other Name
:
Mailing Address
:
8025 BLACK HORSE PIKE STE 300
PLEASANTVILLE
NJ
08232-2962
Phone
: 609-652-8316;
Fax
: 609-652-7153;
Practice Location Address
:
72 W JIMMIE LEEDS RD
, SUITE 1100
, GALLOWAY
, NJ
, 08205-9406
Practice Phone
: 609-652-6815;
Practice Fax
: 609-652-7153
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1427033315 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
301 E MIEL DE LUNA AVE
,
, TUCUMCARI
, NM
, 88401-3810
Practice Phone
: 575-461-7240;
Practice Fax
: 575-461-7245
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1336124221 -
DR.
DR.
BRIAN
D
FEDGCHIN
MD
Other Name
:
Mailing Address
:
2422 S BROAD ST
1ST FLOOR
PHILA
PA
19145-4418
Phone
: 215-389-1748;
Fax
: 215-389-0604;
Practice Location Address
:
2422 S BROAD ST
, 1ST FLOOR
, PHILA
, PA
, 19145-4418
Practice Phone
: 215-389-1748;
Practice Fax
: 215-389-0604
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1346225257 -
DR.
DR.
ILENE
SH
TERRELL
DPM
Other Name
:
Mailing Address
:
12010 KILARNEY DR
FREDERICKSBURG
VA
22407
Phone
: 540-548-3668;
Fax
: 540-548-0019;
Practice Location Address
:
12010 KILARNEY DR
,
, FREDERICKSBURG
, VA
, 22407
Practice Phone
: 540-548-3668;
Practice Fax
: 540-548-0019
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1255316162 -
DR.
DR.
BRION
SMITH
DDS
Other Name
:
Mailing Address
:
1314 RESEARCH BOULEVARD
BUILDING 101
ROCKVILLE
MD
20850-3125
Phone
: 301-319-0124;
Fax
: 301-295-5932;
Practice Location Address
:
1314 RESEARCH BLVD
, BUILDING 101
, ROCKVILLE
, MD
, 20850-3125
Practice Phone
: 301-319-0124;
Practice Fax
: 301-295-5932
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1164407078 -
DR.
DR.
JULIO
E
DIEPPA
MD
Other Name
:
Mailing Address
:
F6 VIA BOGOTA
BAYAMON
PR
00961-3087
Phone
: 787-756-5685;
Fax
: 787-763-7833;
Practice Location Address
:
271 DOMENECH ST
,
, SAN JUAN
, PR
, 00918
Practice Phone
: 787-756-5685;
Practice Fax
: 787-763-7833
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1073598983 -
DR.
DR.
ROBERT
LANE
ROGERS
M.D.
Other Name
:
Mailing Address
:
999 MAR WALT DRIVE
EAST BUILDING
FORT WALTON BEACH
FL
32547
Phone
: 850-863-8255;
Fax
: 850-862-7965;
Practice Location Address
:
999 MAR WALT DRIVE
, WHITE-WILSON EAST BUILDING
, FORT WALTON BEACH
, FL
, 32547
Practice Phone
: 850-863-8255;
Practice Fax
: 850-862-7965
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1982689899 -
DR.
DR.
DANIEL
L
ROPER
M.D.
Other Name
:
Mailing Address
:
59 MEIGS DR
SHALIMAR
FL
32579-2145
Phone
: 850-585-1594;
Fax
: 850-651-8782;
Practice Location Address
:
59 MEIGS DR
,
, SHALIMAR
, FL
, 32579-2145
Practice Phone
: 850-585-1594;
Practice Fax
: 850-651-8782
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1790760601 -
RICHARD
L
COGLEY
MD
Other Name
:
Mailing Address
:
3822 COLONIAL AVE
ERIE
PA
16506-3826
Phone
: 814-833-5653;
Fax
: 814-838-1153;
Practice Location Address
:
3822 COLONIAL AVE
,
, ERIE
, PA
, 16506-3826
Practice Phone
: 814-833-5653;
Practice Fax
: 814-838-1153
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1609851518 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518942424 -
DAVID
B
DODSON
MD
Other Name
:
Mailing Address
:
2525 DESALES AVE
CHATTANOOGA
TN
37404-1161
Phone
: 423-495-2620;
Fax
: 423-495-2625;
Practice Location Address
:
2525 DESALES AVE
,
, CHATTANOOGA
, TN
, 37404-1161
Practice Phone
: 423-495-2620;
Practice Fax
: 423-495-2625
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