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Showing codes 1003891995 — 1801871710
1003891995 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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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
:
PO BOX 781076
DETROIT
MI
48278-1076
Phone
: 317-528-4800;
Fax
: 317-865-1479;
Practice Location Address
:
3920 ST FRANCIS WAY STE 219
,
, LAFAYETTE
, IN
, 47905-4917
Practice Phone
: 833-890-5176;
Practice Fax
: 765-428-5896
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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
:
2695 HENDERSONVILLE RD STE 200
ARDEN
NC
28704-8576
Phone
: 828-684-6035;
Fax
: 828-654-8152;
Practice Location Address
:
2695 HENDERSONVILLE RD STE 200
,
, ARDEN
, NC
, 28704-8576
Practice Phone
: 828-684-6035;
Practice Fax
: 828-654-8152
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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 -
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: ;
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: ;
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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 -
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: ;
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: ;
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:
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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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1336124247 -
BRADLEY
P
FOX
MD
Other Name
:
Mailing Address
:
3413 CHERRY ST
ERIE
PA
16508-2678
Phone
: 814-868-9828;
Fax
: 814-868-8561;
Practice Location Address
:
3413 CHERRY ST
,
, ERIE
, PA
, 16508-2678
Practice Phone
: 814-868-9828;
Practice Fax
: 814-868-8561
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1245215151 -
DR.
DR.
GEORGE
T
CONKLIN
M.D.
Other Name
:
Mailing Address
:
1200 BINZ ST
STE 700
HOUSTON
TX
77004-6900
Phone
: 713-797-9191;
Fax
: 713-986-1262;
Practice Location Address
:
1200 BINZ ST
, STE 700
, HOUSTON
, TX
, 77004-6900
Practice Phone
: 713-797-9191;
Practice Fax
: 713-986-1262
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1154306066 -
DR.
DR.
PAUL
HYLAND
D.C.
Other Name
:
Mailing Address
:
13035 OLIVE BLVD
SUITE 216
CREVE COEUR
MO
63141-6173
Phone
: 314-542-2003;
Fax
: 314-542-2007;
Practice Location Address
:
13035 OLIVE BLVD
, SUITE 216
, CREVE COEUR
, MO
, 63141-6173
Practice Phone
: 314-542-2003;
Practice Fax
: 314-542-2007
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1063497972 -
VERNON DISCOUNT DRUG INC
Other Name
:
Mailing Address
:
PO BOX 505
VERNON
FL
32462-0505
Phone
: 850-535-2803;
Fax
: 850-535-0150;
Practice Location Address
:
3248 MAIN ST
,
, VERNON
, FL
, 32462-2223
Practice Phone
: 850-535-2803;
Practice Fax
: 850-535-2803
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1881679793 -
LEE
E
ARTHUR
M D
Other Name
:
Mailing Address
:
45 NE LOOP 410
SUITE 900
SAN ANTONIO
TX
78216-5832
Phone
: 210-375-7790;
Fax
: ;
Practice Location Address
:
45 NE LOOP 410
, SUITE 900
, SAN ANTONIO
, TX
, 78216-5832
Practice Phone
: 210-375-7790;
Practice Fax
:
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1699750505 -
DR.
DR.
RONDA
LAWAINE
BEENE
D.O.
Other Name
:
Mailing Address
:
642 UPTOWN BLVD STE 100
CEDAR HILL
TX
75104-3520
Phone
: 972-637-5100;
Fax
: 972-637-5101;
Practice Location Address
:
642 UPTOWN BLVD STE 100
,
, CEDAR HILL
, TX
, 75104-3520
Practice Phone
: 972-637-5100;
Practice Fax
: 972-637-5101
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1508841412 -
GRETCHEN
MUELLER-REUBEN
CNP
Other Name
:
Mailing Address
:
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-6770;
Fax
: 505-923-5354;
Practice Location Address
:
5901 HARPER DR NE
,
, ALBUQUERQUE
, NM
, 87109-3587
Practice Phone
: 505-823-8888;
Practice Fax
:
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1417932328 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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,
Practice Phone
: ;
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:
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1326023235 -
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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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1235114141 -
CHAU
PHAN
PT
Other Name
:
Mailing Address
:
230 E CIVIC CENTER DR APT 1019
GILBERT
AZ
85296-0010
Phone
: 310-430-9791;
Fax
: ;
Practice Location Address
:
3336 E CHANDLER HEIGHTS RD STE 126
,
, GILBERT
, AZ
, 85298
Practice Phone
: 480-840-6125;
Practice Fax
: 480-840-6122
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1144205055 -
BARBARA
GUBBAY
R.N/.N.P
Other Name
:
Mailing Address
:
17 JODI BETH DR
MAHOPAC
NY
10541-1060
Phone
: 845-528-5222;
Fax
: ;
Practice Location Address
:
4 MORRISSEY DR
,
, PUTNAM VALLEY
, NY
, 10579-3018
Practice Phone
: 845-528-5222;
Practice Fax
: 845-528-8589
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1053396960 -
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Phone
: ;
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: ;
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: ;
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:
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1962487876 -
DR.
DR.
FREDERICK
A
KLEIN
M.D.
Other Name
:
Mailing Address
:
7566 N LA CHOLLA BLVD
STE A
TUCSON
AZ
85741-2307
Phone
: 520-742-4139;
Fax
: 520-742-9618;
Practice Location Address
:
7566 N LA CHOLLA BLVD
, STE A
, TUCSON
, AZ
, 85741-2307
Practice Phone
: 520-742-4139;
Practice Fax
: 520-742-9618
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1871578781 -
DR.
DR.
ROBERT
FRANKLIN
SHELTON
M.D.
Other Name
:
Mailing Address
:
1005 MAR WALT DRIVE
PEDIATRIC DEPARTMENT
FORT WALTON BEACH
FL
32547
Phone
: 850-863-8203;
Fax
: 850-862-0977;
Practice Location Address
:
1005 MAR WALT DRIVE
, PEDIATRIC DEPARTMENT
, FORT WALTON BEACH
, FL
, 32547
Practice Phone
: 850-863-8203;
Practice Fax
: 850-862-0977
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1841275757 -
DR.
DR.
DON
R
DYE
O.D.
Other Name
:
Mailing Address
:
17 S THOMAS ST
ELBERTON
GA
30635-2453
Phone
: 706-283-2351;
Fax
: 706-283-3610;
Practice Location Address
:
17 S THOMAS ST
,
, ELBERTON
, GA
, 30635-2453
Practice Phone
: 706-283-2351;
Practice Fax
: 706-283-3610
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1669457578 -
HUYEN
MOLINARO
RPH
Other Name
:
Mailing Address
:
4727 DENVER AVE S
SEATTLE
WA
98134-2316
Phone
: ;
Fax
: ;
Practice Location Address
:
4727 DENVER AVE S
,
, SEATTLE
, WA
, 98134-2316
Practice Phone
: 206-763-2626;
Practice Fax
:
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1578548483 -
DR.
DR.
JANIE
L
CANNER
D.O.
Other Name
:
Mailing Address
:
2007 95TH ST
LOWER LEVEL, SUITE A
NAPERVILLE
IL
60564-8459
Phone
: 630-848-1700;
Fax
: 630-848-1718;
Practice Location Address
:
2007 95TH ST
, LOWER LEVEL, SUITE A
, NAPERVILLE
, IL
, 60564-8459
Practice Phone
: 630-848-1700;
Practice Fax
: 630-848-1718
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1487639399 -
DR.
DR.
JAYSON
SCOTT
VERDICK
PHARM.D.
Other Name
:
Mailing Address
:
2046 SCENIC POINT DR SW
ROCHESTER
MN
55902-2541
Phone
: 507-529-1092;
Fax
: ;
Practice Location Address
:
200 1ST ST SW
,
, ROCHESTER
, MN
, 55905-0001
Practice Phone
: 507-284-2021;
Practice Fax
: 507-284-5824
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1295710101 -
VALERIE
YVETTE
HOLMES
Other Name
:
Mailing Address
:
2102 BEDAL LN
EVERETT
WA
98208-2439
Phone
: 425-357-8990;
Fax
: ;
Practice Location Address
:
2102 BEDAL LN
,
, EVERETT
, WA
, 98208-2439
Practice Phone
: 425-357-8990;
Practice Fax
:
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1104801018 -
DR.
DR.
KEITH
ROBERTS
RUNYAN
M.D.
Other Name
:
Mailing Address
:
3305 W MARITANA DR
ST PETE BEACH
FL
33706
Phone
: 813-502-0529;
Fax
: ;
Practice Location Address
:
3305 W MARITANA DR
,
, ST PETE BEACH
, FL
, 33706
Practice Phone
: 813-502-0529;
Practice Fax
:
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1013992924 -
MARY BETH
CASS
M.D.
Other Name
:
Mailing Address
:
6255A EMERALD PKWY
DUBLIN
OH
43016-3300
Phone
: 614-766-3344;
Fax
: 614-766-3330;
Practice Location Address
:
6255A EMERALD PKWY
,
, DUBLIN
, OH
, 43016-3300
Practice Phone
: 614-766-3344;
Practice Fax
: 614-766-3330
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1922083831 -
BRIAN
STEVEN
SKOW
M.D.
Other Name
:
Mailing Address
:
6401 E FAWN CIR
SIOUX FALLS
SD
57110-1303
Phone
: 605-275-0736;
Fax
: ;
Practice Location Address
:
800 E 21ST ST
,
, SIOUX FALLS
, SD
, 57105-1016
Practice Phone
: 605-322-2000;
Practice Fax
:
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1831174747 -
THOMAS
EDWARD
NORDAHL
M.D., PH.D.
Other Name
:
Mailing Address
:
2230 STOCKTON BLVD
SACRAMENTO
CA
95817-1419
Phone
: 916-734-2972;
Fax
: ;
Practice Location Address
:
2230 STOCKTON BLVD
,
, SACRAMENTO
, CA
, 95817-1419
Practice Phone
: 916-734-2972;
Practice Fax
:
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1740265651 -
DANIEL
W
SIRI
JR.
D.D.S.
Other Name
:
Mailing Address
:
935 MARKET ST
YUBA CITY
CA
95991-4217
Phone
: 530-751-3760;
Fax
: 530-458-3401;
Practice Location Address
:
680 COHASSET RD
,
, CHICO
, CA
, 95926-2213
Practice Phone
: 530-342-6065;
Practice Fax
: 530-343-7769
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1659356566 -
DR.
DR.
BRIAN
BHUPENDRA
PATEL
M.D.
Other Name
:
Mailing Address
:
211 PARK ST
P.O. BOX 2963
ATTLEBORO
MA
02703-3143
Phone
: 508-236-7040;
Fax
: ;
Practice Location Address
:
211 PARK ST
,
, ATTLEBORO
, MA
, 02703-3143
Practice Phone
: 508-236-7040;
Practice Fax
:
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1568447472 -
DR.
DR.
WENDY
MA
Other Name
:
Mailing Address
:
1913 HAMMOND AVE
DUPONT
WA
98327-9775
Phone
: 253-968-1720;
Fax
: 253-968-1112;
Practice Location Address
:
MADIGAN ARMY MEDICAL CENTER
, DEPT OF OB/GYN
, TACOMA
, WA
, 98431-0001
Practice Phone
: 253-968-6023;
Practice Fax
: 253-968-1112
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1477538387 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1386629293 -
DR.
DR.
STEVEN
PAUL
PRUCE
D.D.D.
Other Name
:
Mailing Address
:
3721 POTEE ST
SUITE 3
BALTIMORE
MD
21225-1717
Phone
: 410-354-1423;
Fax
: ;
Practice Location Address
:
3721 POTEE ST
, SUITE 3
, BALTIMORE
, MD
, 21225-1717
Practice Phone
: 410-354-1423;
Practice Fax
:
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1003891912 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1912982828 -
DENNIS
L
BARTASIS
D.O.
Other Name
:
Mailing Address
:
5815 RANCH HILL DR
MAGNOLIA
TX
77354-5054
Phone
: 936-321-5162;
Fax
: 936-271-5162;
Practice Location Address
:
5815 RANCH HILL DR
,
, MAGNOLIA
, TX
, 77354-5054
Practice Phone
: 936-321-5162;
Practice Fax
: 936-271-5162
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1821073735 -
JOSEPH
CHRISTIAN
SEELIG
II
M.D.
Other Name
:
Mailing Address
:
PO BOX 202149
ANCHORAGE
AK
99520-2149
Phone
: 907-258-2149;
Fax
: 907-258-2147;
Practice Location Address
:
2801 DEBARR RD
,
, ANCHORAGE
, AK
, 99508-2932
Practice Phone
: 907-258-2149;
Practice Fax
: 907-258-2147
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1730164641 -
DR.
DR.
MANOSHI
B
PUGH
M.D.
Other Name
:
Mailing Address
:
6255A EMERALD PKWY
DUBLIN
OH
43016-3300
Phone
: 614-766-3344;
Fax
: 614-766-3330;
Practice Location Address
:
6255A EMERALD PKWY
,
, DUBLIN
, OH
, 43016-3300
Practice Phone
: 614-766-3344;
Practice Fax
: 614-766-3330
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1558346460 -
EILEEN
BROWN
Other Name
:
Mailing Address
:
1060 GAFFNEY RD
COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM
FT WAINWRIGHT
AK
99703-5001
Phone
: 907-353-5418;
Fax
: 907-353-5418;
Practice Location Address
:
1060 GAFFNEY RD
, BASSETT ARMY COMMUNITY HOSPITAL
, FT WAINWRIGHT
, AK
, 99703-5001
Practice Phone
: 907-353-5418;
Practice Fax
: 907-353-4845
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1467437376 -
COMMUNITY HOSPITALIST MEDICAL GROUP INC.
Other Name
:
Mailing Address
:
PO BOX 28901
FRESNO
CA
93729-8901
Phone
: 559-228-4222;
Fax
: 559-224-3920;
Practice Location Address
:
1180 E SHAW AVE
, SUITE 101
, FRESNO
, CA
, 93710-7812
Practice Phone
: 559-228-4222;
Practice Fax
: 559-228-4299
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1376528281 -
DR.
DR.
KIM
G
ROTHERMEL
M.D.
Other Name
:
Mailing Address
:
5040 BRADENTON AVE
DUBLIN
OH
43017-3520
Phone
: 614-766-3344;
Fax
: 614-766-3330;
Practice Location Address
:
5040 BRADENTON AVE
,
, DUBLIN
, OH
, 43017-3520
Practice Phone
: 614-766-3344;
Practice Fax
: 614-766-3330
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1285619197 -
DR.
DR.
LEE
EDWARD
PAYNE
M.D.
Other Name
:
Mailing Address
:
101 BODIN CIR
TRAVIS AFB
CA
94535-1809
Phone
: 707-423-7829;
Fax
: 707-423-7250;
Practice Location Address
:
101 BODIN CIR
,
, TRAVIS AFB
, CA
, 94535-1809
Practice Phone
: 707-423-7829;
Practice Fax
: 707-423-7250
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1093790909 -
SUSAN
CHOATE
Other Name
:
Mailing Address
:
1060 GAFFNEY RD
COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM
FT WAINWRIGHT
AK
99703-5001
Phone
: 907-353-5418;
Fax
: 907-353-4845;
Practice Location Address
:
1060 GAFFNEY RD
, BASSETT ARMY COMMUNITY HOSPITAL
, FT WAINWRIGHT
, AK
, 99703-5001
Practice Phone
: 907-353-5418;
Practice Fax
: 907-353-4845
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1902881816 -
DR.
DR.
DEBORAH
J
LIPSON
MD
Other Name
:
Mailing Address
:
77 PONDFIELD RD
BRONXVILLE
NY
10708-3809
Phone
: 914-337-8844;
Fax
: 914-779-5594;
Practice Location Address
:
700 WHITE PLAINS RD
, STE. 343
, SCARSDALE
, NY
, 10583-5063
Practice Phone
: 914-725-5400;
Practice Fax
:
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1811972722 -
PRO-TECH AMBULANCE COMPANY, INC.
Other Name
:
Mailing Address
:
3325 EDGEMONT ST
PHILADELPHIA
PA
19134-5305
Phone
: 215-427-9001;
Fax
: 215-427-9009;
Practice Location Address
:
3325 EDGEMONT ST
,
, PHILADELPHIA
, PA
, 19134-5305
Practice Phone
: 215-427-9001;
Practice Fax
: 215-427-9009
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1720063639 -
MICHELLE
S
BUENDIA
M.D.
Other Name
:
Mailing Address
:
5510 NIKE DR
HILLIARD
OH
43026-9081
Phone
: 614-529-4260;
Fax
: 614-529-4270;
Practice Location Address
:
5510 NIKE DR
,
, HILLIARD
, OH
, 43026-9081
Practice Phone
: 614-529-4260;
Practice Fax
: 614-529-4270
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1639154545 -
BRIAN
E
GUNNLAUGSON
MD
Other Name
:
Mailing Address
:
321 MAIN ST
STE 3C
JOHNSTOWN
PA
15901-1632
Phone
: 814-535-6521;
Fax
: 814-536-4819;
Practice Location Address
:
321 MAIN ST
, STE 3C
, JOHNSTOWN
, PA
, 15901-1632
Practice Phone
: 814-535-6521;
Practice Fax
: 814-536-4819
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1548245459 -
DR.
DR.
DAVID
I
SAHAR
MD
Other Name
:
Mailing Address
:
2600 NETHERLAND AVENUE
SUITE 106
BRONX
NY
10463
Phone
: 718-601-3700;
Fax
: 718-601-7550;
Practice Location Address
:
2600 NETHERLAND AVENUE
, SUITE 106
, BRONX
, NY
, 10463
Practice Phone
: 718-601-3700;
Practice Fax
: 718-601-7550
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1457336364 -
ALL HEART MEDICAL TRANSPORT, INC.
Other Name
:
Mailing Address
:
PO BOX 3668
PHILADELPHIA
PA
19125-0668
Phone
: 215-634-1414;
Fax
: 215-634-1422;
Practice Location Address
:
1621 NO DELAWARE AVE
,
, PHILADELPHIA
, PA
, 19130-2544
Practice Phone
: 215-634-1414;
Practice Fax
: 215-634-1422
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1366427270 -
GLENN
PARKER
Other Name
:
Mailing Address
:
1060 GAFFNEY RD
COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM
FT WAINWRIGHT
AK
99703-5001
Phone
: 907-353-5418;
Fax
: 907-353-4845;
Practice Location Address
:
1060 GAFFNEY RD
, BASSETT ARMY COMMUNITY HOSPITAL
, FT WAINWRIGHT
, AK
, 99703-5001
Practice Phone
: 907-353-5418;
Practice Fax
: 907-353-4845
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1275518185 -
MRS.
MRS.
MARGO
V.
STEVENS
APRN
Other Name
:
Mailing Address
:
430 G ST
SALT LAKE CITY
UT
84103-3109
Phone
: 801-355-7582;
Fax
: ;
Practice Location Address
:
1020 S MAIN ST
, SUITE 100
, SALT LAKE CITY
, UT
, 84101-3176
Practice Phone
: 801-539-7000;
Practice Fax
: 801-539-7050
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1184609091 -
DR.
DR.
CHARLES
KNOX
MCMILLAN
DDS
Other Name
:
Mailing Address
:
2310 MYRON DR
RALEIGH
NC
27607-3358
Phone
: 919-781-6217;
Fax
: 919-781-6213;
Practice Location Address
:
2310 MYRON DR
,
, RALEIGH
, NC
, 27607-3358
Practice Phone
: 919-781-6217;
Practice Fax
: 919-781-6213
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1992780803 -
LISA
KILEY
RN
Other Name
:
Mailing Address
:
22 ORCHARD ST
EAST PROVIDENCE
RI
02914-4519
Phone
: 401-497-0777;
Fax
: ;
Practice Location Address
:
2 OLD COUNTY RD
,
, BARRINGTON
, RI
, 02806-1602
Practice Phone
: 401-456-2125;
Practice Fax
:
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1801871710 -
NANCY
L
HESTAND
M.D.
Other Name
:
Mailing Address
:
5510 NIKE DR
HILLIARD
OH
43026-9081
Phone
: 614-529-4260;
Fax
: 614-529-4270;
Practice Location Address
:
5510 NIKE DR
,
, HILLIARD
, OH
, 43026-9081
Practice Phone
: 614-529-4260;
Practice Fax
: 614-529-4270
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