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Showing codes 1922084615 — 1619953239
1922084615 -
MICHAEL
TENNIER
C.R.N.A.
Other Name
:
Mailing Address
:
2817 NEW PINERY RD
PORTAGE
WI
53901-9240
Phone
: 608-617-2506;
Fax
: ;
Practice Location Address
:
2817 NEW PINERY RD
,
, PORTAGE
, WI
, 53901-9240
Practice Phone
: 608-742-4131;
Practice Fax
: 608-745-5161
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1831175520 -
DR.
DR.
MICHELLE
R.
HARRIS
M.D.
Other Name
:
Mailing Address
:
1 GENERAL ST
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.
LAWRENCE
MA
01841-2961
Phone
: 978-683-4000;
Fax
: 978-946-8017;
Practice Location Address
:
1 GENERAL ST
, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.
, LAWRENCE
, MA
, 01841-2961
Practice Phone
: 978-683-4000;
Practice Fax
: 978-946-8017
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1740266436 -
ANDREW
D.
MANN
M.D.
Other Name
:
Mailing Address
:
27 PARK ST.
C/O CAPE COD HOSPITAL
HYANNIS
MA
02601
Phone
: 508-862-5845;
Fax
: 508-862-7387;
Practice Location Address
:
27 PARK ST.
, C/O CAPE COD HOSPITAL
, HYANNIS
, MA
, 02601
Practice Phone
: 508-862-5845;
Practice Fax
: 508-862-7387
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1659357341 -
CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC
Other Name
:
Mailing Address
:
5700 CANOGA AVE
SUITE 500
WOODLAND HILLS
CA
91367-6579
Phone
: 800-377-3606;
Fax
: 818-595-8206;
Practice Location Address
:
5700 CANOGA AVE
, SUITE 500
, WOODLAND HILLS
, CA
, 91367-6579
Practice Phone
: 800-377-3606;
Practice Fax
: 818-595-8206
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1568448256 -
MR.
MR.
JAMES
ALLEN
STEWART
MD
Other Name
:
Mailing Address
:
PO BOX 2441
DAVENPORT
IA
52809-2441
Phone
: 563-324-8160;
Fax
: 563-324-8486;
Practice Location Address
:
1227 EAST RUSHOLME STREET
,
, DAVENPORT
, IA
, 52803-2498
Practice Phone
: 563-421-1000;
Practice Fax
: 563-421-7889
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1477539161 -
DR.
DR.
NIGEL
ROSS
JENKINS
MD
Other Name
:
Mailing Address
:
4 HAWTHORNE DR
BEDFORD
NH
03110-6912
Phone
: 603-472-8888;
Fax
: 603-472-9090;
Practice Location Address
:
4 HAWTHORNE DR
,
, BEDFORD
, NH
, 03110-6912
Practice Phone
: 603-472-8888;
Practice Fax
: 603-472-9090
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1386620078 -
IRFANA
ALI
M.D.
Other Name
:
Mailing Address
:
10540 CONNECTICUT AVE
KENSINGTON
MD
20895-2426
Phone
: 301-949-0030;
Fax
: 301-949-0033;
Practice Location Address
:
10540 CONNECTICUT AVE
,
, KENSINGTON
, MD
, 20895-2426
Practice Phone
: 301-949-0030;
Practice Fax
: 301-949-0033
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1194701888 -
AUTUMN CORPORATION
Other Name
:
Mailing Address
:
23700 COMMERCE PARK
BEACHWOOD
OH
44122-5827
Phone
: 216-292-5706;
Fax
: ;
Practice Location Address
:
1 AUTUMN CT
,
, MADISON
, VA
, 22727-3028
Practice Phone
: 540-948-3054;
Practice Fax
: 540-948-4297
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1003892795 -
SHORE FAMILY DENTAL
Other Name
:
Mailing Address
:
16 WASHINGTON ST
TOMS RIVER
NJ
08753-7643
Phone
: 732-914-1039;
Fax
: 732-914-8472;
Practice Location Address
:
1358 HOOPER AVE
,
, TOMS RIVER
, NJ
, 08753-2882
Practice Phone
: 732-914-1039;
Practice Fax
: 732-914-8472
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1912983602 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1821074519 -
GAIL
S
MARION
PAC PHD
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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1730165424 -
PAIN CARE, PLLC
Other Name
:
Mailing Address
:
PO BOX 8166
HUNTINGTON
WV
25705-0166
Phone
: 304-526-4551;
Fax
: 304-522-9116;
Practice Location Address
:
1623 13TH AVE
,
, HUNTINGTON
, WV
, 25701-3845
Practice Phone
: 304-526-4551;
Practice Fax
: 304-522-9116
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1649256330 -
MR.
MR.
KENNETH
LEON
WILKINS
II
MD
Other Name
:
Mailing Address
:
782 OLD HICKORY BLVD
SUITE 201
BRENTWOOD
TN
37027-4561
Phone
: 615-794-8700;
Fax
: ;
Practice Location Address
:
782 OLD HICKORY BLVD
, SUITE 201
, BRENTWOOD
, TN
, 37027-4561
Practice Phone
: 615-794-8700;
Practice Fax
:
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1558347245 -
STEPHEN
ALEXANDER
YAMODIS
DMD
Other Name
:
Mailing Address
:
PSC BOX 20130
CAMP LEJEUNE
NC
28542-0130
Phone
: 910-451-2208;
Fax
: 910-451-8036;
Practice Location Address
:
2D DENTAL BATTALION
, NAVAL DENTAL CENTER
, CAMP LEJEUNE
, NC
, 29405
Practice Phone
: 910-451-2208;
Practice Fax
: 910-451-2208
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1467438150 -
ALBERT
C
PERRINO
JR.
MD
Other Name
:
Mailing Address
:
20 YORK ST
YNHH TOMPKINS BUILDING, 3RD FLOOR
NEW HAVEN
CT
06510-3220
Phone
: 203-785-2802;
Fax
: 203-785-6664;
Practice Location Address
:
20 YORK ST
, YNHH TOMPKINS BUILDING, 3RD FLOOR
, NEW HAVEN
, CT
, 06510-3220
Practice Phone
: 203-785-2802;
Practice Fax
: 203-785-6664
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1376529065 -
HOWELL FAMILY DENTAL
Other Name
:
Mailing Address
:
16 WASHINGTON ST
TOMS RIVER
NJ
08753-7643
Phone
: 732-914-1039;
Fax
: 732-914-8472;
Practice Location Address
:
4538 ROUTE 9 S
,
, HOWELL
, NJ
, 07731-3771
Practice Phone
: 732-730-8815;
Practice Fax
: 732-730-8816
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1285610972 -
DR.
DR.
DAVID
HARRIS
NATHAN
MD
Other Name
:
Mailing Address
:
1016 PONCE DE LEON BLVD
SUITE 7
BELLEAIR
FL
33756-1069
Phone
: 727-584-2131;
Fax
: 727-585-8683;
Practice Location Address
:
1016 PONCE DE LEON BLVD
, SUITE 7
, CLEARWATER
, FL
, 33756-1073
Practice Phone
: 727-584-2131;
Practice Fax
: 727-585-8683
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1093791782 -
MS.
MS.
ANDREA
NOVAK
C.R.N.A.
Other Name
:
Mailing Address
:
18697 BAGLEY RD
MIDDLEBURG HEIGHTS
OH
44130-3417
Phone
: 440-816-6246;
Fax
: 440-816-6263;
Practice Location Address
:
18697 BAGLEY RD
,
, MIDDLEBURG HEIGHTS
, OH
, 44130-3417
Practice Phone
: 440-816-6246;
Practice Fax
: 440-816-6246
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1902882699 -
DANIEL
ORLIN
SOKOLOFF
MD
Other Name
:
Mailing Address
:
4475 MEDICAL CENTER WAY
SUITE 2
WEST PALM BEACH
FL
33407-3240
Phone
: 561-863-1000;
Fax
: 561-863-1319;
Practice Location Address
:
4475 MEDICAL CENTER WAY
, SUITE 2
, WEST PALM BEACH
, FL
, 33407-3240
Practice Phone
: 561-863-1000;
Practice Fax
: 561-863-1319
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1073599775 -
JASMINKA
KOSTIC
MD
Other Name
:
Mailing Address
:
3114 W IRVING PARK RD
CHICAGO
IL
60618-3406
Phone
: 773-588-6680;
Fax
: 773-588-6451;
Practice Location Address
:
3114 W IRVING PARK RD
,
, CHICAGO
, IL
, 60618-3406
Practice Phone
: 773-588-6680;
Practice Fax
: 773-588-6451
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1982680682 -
CHRISTINE
ROBERTA
POE
CPNP
Other Name
:
Mailing Address
:
7675 MADISON ST NE
FRIDLEY
MN
55432-2753
Phone
: 763-785-4500;
Fax
: 763-755-3314;
Practice Location Address
:
7675 MADISON ST NE
,
, FRIDLEY
, MN
, 55432-2753
Practice Phone
: 763-785-4500;
Practice Fax
: 763-755-3314
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1790761492 -
METRO MEDICAL SKYLINE PHARMACY
Other Name
:
Mailing Address
:
3443 DICKERSON PIKE
SUITE 110
NASHVILLE
TN
37207-2519
Phone
: 615-868-0792;
Fax
: 615-860-4541;
Practice Location Address
:
3443 DICKERSON PIKE
, SUITE 110
, NASHVILLE
, TN
, 37207-2519
Practice Phone
: 615-868-0792;
Practice Fax
: 615-860-4541
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1609852300 -
DR.
DR.
JACKY
POZEN
CHENG
MD
Other Name
:
Mailing Address
:
777 LOWNDES HILL RD
GREENVILLE
SC
29607-2101
Phone
: 864-720-1205;
Fax
: ;
Practice Location Address
:
1717 S J ST FL 14
,
, TACOMA
, WA
, 98405-4933
Practice Phone
: 253-426-6076;
Practice Fax
: 253-426-4414
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1518943216 -
FARWELL HOSPITAL DISTRICT
Other Name
:
Mailing Address
:
305 5TH ST
FARWELL
TX
79325-5615
Phone
: 806-481-9027;
Fax
: 806-481-9503;
Practice Location Address
:
305 5TH STREET
,
, FARWELL
, TX
, 79325
Practice Phone
: 806-481-9027;
Practice Fax
: 806-481-9503
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1427034123 -
ELISSA
JELALIAN
PHD
Other Name
:
Mailing Address
:
593 EDDY ST
APC 978
PROVIDENCE
RI
02903-4923
Phone
: 401-444-4318;
Fax
: 101-444-7865;
Practice Location Address
:
1 HOPPIN ST
, SUITE 204
, PROVIDENCE
, RI
, 02903-4141
Practice Phone
: 401-444-8945;
Practice Fax
: 401-444-8742
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1336125038 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1245216944 -
EDWARD
SHARP
BREZINA
JR.
M.D.
Other Name
:
Mailing Address
:
2500 HORTON BLVD SW
WILSON
NC
27893-4444
Phone
: 252-206-1000;
Fax
: 252-237-7284;
Practice Location Address
:
2500 HORTON BLVD SW
,
, WILSON
, NC
, 27893-4444
Practice Phone
: 252-206-1000;
Practice Fax
: 252-237-7284
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1154307858 -
DAVID
R
GIAMMAR
M.D.
Other Name
:
Mailing Address
:
477 COOPER RD STE 440
WESTERVILLE
OH
43081-8055
Phone
: 380-898-5561;
Fax
: 380-898-5563;
Practice Location Address
:
477 COOPER RD STE 440
,
, WESTERVILLE
, OH
, 43081-8055
Practice Phone
: 380-898-5561;
Practice Fax
: 380-898-5563
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1063498764 -
ABSECON FAMILY DENTAL
Other Name
:
Mailing Address
:
16 WASHINGTON ST
TOMS RIVER
NJ
08753-7643
Phone
: 732-914-1039;
Fax
: 732-914-8472;
Practice Location Address
:
658 WHITE HORSE PIKE
,
, ABSECON
, NJ
, 08201-2302
Practice Phone
: 609-677-5155;
Practice Fax
: 609-677-5133
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1972589679 -
COLONIAL DRUGS OF ORLANDO, LLC
Other Name
:
Mailing Address
:
155 E NEW ENGLAND AVE
WINTER PARK
FL
32789-4330
Phone
: 407-647-2311;
Fax
: 407-647-1687;
Practice Location Address
:
155 E NEW ENGLAND AVE
,
, WINTER PARK
, FL
, 32789-4330
Practice Phone
: 407-647-2311;
Practice Fax
: 407-647-1687
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1881670586 -
MAGDALENA
FLORES
MD
Other Name
:
Mailing Address
:
800 W JEFFERSON ST
SUITE 210
BROWNSVILLE
TX
78520-6329
Phone
: 956-550-8733;
Fax
: 956-550-9299;
Practice Location Address
:
800 W JEFFERSON ST STE 210
,
, BROWNSVILLE
, TX
, 78520-6300
Practice Phone
: 956-550-8733;
Practice Fax
: 866-607-4011
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1699751396 -
BENJAMIN
ALEXANDER
BLACK
ATC
Other Name
:
Mailing Address
:
220 LINCOLN OAKS DR
APT. 1413
WILLOW BROOK
IL
60527-3271
Phone
: 630-768-8556;
Fax
: ;
Practice Location Address
:
207 63RD ST
, ATHLETICO
, WILLOW BROOK
, IL
, 60527-2147
Practice Phone
: 630-230-0900;
Practice Fax
:
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1508842204 -
MARTIN, PLUNKETT, MD, LLC
Other Name
:
Mailing Address
:
545 BRENT LN
PENSACOLA
FL
32503-2003
Phone
: 850-477-5437;
Fax
: 850-477-3380;
Practice Location Address
:
545 BRENT LN
,
, PENSACOLA
, FL
, 32503-2003
Practice Phone
: 850-477-5437;
Practice Fax
: 850-477-3380
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1417933110 -
DR.
DR.
LARS
JAKOB
JAKOBSEN
M.D.
Other Name
:
Mailing Address
:
9708 MAGELLAN DR
LOOMIS
CA
95650-9736
Phone
: 530-652-3102;
Fax
: ;
Practice Location Address
:
3111 PROFESSIONAL DR
,
, AUBURN
, CA
, 95603-2456
Practice Phone
: 530-885-5618;
Practice Fax
: 530-889-0636
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1326024027 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1235115932 -
MARK
NOLAND
MUELLER
LCSW
Other Name
:
M
NOLAND
MUELLER
Mailing Address
:
VA SALT LAKE CITY HEALTH CARE SYS. MENTAL HEALTH ER
500 FOOTHILL DR.
SALT LAKE CITY
UT
84148
Phone
: 801-582-1565;
Fax
: ;
Practice Location Address
:
VA SALT LAKE CITY HEALTH CARE SYSTEM MENTAL
, 500 FOOTHILL DR.
, SALT LAKE CITY
, UT
, 84148-0001
Practice Phone
: 801-582-1565;
Practice Fax
:
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1144206848 -
MICHIGAN WOMENS HEALTH INSTITUTE,PC
Other Name
:
Mailing Address
:
6900 ORCHARD LAKE RD
SUITE 306
WEST BLOOMFIELD
MI
48322-3405
Phone
: 248-855-6663;
Fax
: 248-855-7546;
Practice Location Address
:
6900 ORCHARD LAKE RD
, SUITE 306
, WEST BLOOMFIELD
, MI
, 48322-3405
Practice Phone
: 248-855-6663;
Practice Fax
: 248-855-7546
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1053397752 -
GREGORY
SHERMAN
BRINTON
MD
Other Name
:
Mailing Address
:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY
UT
84107-6771
Phone
: 801-281-3030;
Fax
: 801-281-3033;
Practice Location Address
:
5169 COTTONWOOD ST STE 630
,
, SALT LAKE CITY
, UT
, 84107-6771
Practice Phone
: 801-281-3030;
Practice Fax
: 801-281-3033
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1962488668 -
DR.
DR.
MICHAEL
J
RYAN
M.D.
Other Name
:
Mailing Address
:
885 KEMPSVILLE RD
SUITE 114
NORFOLK
VA
23502-3800
Phone
: 757-466-0165;
Fax
: 757-466-7296;
Practice Location Address
:
885 KEMPSVILLE RD
, SUITE 114
, NORFOLK
, VA
, 23502-3800
Practice Phone
: 757-466-0165;
Practice Fax
: 757-466-7296
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1871579573 -
DR.
DR.
THORNTON
STERLING
MCKINNEY
JR.
M.D.
Other Name
:
Mailing Address
:
PO BOX 8462
COLUMBIA
SC
29202-8462
Phone
: 803-779-5356;
Fax
: 803-779-2135;
Practice Location Address
:
1919 GADSDEN ST
,
, COLUMBIA
, SC
, 29201-2346
Practice Phone
: 803-779-5356;
Practice Fax
: 803-779-2135
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1780660480 -
DR.
DR.
STANLEY
J
SCZECIENSKI
D.O.
Other Name
:
Mailing Address
:
1 FORD PL STE 3A
DETROIT
MI
48202-3450
Phone
: ;
Fax
: ;
Practice Location Address
:
130 N SHERMAN ST
,
, LESLIE
, MI
, 49251-9409
Practice Phone
: 517-205-2500;
Practice Fax
:
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1598741290 -
ARTHUR
HENNING
HANSON
III
M.D.
Other Name
:
Mailing Address
:
2500 HORTON BLVD SW
WILSON
NC
27893-4444
Phone
: 252-206-1000;
Fax
: 252-237-7284;
Practice Location Address
:
2500 HORTON BLVD SW
,
, WILSON
, NC
, 27893-4444
Practice Phone
: 252-206-1000;
Practice Fax
: 252-237-7284
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1407832108 -
DR.
DR.
RALPH
STEVE
ROSENBAUM
M.D.
Other Name
:
Mailing Address
:
1200 BINZ ST
SUITE 300
HOUSTON
TX
77004-6900
Phone
: 713-797-9191;
Fax
: 713-394-2852;
Practice Location Address
:
1200 BINZ ST
, SUITE 300
, HOUSTON
, TX
, 77004-6900
Practice Phone
: 713-797-9191;
Practice Fax
: 713-394-2852
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1316923014 -
SANJEEV
AGGARWAL
MD
Other Name
:
Mailing Address
:
PO BOX 357
SAN ANTONIO
TX
78292-0357
Phone
: 512-583-0205;
Fax
: 512-583-2001;
Practice Location Address
:
7901 LAKE MANASSAS DR
,
, GAINESVILLE
, VA
, 20155-3257
Practice Phone
: 703-753-4045;
Practice Fax
: 703-753-8037
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1225014921 -
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Phone
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: ;
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,
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: ;
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1134105836 -
AUTUMN CORPORATION
Other Name
:
Mailing Address
:
26691 RICHMOND RD
BEDFORD HEIGHTS
OH
44146-1421
Phone
: 216-292-5706;
Fax
: ;
Practice Location Address
:
1317 LOLA AVE
,
, ALTAVISTA
, VA
, 24517-1352
Practice Phone
: 434-369-6651;
Practice Fax
: 434-309-7254
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1043296742 -
DR.
DR.
JACQUES
P
STASSART
Other Name
:
Mailing Address
:
2101 WOODWINDS DR
SUITE 100
WOODBURY
MN
55125-2525
Phone
: 651-222-6050;
Fax
: 651-222-5975;
Practice Location Address
:
2101 WOODWINDS DR
, SUITE 100
, WOODBURY
, MN
, 55125-2525
Practice Phone
: 651-222-6050;
Practice Fax
: 651-222-5975
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1952387656 -
DR.
DR.
CLAUDIA
M
CALABRESE
DO
Other Name
:
Mailing Address
:
203 S ROLLIE AVE
FORT LUPTON
CO
80621-1508
Phone
: 303-286-4560;
Fax
: 303-286-4589;
Practice Location Address
:
1860 E EGBERT ST
,
, BRIGHTON
, CO
, 80601-2475
Practice Phone
: 303-659-4000;
Practice Fax
: 303-659-9306
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1861478562 -
DAVID
M
LEHMANN
M.D.
Other Name
:
Mailing Address
:
262 NEIL AVE STE 430
COLUMBUS
OH
43215-7312
Phone
: 614-221-7464;
Fax
: 614-221-8117;
Practice Location Address
:
262 NEIL AVE STE 430
,
, COLUMBUS
, OH
, 43215-7312
Practice Phone
: 614-221-7464;
Practice Fax
: 614-221-8117
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1770569477 -
JOY
A.
RECKLEY-MURPHY
LCSW-C, DHA
Other Name
:
Mailing Address
:
14710 UHL HWY SE
CUMBERLAND
MD
21502-8447
Phone
: ;
Fax
: ;
Practice Location Address
:
308 VIRGINIA AVE
,
, CUMBERLAND
, MD
, 21502-4559
Practice Phone
: 667-600-2132;
Practice Fax
:
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1689650384 -
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:
Mailing Address
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Phone
: ;
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: ;
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:
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: ;
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:
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1497731194 -
DR.
DR.
KARLWIN
J
MATTHEWS
M.D.
Other Name
:
Mailing Address
:
PSC 851 BOX 340
FPO
AE
09834-0004
Phone
: 318-439-8124;
Fax
: ;
Practice Location Address
:
480 CENTRAL AVE
,
, PEARL HARBOR
, HI
, 96860-4908
Practice Phone
: 808-471-1866;
Practice Fax
:
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1306822002 -
DR.
DR.
NATHAN
KNIGHT
COBB
MD
Other Name
:
Mailing Address
:
PO BOX 418283
BOSTON
MA
02241-8283
Phone
: 703-558-1544;
Fax
: ;
Practice Location Address
:
3800 RESERVOIR RD NW
, PULMONARY AND CRITICAL CARE DIVISION
, WASHINGTON
, DC
, 20007-2113
Practice Phone
: 202-444-8830;
Practice Fax
:
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1215913918 -
ALLIED DENTAL OF OLD BRIDGE
Other Name
:
Mailing Address
:
16 WASHINGTON ST
TOMS RIVER
NJ
08753-7643
Phone
: 732-914-1039;
Fax
: 732-914-8472;
Practice Location Address
:
1070 HIGHWAY 9
,
, PARLIN
, NJ
, 08859
Practice Phone
: 732-553-9393;
Practice Fax
: 732-553-1910
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1124004825 -
DR.
DR.
MICHAEL
S
SILVERSTONE
DO
Other Name
:
Mailing Address
:
24 FRANK LLOYD WRIGHT DRIVE
SUITE J2000
ANN ARBOR
MI
48105
Phone
: 734-747-6766;
Fax
: 248-291-3715;
Practice Location Address
:
IHA HOSPITAL MEDICINE SERVICES
, 5301 MCAULEY DRIVE
, YPSILANTI
, MI
, 48197
Practice Phone
: 734-712-8676;
Practice Fax
: 734-728-2626
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1033195730 -
DORANNE
LONG
M.S., P.T.
Other Name
:
Mailing Address
:
1005 SHARON DR
GRANTS PASS
OR
97527-8746
Phone
: 541-474-3527;
Fax
: ;
Practice Location Address
:
544 UNION AVE
,
, GRANTS PASS
, OR
, 97527-5544
Practice Phone
: 541-955-0940;
Practice Fax
: 541-955-5233
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1942286646 -
DR.
DR.
MARY
L.
MIHELICH
PHD
Other Name
:
MARY
L
VENTONIS
Mailing Address
:
8522 E 81ST PL
TULSA
OK
74133-8001
Phone
: 918-527-0323;
Fax
: 918-398-9475;
Practice Location Address
:
5215 E 71ST ST
, SUITE 1300
, TULSA
, OK
, 74136-6341
Practice Phone
: 918-527-0323;
Practice Fax
: 918-398-9475
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1851377550 -
DR.
DR.
DONALD
MCDONAH
M.D.
Other Name
:
Mailing Address
:
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON
ME
04243-7291
Phone
: 207-777-8695;
Fax
: 207-777-8800;
Practice Location Address
:
172 KINSLEY ST
,
, NASHUA
, NH
, 03060-3648
Practice Phone
: 603-884-5600;
Practice Fax
: 603-884-5601
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1760468466 -
BAY HOME MEDICAL SERIVCES, INC.
Other Name
:
Mailing Address
:
406 MEDICAL CENTER DR.
JASPER
AL
35501-3400
Phone
: 205-221-8200;
Fax
: 205-221-8270;
Practice Location Address
:
1218 MONTLIMAR DR.
, STE. C
, MOBILE
, AL
, 36609-1711
Practice Phone
: 251-478-5111;
Practice Fax
: 251-666-2225
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1679559371 -
DR.
DR.
CELIA
MARIA
LESCANO
PHD
Other Name
:
Mailing Address
:
593 EDDY ST
APC 970
PROVIDENCE
RI
02903-4923
Phone
: 401-444-8539;
Fax
: 401-444-4645;
Practice Location Address
:
593 EDDY ST
, APC 970
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-444-8539;
Practice Fax
: 401-444-4645
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1588640288 -
DR.
DR.
LINDA
SHAMBLIN
PH.D.
Other Name
:
Mailing Address
:
144 E CHESTNUT ST
ASHEVILLE
NC
28801-2337
Phone
: 828-258-9399;
Fax
: ;
Practice Location Address
:
144 E CHESTNUT ST
,
, ASHEVILLE
, NC
, 28801-2337
Practice Phone
: 828-258-9399;
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:
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1396721098 -
SAMUEL
T.
DYER
PA-C
Other Name
:
Mailing Address
:
120 WILLIAM PENN PLZ
DURHAM
NC
27704-2150
Phone
: 919-220-5255;
Fax
: 919-220-6971;
Practice Location Address
:
120 WILLIAM PENN PLZ
,
, DURHAM
, NC
, 27704-2150
Practice Phone
: 919-220-5255;
Practice Fax
: 919-220-6971
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1205812906 -
ERNEST
EVANS
Other Name
:
Mailing Address
:
441 MCALISTER RD
LINCOLNTON
NC
28092-4126
Phone
: ;
Fax
: ;
Practice Location Address
:
441 MCALISTER RD
, SUITE 2100
, LINCOLNTON
, NC
, 28092-4126
Practice Phone
: 980-212-6250;
Practice Fax
:
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1114903812 -
MS.
MS.
ROSALIND
M
MELNICOFF
APRN
Other Name
:
Mailing Address
:
100 GRAND ST
HOSPITALIST GROUP
NEW BRITAIN
CT
06052-2016
Phone
: 860-224-5900;
Fax
: ;
Practice Location Address
:
100 GRAND STREET
, HOSPITALIST GROUP
, NEW BRITAIN
, CT
, 06050
Practice Phone
: 860-224-5900;
Practice Fax
:
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1023094729 -
DEBRA
RUSSELL
MOONEY
C-FNP
Other Name
:
Mailing Address
:
60 SUMMIT RIDGE RD
HURRICANE
WV
25526-8847
Phone
: 304-756-5715;
Fax
: ;
Practice Location Address
:
103 PENNSYLVANIA AVE
,
, CHARLESTON
, WV
, 25302-2314
Practice Phone
: 304-756-5715;
Practice Fax
:
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1932185634 -
ST MARYS MANOR
Other Name
:
Mailing Address
:
701 LANSDALE AVE
LANSDALE
PA
19446-2958
Phone
: 215-368-0900;
Fax
: 215-368-5254;
Practice Location Address
:
701 LANSDALE AVE
,
, LANSDALE
, PA
, 19446-2958
Practice Phone
: 215-368-0900;
Practice Fax
: 215-368-5254
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1841276540 -
DANIEL
PETER
MICHALAK
M.D.
Other Name
:
Mailing Address
:
2500 HORTON BLVD SW
WILSON
NC
27893-4444
Phone
: 252-206-1000;
Fax
: 252-237-7284;
Practice Location Address
:
2500 HORTON BLVD SW
,
, WILSON
, NC
, 27893-4444
Practice Phone
: 252-206-1000;
Practice Fax
: 252-237-7284
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1750367454 -
MS.
MS.
LISA
ROBINSON
R.N., ARNP
Other Name
:
Mailing Address
:
1019 PACIFIC AVENUE #300
COMMUNITY HEALTH CARE
TACOMA
WA
98402
Phone
: 253-722-1540;
Fax
: 253-722-1546;
Practice Location Address
:
1708 EAST 44TH STREET
, COMMUNITY HEALTH CARE
, TACOMA
, WA
, 98404
Practice Phone
: 253-471-4553;
Practice Fax
: 253-474-5395
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1669458360 -
DR.
DR.
JOSEPH
MICHAEL
PLUNKETT
MD
Other Name
:
Mailing Address
:
4205 BELFORT RD STE 4015
JACKSONVILLE
FL
32216-3623
Phone
: 904-450-6063;
Fax
: 904-450-6401;
Practice Location Address
:
1549 AIRPORT BLVD STE 200F
,
, PENSACOLA
, FL
, 32504-8634
Practice Phone
: 850-416-1885;
Practice Fax
: 850-416-1886
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1578549275 -
DONNA
TURCHETTI
Other Name
:
Mailing Address
:
3800 PARK NICOLLET BLVD
CREDENTIALING
MINNEAPOLIS
MN
55416-2527
Phone
: ;
Fax
: ;
Practice Location Address
:
5320 HYLAND GREENS DR
,
, BLOOMINGTON
, MN
, 55437-3934
Practice Phone
: 952-993-3307;
Practice Fax
:
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1487630182 -
STANLEY
CORDELL
JR.
R.PH.
Other Name
:
Mailing Address
:
22160 CENTER RIDGE RD
ROCKY RIVER
OH
44116-3926
Phone
: 440-356-3287;
Fax
: 440-356-3290;
Practice Location Address
:
22160 CENTER RIDGE RD
,
, ROCKY RIVER
, OH
, 44116-3926
Practice Phone
: 440-356-3287;
Practice Fax
: 440-356-3290
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1295711992 -
DR.
DR.
YILAN
L
CHANG
MD
Other Name
:
YILAN
L.
ZHANG
Mailing Address
:
PO BOX 773129
DETROIT
MI
48277-3129
Phone
: 330-285-2785;
Fax
: ;
Practice Location Address
:
272 BENEDICT AVE
,
, NORWALK
, OH
, 44857-2374
Practice Phone
: 330-285-2785;
Practice Fax
:
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1104802800 -
DR.
DR.
RONALD
K
STERRENBERG
DO
Other Name
:
Mailing Address
:
7815 W KERRY LN
GLENDALE
AZ
85308-6122
Phone
: 623-561-0443;
Fax
: ;
Practice Location Address
:
18701 N 67TH AVE
,
, GLENDALE
, AZ
, 85308-7100
Practice Phone
: 623-561-7222;
Practice Fax
:
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1013993716 -
JAMES
JUDE
BROWN
M.D.
Other Name
:
Mailing Address
:
5147 MANCHESTER RD
AKRON
OH
44319-3911
Phone
: 330-644-3747;
Fax
: 330-644-9815;
Practice Location Address
:
440 BROWNS LN
,
, COSHOCTON
, OH
, 43812-2044
Practice Phone
: 740-891-9000;
Practice Fax
:
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1386620904 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1194701714 -
DR.
DR.
REBECCA
E
WASVARY
MD
Other Name
:
Mailing Address
:
32100 TELEGRAPH RD
STE 110
BINGHAM FARMS
MI
48025-2452
Phone
: 248-644-1221;
Fax
: 248-644-2748;
Practice Location Address
:
32100 TELEGRAPH RD
, STE 110
, BINGHAM FARMS
, MI
, 48025-2452
Practice Phone
: 248-644-1221;
Practice Fax
: 248-644-2748
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1003892621 -
BRADY
GENE
ENGLESTEAD
M.D.
Other Name
:
Mailing Address
:
3963 S. HIGHWAY 97 #113
SAND SPRINGS
OK
74063
Phone
: 918-762-6536;
Fax
: 918-762-4614;
Practice Location Address
:
1201 HERITAGE CIRCLE
,
, PAWNEE
, OK
, 74058
Practice Phone
: 918-762-6536;
Practice Fax
: 918-762-4614
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1912983537 -
RYAN
PEZZANO
PT
Other Name
:
Mailing Address
:
711 TROY SCHENECTADY RD
SUITE 209
LATHAM
NY
12110-2442
Phone
: 518-786-1667;
Fax
: 518-786-1954;
Practice Location Address
:
1367 WASHINGTON AVE
,
, ALBANY
, NY
, 12206-1069
Practice Phone
: 518-438-7926;
Practice Fax
: 518-438-8364
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1730165358 -
DR.
DR.
PHILIP
SCOTT
ZIMMERMAN
M.D.
Other Name
:
Mailing Address
:
350 N GRANDVIEW AVE
DUBUQUE
IA
52001-6388
Phone
: 563-582-1881;
Fax
: ;
Practice Location Address
:
350 N GRANDVIEW AVE
,
, DUBUQUE
, IA
, 52001-6388
Practice Phone
: 563-582-1881;
Practice Fax
:
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1649256264 -
MS.
MS.
MIMIEUX
VANETTA
CAESAR-DUME
FNP-BC
Other Name
:
Mailing Address
:
50 S B B KING BLVD # 100
MEMPHIS
TN
38103-2626
Phone
: 901-436-1381;
Fax
: ;
Practice Location Address
:
845 3RD AVE FL 6
,
, NEW YORK
, NY
, 10022-6630
Practice Phone
: 866-949-0108;
Practice Fax
:
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1558347179 -
JONATHAN
STACKPOLE
MD
Other Name
:
JON
JEFFREY
STACKPOLE
Mailing Address
:
PO BOX 7096
STOCKTON
CA
95267-0096
Phone
: 209-956-7725;
Fax
: 209-956-7733;
Practice Location Address
:
23625 HOLMAN HIGHWAY
,
, MONTEREY
, CA
, 93940-5902
Practice Phone
: 831-624-5311;
Practice Fax
:
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1467438085 -
KIMBERLEY
J
HANSEN
MD
Other Name
:
Mailing Address
:
PO BOX 344
WINSTON SALEM
NC
27102-0344
Phone
: 336-716-2255;
Fax
: 336-716-6637;
Practice Location Address
:
MEDICAL CENTER BLVD
,
, WINSTON SALEM
, NC
, 27157-0001
Practice Phone
: 336-716-2255;
Practice Fax
: 336-716-6637
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1548246168 -
GHOLAMREZA
KHOSHNEVIS
M.D.
Other Name
:
Mailing Address
:
1140 WESTMONT DR STE 320
HOUSTON
TX
77015-4368
Phone
: 713-804-3278;
Fax
: 281-837-7443;
Practice Location Address
:
4002 GARTH RD STE 110
,
, BAYTOWN
, TX
, 77521-3179
Practice Phone
: 713-804-3278;
Practice Fax
: 888-571-4434
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1457337073 -
ST. VINCENT'S P.E.T. CENTER, LLC
Other Name
:
Mailing Address
:
406 MEDICAL CENTER DR.
JASPER
AL
35501-3400
Phone
: 205-221-8200;
Fax
: 205-221-8270;
Practice Location Address
:
2728 10TH AVE. S
, STE. 300
, BIRMINGHAM
, AL
, 35205-1202
Practice Phone
: 205-930-2670;
Practice Fax
: 205-930-2671
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1366428989 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1275519894 -
DR.
DR.
CLARK
E
PETERSEN
M.D.
Other Name
:
Mailing Address
:
2551 LEWIS PARK DR
BOUNTIFUL
UT
84010-5762
Phone
: 801-299-1215;
Fax
: ;
Practice Location Address
:
1544 W ANTELOPE DR
,
, LAYTON
, UT
, 84041-1146
Practice Phone
: 801-773-3339;
Practice Fax
: 801-773-6727
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1184600702 -
MRS.
MRS.
SIGAL
ALONA
TENE
MD
Other Name
:
Mailing Address
:
2900 WHIPPLE AVE
STE 115
REDWOOD CITY
CA
94062-2843
Phone
: 650-368-8981;
Fax
: 650-368-8983;
Practice Location Address
:
2900 WHIPPLE AVE
, STE 115
, REDWOOD CITY
, CA
, 94062-2843
Practice Phone
: 650-368-8981;
Practice Fax
: 650-368-8983
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1992781512 -
DR.
DR.
MARTIN
EDWARD
EICHNER
D.D.S.
Other Name
:
Mailing Address
:
5820 CENTRE AVE STE 200
PITTSBURGH
PA
15206-3710
Phone
: 412-661-7694;
Fax
: ;
Practice Location Address
:
2550 MOSSIDE BLVD STE 214
,
, MONROEVILLE
, PA
, 15146-3531
Practice Phone
: 412-372-4489;
Practice Fax
: 412-372-9114
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1801872429 -
JAMES
A.
SUMNER
M.D.
Other Name
:
J.
ANDREW
SUMNER
Mailing Address
:
PO BOX 65266
CHARLOTTE
NC
28265-0266
Phone
: 800-377-8721;
Fax
: 304-523-2241;
Practice Location Address
:
5255 LOUGHBORO RD NW
,
, WASHINGTON
, DC
, 20016-2695
Practice Phone
: 202-537-4080;
Practice Fax
: 202-537-4588
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1710963335 -
FAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA
Other Name
:
Mailing Address
:
507 N MAIN ST
TROY
NC
27371-2709
Phone
: 910-576-0042;
Fax
: 910-576-1442;
Practice Location Address
:
507 N MAIN ST
,
, TROY
, NC
, 27371-2709
Practice Phone
: 910-576-0042;
Practice Fax
: 910-576-1442
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1629054242 -
DR.
DR.
JOHN
M
HAGUE
M.D.
Other Name
:
Mailing Address
:
8902 N MERIDIAN ST
STE 210
INDIANAPOLIS
IN
46260-5382
Phone
: 317-844-6444;
Fax
: 317-848-6605;
Practice Location Address
:
8902 N MERIDIAN ST
, STE 210
, INDIANAPOLIS
, IN
, 46260-5382
Practice Phone
: 317-844-6444;
Practice Fax
: 317-848-6605
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1538145156 -
DOUGLAS
DAVID
PFLAUM
M.D.
Other Name
:
Mailing Address
:
507 W DOUGHTY ST
LAKE CITY
MN
55041-1500
Phone
: 651-345-2350;
Fax
: 651-345-2238;
Practice Location Address
:
507 W DOUGHTY ST
,
, LAKE CITY
, MN
, 55041-1500
Practice Phone
: 651-345-2350;
Practice Fax
: 651-345-2238
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1447236062 -
MARY
ELLEN
MEIGHAN
MD
Other Name
:
Mailing Address
:
1120 WAYZATA BLVD E
SUITE 100
WAYZATA
MN
55391-1916
Phone
: 952-476-6733;
Fax
: 952-476-0084;
Practice Location Address
:
1120 WAYZATA BLVD E
, SUITE 100
, WAYZATA
, MN
, 55391-1916
Practice Phone
: 952-476-6733;
Practice Fax
: 952-476-0084
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1356327977 -
LOUIS
C.
FOLEY
M.D.
Other Name
:
Mailing Address
:
111 FOUNDERS PLZ
SUITE 400
EAST HARTFORD
CT
06108-3212
Phone
: 860-291-6554;
Fax
: 860-528-0778;
Practice Location Address
:
85 SEYMOUR ST
, SUITE 200
, HARTFORD
, CT
, 06106-5501
Practice Phone
: 860-246-6589;
Practice Fax
: 860-560-2849
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1265418883 -
DR.
DR.
DOUGLAS
A.
AMARE
M.D.
Other Name
:
Mailing Address
:
P.O. BOX 850849
MOBILE
AL
36685-0849
Phone
: 251-343-5004;
Fax
: 251-343-5136;
Practice Location Address
:
124A SOUTH UNIVERSITY BLVD
,
, MOBILE
, AL
, 36608
Practice Phone
: 251-343-5004;
Practice Fax
: 251-343-5136
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1174509798 -
DR.
DR.
TIMOTHY
L
BOWERS
M.D.
Other Name
:
TIMOTHY
L
BOWERS
Mailing Address
:
350 N GRANDVIEW AVE
DUBUQUE
IA
52001-6388
Phone
: 563-582-1881;
Fax
: ;
Practice Location Address
:
350 N GRANDVIEW AVE
,
, DUBUQUE
, IA
, 52001-6388
Practice Phone
: 563-582-1881;
Practice Fax
:
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1083690606 -
MARY
VANDERLOOP
Other Name
:
Mailing Address
:
6465 WAYZATA BLVD
SUITE 315
MINNEAPOLIS
MN
55426-1728
Phone
: ;
Fax
: ;
Practice Location Address
:
6490 EXCELSIOR BLVD
, # E315
, ST LOUIS PARK
, MN
, 55426-4705
Practice Phone
: 952-993-6200;
Practice Fax
:
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1891771416 -
JORGE
G
SAINZ
MD
Other Name
:
Mailing Address
:
4321 N MESA ST # B
EL PASO
TX
79902-1105
Phone
: 915-966-9700;
Fax
: 915-521-1743;
Practice Location Address
:
4321 N MESA ST # B
,
, EL PASO
, TX
, 79902-1105
Practice Phone
: 915-966-9700;
Practice Fax
: 915-521-1743
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1700862323 -
ELIZABETH
KOLB
BOLAND
NP
Other Name
:
ELIZABETH
KOLB
Mailing Address
:
4500 STUART ST
COLUMBIA
SC
29207-5700
Phone
: 803-240-3407;
Fax
: ;
Practice Location Address
:
4500 STUART ST
,
, COLUMBIA
, SC
, 29207-5700
Practice Phone
: 803-240-3407;
Practice Fax
:
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1619953239 -
KURUVILLA
M
CHERIPARAMBIL
M.D.
Other Name
:
Mailing Address
:
310 GASLIGHT BLVD
LUFKIN
TX
75904-3133
Phone
: 936-632-8787;
Fax
: 936-632-8832;
Practice Location Address
:
310 GASLIGHT BLVD
,
, LUFKIN
, TX
, 75904-3133
Practice Phone
: 936-632-8787;
Practice Fax
: 936-632-8832
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