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Showing codes 1184600462 — 1073599411
1184600462 -
DR.
DR.
STEVEN
PAUL
LAMMERS
M.D.
Other Name
:
Mailing Address
:
977 LAKEVIEW PKWY
SUITE 102
VERNON HILLS
IL
60061-1444
Phone
: 847-549-1023;
Fax
: 847-549-1028;
Practice Location Address
:
977 LAKEVIEW PKWY
, SUITE 102
, VERNON HILLS
, IL
, 60061-1444
Practice Phone
: 847-549-1023;
Practice Fax
: 847-549-1028
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1992781272 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1801872189 -
LINDA
JANE
BRAY
LCSW
Other Name
:
LINDA
JANE
MERWARTH
Mailing Address
:
HCR 1 BOX 152
EAST TERRACE RD
SAYLORSBURG
PA
18353-9312
Phone
: 570-992-6311;
Fax
: ;
Practice Location Address
:
492 ROUTE 57 W
,
, WASHINGTON
, NJ
, 07882-4338
Practice Phone
: 908-689-1000;
Practice Fax
: 908-639-4529
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1710963095 -
DR.
DR.
LUIS
I
KOBASHI
M.D.
Other Name
:
Mailing Address
:
1310 W STEWART DR
SUITE 402
ORANGE
CA
92868-3854
Phone
: 714-547-5741;
Fax
: 714-547-5078;
Practice Location Address
:
1310 W STEWART DR
, SUITE 402
, ORANGE
, CA
, 92868-3854
Practice Phone
: 714-547-5741;
Practice Fax
: 714-547-5078
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1629054903 -
DR.
DR.
PAMELA
LYNN
JUBA
MD
Other Name
:
Mailing Address
:
9330 MEDICAL PLAZA DR
CHARLESTON
SC
29406-9104
Phone
: 843-847-3225;
Fax
: ;
Practice Location Address
:
9330 MEDICAL PLAZA DR
,
, CHARLESTON
, SC
, 29406-9104
Practice Phone
: 843-847-3225;
Practice Fax
:
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1538145818 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1356327639 -
DR.
DR.
JAY
DOUGLAS
GRAVER
DMD
Other Name
:
Mailing Address
:
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
POC: MS DARLON JACKSON
JBSA-LACKLAND
TX
78236-9908
Phone
: 210-292-6552;
Fax
: ;
Practice Location Address
:
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
, POC: MS DARLON JACKSON
, JBSA-LACKLAND
, TX
, 78256-9908
Practice Phone
: 210-292-6225;
Practice Fax
:
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1265418545 -
DR.
DR.
HECTOR
M.
ARMAIZ PEREZ
M.D.
Other Name
:
Mailing Address
:
PO BOX 361756
SAN JUAN
PR
00936-1756
Phone
: 787-724-6444;
Fax
: 787-724-6444;
Practice Location Address
:
DE DIEGO AVE #200
, SUITE 704, SANTURCE
, SANTURCE
, PR
, 00907
Practice Phone
: 787-724-6444;
Practice Fax
: 787-724-6444
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1083690366 -
GILBERTO
JIMENEZ
MD
Other Name
:
Mailing Address
:
19346 SW 41ST ST
MIRAMAR
FL
33029-2752
Phone
: 954-430-0838;
Fax
: 954-430-0838;
Practice Location Address
:
1435 W 49TH PL STE 306
,
, HIALEAH
, FL
, 33012-3147
Practice Phone
: 305-364-9949;
Practice Fax
: 305-364-0927
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1891771176 -
CHRISTOPHER
F
DREW
MPT
Other Name
:
Mailing Address
:
1860 TOWN CENTER DRIVE
STE 300
RESTON
VA
20190-5900
Phone
: 703-483-4684;
Fax
: 703-787-6575;
Practice Location Address
:
2800 S SHIRLINGTON RD
, SUITE 102
, ARLINGTON
, VA
, 22206-3601
Practice Phone
: 703-933-0038;
Practice Fax
: 703-933-0199
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1700862083 -
DR.
DR.
GADDY
LASSITER
M.D.
Other Name
:
Mailing Address
:
103 E MAIN ST
HARRELLSVILLE
NC
27942-9201
Phone
: 252-356-6544;
Fax
: 252-356-9907;
Practice Location Address
:
103 E MAIN ST
,
, HARRELLSVILLE
, NC
, 27942-9201
Practice Phone
: 252-356-6544;
Practice Fax
: 252-356-9907
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1619953999 -
DR.
DR.
JOHN
EDWARD
PYEATT
MD
Other Name
:
Mailing Address
:
PO BOX 840853
DALLAS
TX
75284-0853
Phone
: 972-715-5000;
Fax
: 972-715-9976;
Practice Location Address
:
6606 LBJ FWY
, SUITE 200
, DALLAS
, TX
, 75240
Practice Phone
: 972-715-5000;
Practice Fax
: 972-715-9976
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1528044807 -
DANIEL A. ROBISON, O.D., LLC
Other Name
:
Mailing Address
:
17777 LWR BOONES FRY RD
LAKE OSWEGO
OR
97035-5237
Phone
: 503-635-8819;
Fax
: 503-635-1512;
Practice Location Address
:
17777 LWR BOONES FRY RD
,
, LAKE OSWEGO
, OR
, 97035-5237
Practice Phone
: 503-635-8819;
Practice Fax
: 503-635-1512
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1437135712 -
DR.
DR.
ROMY
E
MASON
M.D.
Other Name
:
Mailing Address
:
10405 MARTIN LUTHER KING BLVD STE 110
DENVER
CO
80238-2399
Phone
: 303-393-4330;
Fax
: 303-322-4195;
Practice Location Address
:
10405 MARTIN LUTHER KING BLVD STE 110
,
, DENVER
, CO
, 80238-2399
Practice Phone
: 303-393-4330;
Practice Fax
: 303-322-4195
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1255317533 -
MARTHA
YANEZ
M.D.
Other Name
:
Mailing Address
:
2525 S MICHIGAN AVE
MEDICAL STAFF OFFICE
CHICAGO
IL
60616-2477
Phone
: 312-567-5677;
Fax
: 312-567-6189;
Practice Location Address
:
5525 S PULASKI RD
,
, CHICAGO
, IL
, 60629-4400
Practice Phone
: 312-567-7500;
Practice Fax
: 312-447-7740
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1164408449 -
DAVID
M
PHILLIPS
DDS
Other Name
:
Mailing Address
:
991 W HUDSON BLVD
GASTONIA
NC
28052-6430
Phone
: 704-853-5048;
Fax
: 704-671-1404;
Practice Location Address
:
991 W HUDSON BLVD
,
, GASTONIA
, NC
, 28052-6430
Practice Phone
: 704-853-5048;
Practice Fax
: 704-671-1404
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1073599353 -
VIRGINIA
DEDICATORIA
M.D.
Other Name
:
Mailing Address
:
3424 DAVENPORT AVE
SAGINAW
MI
48602-3365
Phone
: 989-790-0100;
Fax
: 989-790-0241;
Practice Location Address
:
3424 DAVENPORT AVE
,
, SAGINAW
, MI
, 48602-3365
Practice Phone
: 989-790-0100;
Practice Fax
: 989-790-0241
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1982680260 -
MED-LINK OF NORTH TEXAS SYSTEMS, INC.
Other Name
:
Mailing Address
:
501 W KENNEDALE PKWY
KENNEDALE
TX
76060-4619
Phone
: 817-478-8077;
Fax
: 817-483-5009;
Practice Location Address
:
501 W KENNEDALE PKWY
,
, KENNEDALE
, TX
, 76060-4619
Practice Phone
: 817-478-8077;
Practice Fax
: 817-483-5009
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1790761070 -
CHRISTOPHER
L
DUNNAHOO
MD
Other Name
:
Mailing Address
:
700 E MARSHALL AVE
LONGVIEW
TX
75601-5580
Phone
: 903-315-2000;
Fax
: ;
Practice Location Address
:
700 E MARSHALL AVE
,
, LONGVIEW
, TX
, 75601-5580
Practice Phone
: 903-315-2000;
Practice Fax
:
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1609852987 -
JAMES
B
REGAN
MD
Other Name
:
Mailing Address
:
601 MEMORY LN
YORK
PA
17402-2231
Phone
: ;
Fax
: ;
Practice Location Address
:
1925 PACIFIC AVE
,
, ATLANTIC CITY
, NJ
, 08401-6713
Practice Phone
: 609-833-9833;
Practice Fax
: 609-407-2364
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1518943893 -
MEGAN
BAGANZ
Other Name
:
Mailing Address
:
900 RAND RD STE 300
DES PLAINES
IL
60016-2359
Phone
: 847-324-3976;
Fax
: 847-929-1154;
Practice Location Address
:
6410 ROUTE 53 STE 300
,
, WOODRIDGE
, IL
, 60517-1361
Practice Phone
: 331-775-3000;
Practice Fax
: 331-775-3001
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1336125616 -
DR.
DR.
GRISHMA
S
SHAH
MD
Other Name
:
Mailing Address
:
203 S ROLLIE AVE
BILLING DEPT - CREDENTIALIST
FORT LUPTON
CO
80621-1508
Phone
: 303-286-4560;
Fax
: 303-286-4589;
Practice Location Address
:
220 E ROGERS RD
,
, LONGMONT
, CO
, 80501-6027
Practice Phone
: 303-776-3250;
Practice Fax
: 303-682-9369
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1245216522 -
DR.
DR.
MIGUEL
J
MELENDEZ MUNOZ
M.D.
Other Name
:
Mailing Address
:
1400 N SEMORAN BLVD STE E
ORLANDO
FL
32807-3562
Phone
: 407-823-8421;
Fax
: 407-823-8195;
Practice Location Address
:
719 E OAK ST
,
, KISSIMMEE
, FL
, 34744-4580
Practice Phone
: 407-846-0533;
Practice Fax
: 407-518-1730
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1154307437 -
DR.
DR.
JOEL
R
SCHECHET
MD
Other Name
:
Mailing Address
:
26025 LAHSER RD
2ND FLOOR
SOUTHFIELD
MI
48033-2601
Phone
: 248-663-1900;
Fax
: 248-663-1902;
Practice Location Address
:
26025 LAHSER
, 2ND FLOOR
, SOUTHFIELD
, MI
, 48033-2606
Practice Phone
: 248-663-1900;
Practice Fax
: 248-663-1902
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1063498343 -
GREGORY
EDMUND
HYDE
M.D., PH.D.
Other Name
:
Mailing Address
:
1300 N MAIN ST
RUSHVILLE
IN
46173-1198
Phone
: 765-932-4111;
Fax
: 765-932-7505;
Practice Location Address
:
110 E 13TH ST
,
, RUSHVILLE
, IN
, 46173-2126
Practice Phone
: 765-932-7063;
Practice Fax
: 765-932-7065
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1972589257 -
APPALACHIAN REGIONAL HEALTHCARE INC
Other Name
:
Mailing Address
:
PO BOX 602
WEST LIBERTY
KY
41472
Phone
: 606-743-2033;
Fax
: 606-743-2943;
Practice Location Address
:
326 HOSPITAL RD
,
, WHITESBURG
, KY
, 41858-7627
Practice Phone
: 606-633-3503;
Practice Fax
: 606-633-3586
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1881670164 -
DR.
DR.
DAVID
BENJAMIN
KONSTANDT
M.D.
Other Name
:
Mailing Address
:
9735 KINCEY AVE
SUITE 201
HUNTERSVILLE
NC
28078-9118
Phone
: 704-414-2870;
Fax
: 704-414-2860;
Practice Location Address
:
128 MEDICAL PARK RD
, SUITE 301
, MOORESVILLE
, NC
, 28117-8578
Practice Phone
: 704-660-3322;
Practice Fax
: 704-660-3330
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1508842881 -
JOHN
R
KLEIN
MD
Other Name
:
Mailing Address
:
6618 E CARONDELET DR
TUCSON
AZ
85710-2119
Phone
: 520-290-0961;
Fax
: 520-290-0965;
Practice Location Address
:
6618 E CARONDELET DR
,
, TUCSON
, AZ
, 85710-2119
Practice Phone
: 520-290-0961;
Practice Fax
: 520-290-0965
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1417933797 -
DR.
DR.
ROBERT
PURNELL
MD
Other Name
:
Mailing Address
:
PO BOX 650865
DALLAS
TX
75265-0865
Phone
: 972-715-5000;
Fax
: 972-715-9976;
Practice Location Address
:
6606 LBJ FWY
, SUITE 200
, DALLAS
, TX
, 75240-6533
Practice Phone
: 972-715-5000;
Practice Fax
: 972-715-9976
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1326024605 -
MRS.
MRS.
JULIE
ANN
HANSON
OD
Other Name
:
Mailing Address
:
142 W UPTON AVE
REED CITY
MI
49677-1130
Phone
: 231-832-3218;
Fax
: 231-832-3628;
Practice Location Address
:
142 W UPTON AVE
,
, REED CITY
, MI
, 49677-1130
Practice Phone
: 231-832-3218;
Practice Fax
: 231-832-3628
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1235115510 -
SOUTHEASTERN SPEECH INC
Other Name
:
Mailing Address
:
582C FARRINGDOM ST
LUMBERTON
NC
28358-2615
Phone
: 910-735-1101;
Fax
: 910-735-1103;
Practice Location Address
:
582C FARRINGDOM ST
,
, LUMBERTON
, NC
, 28358-2615
Practice Phone
: 910-735-1101;
Practice Fax
: 910-735-1103
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1144206426 -
DR.
DR.
STEVEN
LAURENCE
ISRAEL
M.D.
Other Name
:
Mailing Address
:
1420 S BABCOCK ST
MELBOURNE
FL
32901-3025
Phone
: 321-837-5123;
Fax
: 321-837-5129;
Practice Location Address
:
1420 S BABCOCK ST
,
, MELBOURNE
, FL
, 32901-3025
Practice Phone
: 321-837-5123;
Practice Fax
: 321-837-5129
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1053397331 -
TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
Other Name
:
Mailing Address
:
950 E STATE HIGHWAY 114 STE 200
SOUTHLAKE
TX
76092-5261
Phone
: 214-424-2200;
Fax
: 214-231-2159;
Practice Location Address
:
701 TUSCAN DR
, STE 110
, IRVING
, TX
, 75039-4133
Practice Phone
: 214-496-1100;
Practice Fax
: 214-402-8645
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1962488247 -
DR.
DR.
LINDA
MARLENE
KASTELOWITZ
PH.D.
Other Name
:
Mailing Address
:
PO BOX 7275
MISSOULA
MT
59807-7275
Phone
: 406-327-8830;
Fax
: 406-549-2151;
Practice Location Address
:
519 S 4TH ST W
,
, MISSOULA
, MT
, 59801-2629
Practice Phone
: 406-327-8830;
Practice Fax
: 406-549-2151
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1871579151 -
MRS.
MRS.
YVONNE
BIRGITTA
TAPPER-GARDZINA
MS, RDN
Other Name
:
Mailing Address
:
16 CLOUD WAY
CLANCY
MT
59634-9663
Phone
: 406-465-6245;
Fax
: 406-447-2703;
Practice Location Address
:
2475 E BROADWAY ST
,
, HELENA
, MT
, 59601-4928
Practice Phone
: 406-444-2386;
Practice Fax
: 406-447-2703
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1780660068 -
KIM
M
HALL
MD
Other Name
:
Mailing Address
:
617 OLD SYMSONIA RD
BENTON
KY
42025-1365
Phone
: 270-527-2411;
Fax
: 270-527-8734;
Practice Location Address
:
617 OLD SYMSONIA RD
,
, BENTON
, KY
, 42025-1365
Practice Phone
: 270-527-2411;
Practice Fax
: 270-527-8734
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1598741878 -
DR.
DR.
VANESSA
L
JOHNSON
MD
Other Name
:
Mailing Address
:
PO BOX 201606
DALLAS
TX
75320-1606
Phone
: 972-758-3523;
Fax
: ;
Practice Location Address
:
900 8TH AVE
,
, FORT WORTH
, TX
, 76104-3902
Practice Phone
: 972-758-3523;
Practice Fax
:
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1407832785 -
DR.
DR.
MICHELE
CELLAI
DNP
Other Name
:
Mailing Address
:
1365 CLIFTON RD NE BLDG A1
ATLANTA
GA
30322-1013
Phone
: 404-778-1234;
Fax
: 404-778-2710;
Practice Location Address
:
1365 CLIFTON RD NE BLDG A1
,
, ATLANTA
, GA
, 30322-1013
Practice Phone
: 404-778-1234;
Practice Fax
: 404-778-2710
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1316923691 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1437135860 -
DAVID
HUGH
SPRAGUE
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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1346226776 -
LEAH
CAROL BUMGARNER
TEMPLETON
MD
Other Name
:
Mailing Address
:
MEDICAL CENTER BLVD
WINSTON SALEM
NC
27157-0001
Phone
: 336-716-2255;
Fax
: 336-716-3202;
Practice Location Address
:
MEDICAL CENTER BLVD
,
, WINSTON SALEM
, NC
, 27157-0001
Practice Phone
: 336-716-2255;
Practice Fax
: 336-716-8190
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1255317681 -
DR.
DR.
WILLIAM
BRADLEY
MILLER
MD
Other Name
:
Mailing Address
:
103 PROVIDENCE MINE RD
SUITE 104 D
NEVADA CITY
CA
95959-2941
Phone
: 530-478-1536;
Fax
: 530-478-1536;
Practice Location Address
:
103 PROVIDENCE MINE RD
, SUITE 104 D
, NEVADA CITY
, CA
, 95959-2941
Practice Phone
: 530-478-1536;
Practice Fax
: 530-478-1536
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1164408597 -
ELLEN
LEE
MD
Other Name
:
Mailing Address
:
579A CRANBURY RD
EAST BRUNSWICK
NJ
08816-5426
Phone
: 732-390-0040;
Fax
: 732-390-1856;
Practice Location Address
:
483 CRANBURY RD
,
, EAST BRUNSWICK
, NJ
, 08816-3610
Practice Phone
: 732-390-0030;
Practice Fax
: 732-390-5383
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1073599403 -
ROBERT
ALLEN
STRICKLAND
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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1982680310 -
RANDALL
S.
KING
M.D.
Other Name
:
Mailing Address
:
14050 NW 14 STREET
STE 190
FT. LAUDERDALE
FL
33323
Phone
: 800-424-3672;
Fax
: 954-424-3270;
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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1790761120 -
MR.
MR.
THOMAS
JOHN
VAZZANA
MD
Other Name
:
Mailing Address
:
501 SEAVIEW AVE
STATEN ISLAND
NY
10305-3419
Phone
: 718-663-6400;
Fax
: 718-663-6490;
Practice Location Address
:
501 SEAVIEW AVE
, SUITE 200
, STATEN ISLAND
, NY
, 10305-3436
Practice Phone
: 718-663-6400;
Practice Fax
: 718-663-6490
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1609852037 -
MR.
MR.
CLAYTON
DAVID
WILSON
III
LCSW
Other Name
:
Mailing Address
:
3250 ZEMKE AVE
TAMPA
FL
33621-5023
Phone
: 813-420-3988;
Fax
: ;
Practice Location Address
:
3250 ZEMKE AVE
,
, TAMPA
, FL
, 33621-5023
Practice Phone
: 813-420-3988;
Practice Fax
:
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1518943943 -
DR.
DR.
PHILLIP
MABON
WILLIFORD
MD
Other Name
:
Mailing Address
:
PO BOX 344
WINSTON SALEM
NC
27102-0344
Phone
: 336-716-2255;
Fax
: 336-716-6761;
Practice Location Address
:
4618 COUNTRY CLUB RD
,
, WINSTON SALEM
, NC
, 27104-3520
Practice Phone
: 336-716-2255;
Practice Fax
: 336-716-6761
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1427034859 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1336125764 -
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
:
1202 HIGHWAY 60 BLDG E
,
, SOCORRO
, NM
, 87801-3914
Practice Phone
: 575-835-8343;
Practice Fax
: 575-835-3986
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1245216670 -
FALLS CHURCH MEDICAL CENTER, INC.
Other Name
:
Mailing Address
:
6060 ARLINGTON BLVD
FALLS CHURCH
VA
22044-2943
Phone
: 703-533-2222;
Fax
: 703-536-0414;
Practice Location Address
:
6060 ARLINGTON BLVD
,
, FALLS CHURCH
, VA
, 22044-2943
Practice Phone
: 703-533-2222;
Practice Fax
: 703-536-0414
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1063498491 -
DR.
DR.
JASMINE
SULAIMAN
MD
Other Name
:
JASMINE
P.S
Mailing Address
:
207 EAST CROCKETT
CLEVELAND
TX
77327-4010
Phone
: 281-592-2224;
Fax
: 281-592-2225;
Practice Location Address
:
207 EAST CROCKETT
,
, CLEVELAND
, TX
, 77327-4010
Practice Phone
: 281-592-2224;
Practice Fax
: 281-592-2225
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1972589307 -
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
:
1202 HIGHWAY 60 BUILDING E
,
, SOCORRO
, NM
, 87801
Practice Phone
: 575-835-8343;
Practice Fax
: 575-835-3986
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1881670214 -
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
:
8100 CONSTITUTION PL NE
, STE 400
, ALBUQUERQUE
, NM
, 87110-7643
Practice Phone
: 505-823-8528;
Practice Fax
: 505-823-8555
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1790761138 -
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
:
1202 HIGHWAY 60 WEST
,
, SOCORRO
, NM
, 87801-3914
Practice Phone
: 505-835-1140;
Practice Fax
: 505-835-8716
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1609852045 -
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
:
4207 JAMES CASEY ST STE 101
,
, AUSTIN
, TX
, 78745-1192
Practice Phone
: 512-225-1208;
Practice Fax
:
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1518943950 -
SHIRIN
H.
TRACHIOTIS
M.D.
Other Name
:
Mailing Address
:
1530 KEY BLVD
#811
ARLINGTON
VA
22209-1531
Phone
: 703-624-7866;
Fax
: ;
Practice Location Address
:
3301 WILSON BLVD
,
, ARLINGTON
, VA
, 20016-2695
Practice Phone
: 202-537-4080;
Practice Fax
: 202-537-4588
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1336125772 -
STEVEN
H
REED
Other Name
:
Mailing Address
:
8170 33RD AVE S # MS 21110Q
BLOOMINGTON
MN
55425-4516
Phone
: ;
Fax
: ;
Practice Location Address
:
6000 EARLE BROWN DR
,
, BROOKLYN CENTER
, MN
, 55430-2506
Practice Phone
: 952-993-4900;
Practice Fax
: 952-993-4827
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1508842949 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1326024761 -
DR.
DR.
EDWARD
WAI
WONG
M.D.
Other Name
:
Mailing Address
:
11995 SINGLETREE LN
SUITE 500
EDEN PRAIRIE
MN
55344-5347
Phone
: 952-595-1242;
Fax
: ;
Practice Location Address
:
FLAT K, 34TH FLOOR, BLOCK 7
, HARBOUR PLACE, HUNGHOM, KOWLOON
, HONG KONG
, NOT APPLICABLE
, NOT APPLICABLE
Practice Phone
: 952-595-1242;
Practice Fax
:
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1235115676 -
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
: 505-461-0141;
Practice Fax
: 505-461-1822
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1144206582 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
1202 HIGHWAY 60 WEST
,
, SOCORRO
, NM
, 87801
Practice Phone
: 505-835-1140;
Practice Fax
: 505-835-8716
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1053397497 -
PRESBYTERIAN HEALTHCARE SERVICES
Other Name
:
Mailing Address
:
PO BOX 26666
PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-823-8528;
Fax
: 505-823-8555;
Practice Location Address
:
2200 W 21ST ST
,
, CLOVIS
, NM
, 88101-2011
Practice Phone
: 505-469-7577;
Practice Fax
: 505-769-7595
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1962488304 -
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
: 505-461-0141;
Practice Fax
: 505-461-1822
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1871579219 -
MR.
MR.
GILLIAN
JACKSON
PT
Other Name
:
Mailing Address
:
PO BOX 38
SACATON
AZ
85147-0038
Phone
: 602-528-1200;
Fax
: 602-528-1255;
Practice Location Address
:
483 W. SEED FARM RD.
,
, SACATON
, AZ
, 85147-0038
Practice Phone
: 602-528-1200;
Practice Fax
: 602-528-1255
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1780660126 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1598741936 -
SCRIPPS CLINIC MEDICAL GROUP
Other Name
:
Mailing Address
:
FILE# 54433
LOS ANGELES
CA
90074-0001
Phone
: 858-784-5906;
Fax
: 858-784-5922;
Practice Location Address
:
9844 GENESEE AVE
, SUITE 100 & 400
, LA JOLLA
, CA
, 92037-1222
Practice Phone
: 858-453-9200;
Practice Fax
: 858-784-5922
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1407832843 -
OLD LEASING CO., LLC
Other Name
:
Mailing Address
:
10123 ALLIANCE RD
BLUE ASH
OH
45242-4887
Phone
: 513-530-1808;
Fax
: ;
Practice Location Address
:
9850 OLD PERRY HWY
,
, WEXFORD
, PA
, 15090-9311
Practice Phone
: 412-366-7900;
Practice Fax
: 412-366-8768
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1760468102 -
DR.
DR.
PAUL
MORIHIKO
SUMIDA
OD
Other Name
:
Mailing Address
:
4201 TORRANCE BLVD
STE 580
TORRANCE
CA
90503
Phone
: 310-316-6726;
Fax
: 310-316-6716;
Practice Location Address
:
4201 TORRANCE BLVD
, STE 580
, TORRANCE
, CA
, 90503
Practice Phone
: 310-316-6726;
Practice Fax
: 310-316-6716
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1679559017 -
PATRICIA
ANN
WAITE
LCSW
Other Name
:
Mailing Address
:
216 RIVER ROAD
NORRIDGEWOCK
ME
04957
Phone
: 207-612-8444;
Fax
: ;
Practice Location Address
:
216 RIVER ROAD
,
, NORRIDGEWOCK
, ME
, 04957
Practice Phone
: 207-634-2329;
Practice Fax
:
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1588640924 -
DAVID
RONIN
M.D.
Other Name
:
Mailing Address
:
1775 BALLARD ROAD
PARK RIDGE
IL
60068
Phone
: 847-318-2500;
Fax
: 847-318-2558;
Practice Location Address
:
1775 BALLARD RD
,
, PARK RIDGE
, IL
, 60068-1005
Practice Phone
: 847-318-2500;
Practice Fax
: 847-318-2558
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1396721734 -
DR.
DR.
THOMAS
WILLIAM
NIPPER
II
M.D.
Other Name
:
Mailing Address
:
PSC 819 BOX 18
FPO
AE
09645-0001
Phone
: ;
Fax
: ;
Practice Location Address
:
HOSPITAL AMERICANO
, BASE NAVAL DE ROTA APARTADO DE CORREOS 33
, ROTA
, CADIZ
, 11530
Practice Phone
: ;
Practice Fax
:
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1205812641 -
STEVEN
R
COHEN
M D
Other Name
:
Mailing Address
:
PO BOX 668
ARVADA
CO
80001-0668
Phone
: 303-422-9438;
Fax
: 303-422-9474;
Practice Location Address
:
1819 DENVER WEST DR
, SUITE 200
, GOLDEN
, CO
, 80401-3118
Practice Phone
: 303-422-9438;
Practice Fax
: 303-422-9474
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1114903556 -
DR.
DR.
RICHARD
M
FEIST
MD
Other Name
:
Mailing Address
:
700 18TH ST S
SUITE 707
BIRMINGHAM
AL
35233-1856
Phone
: 205-329-7100;
Fax
: 205-329-7101;
Practice Location Address
:
700 18TH ST S
, SUITE 707
, BIRMINGHAM
, AL
, 35233-1856
Practice Phone
: 205-329-7100;
Practice Fax
: 205-329-7101
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1023094463 -
BEATA S BEDNARSKA MD PC
Other Name
:
Mailing Address
:
1215 PARK RIDGE BLVD
PARK RIDGE
IL
60068-5005
Phone
: 847-698-2669;
Fax
: 847-720-2669;
Practice Location Address
:
7447 W TALCOTT AVE
, STE 308, PROFESSIONAL RESURRECTION BLD
, CHICAGO
, IL
, 60631-3745
Practice Phone
: 773-763-7522;
Practice Fax
: 773-763-7552
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1932185378 -
HEATHER
RENEE
CUPP
R.D.
Other Name
:
Mailing Address
:
PO BOX 602195
CHARLOTTE
NC
28260-2195
Phone
: 877-498-4490;
Fax
: ;
Practice Location Address
:
2930 FORESTVILLE RD
,
, RALEIGH
, NC
, 27616-8774
Practice Phone
: 919-235-6550;
Practice Fax
:
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1841276284 -
DR.
DR.
RICA
SALMON
BOGDANY
M.D.
Other Name
:
Mailing Address
:
427 KASSIK CIR
ORLANDO
FL
32824-5811
Phone
: 407-766-6924;
Fax
: 407-240-2635;
Practice Location Address
:
427 KASSIK CIR
,
, ORLANDO
, FL
, 32824-5811
Practice Phone
: 407-766-6924;
Practice Fax
:
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1750367199 -
CHARLES
D
CARTTAR
M.D.
Other Name
:
Mailing Address
:
4601 WOODLAWN DR
LITTLE ROCK
AR
72205-3860
Phone
: 501-664-0769;
Fax
: 501-664-9558;
Practice Location Address
:
4601 WOODLAWN DR
,
, LITTLE ROCK
, AR
, 72205-3860
Practice Phone
: 501-664-0769;
Practice Fax
: 501-664-9558
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1669458006 -
DR.
DR.
WILLIAM
ALBIN
MATIJASIC
DC
Other Name
:
Mailing Address
:
4500 LIBERTY AVE
VERMILION
OH
44089-1912
Phone
: 440-967-8077;
Fax
: 440-967-0591;
Practice Location Address
:
4500 LIBERTY AVE
,
, VERMILION
, OH
, 44089-1912
Practice Phone
: 440-967-8077;
Practice Fax
: 440-967-0591
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1578549911 -
PAULA
MARIE
ARNELL
MD
Other Name
:
Mailing Address
:
1520 7TH ST
MOLINE
IL
61265-2917
Phone
: 309-726-8555;
Fax
: 309-736-0733;
Practice Location Address
:
1520 7TH ST
,
, MOLINE
, IL
, 61265-2917
Practice Phone
: 309-726-8555;
Practice Fax
: 309-736-0733
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1487630828 -
AMY
DIANE
RICHARDS
PT
Other Name
:
AMY
DIANE
SANCHEZ
Mailing Address
:
200 NEWPORT CENTER DR
#213
NEWPORT BEACH
CA
92660-7501
Phone
: 949-644-1322;
Fax
: 949-644-0316;
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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1295711638 -
DR.
DR.
MICHAEL
F.
MOROSKY
MD
Other Name
:
Mailing Address
:
2110 SILAS DEANE HWY
ROCKY HILL
CT
06067-2313
Phone
: 860-258-3470;
Fax
: 860-571-6800;
Practice Location Address
:
9 CRANBROOK BLVD
, 2ND FLOOR
, ENFIELD
, CT
, 06082
Practice Phone
: 860-253-5330;
Practice Fax
: 860-253-5331
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1104802545 -
HOSPICE FAMILY CARE, INC.
Other Name
:
Mailing Address
:
17220 N BOSWELL BLVD
SUITE E225
SUN CITY
AZ
85373-1982
Phone
: 623-876-9100;
Fax
: 623-876-9300;
Practice Location Address
:
17220 N BOSWELL BLVD
, SUITE E225
, SUN CITY
, AZ
, 85373-1982
Practice Phone
: 623-876-9100;
Practice Fax
: 623-876-9300
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1013993450 -
SCRIPPS CLINIC MEDICAL GROUP
Other Name
:
Mailing Address
:
FILE#54433
LOS ANGELES
CA
90074-0001
Phone
: 858-784-5906;
Fax
: 858-784-5922;
Practice Location Address
:
4060 4TH AVE
, 508
, SAN DIEGO
, CA
, 92103-2116
Practice Phone
: 619-497-6192;
Practice Fax
: 858-784-5922
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1922084367 -
DANIEL
T
MYERS
MD
Other Name
:
Mailing Address
:
3530 PEACH ST
SUITE LL1
ERIE
PA
16508-2768
Phone
: ;
Fax
: ;
Practice Location Address
:
232 W 25TH ST
,
, ERIE
, PA
, 16544-0002
Practice Phone
: 814-452-5000;
Practice Fax
: 814-452-5442
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1831175272 -
ROBERT
BUNNELL
P.A.
Other Name
:
Mailing Address
:
1159 E 200 N STE 100
AMERICAN FORK
UT
84003-2053
Phone
: 801-553-8408;
Fax
: ;
Practice Location Address
:
2084 N 1700 W
, SUITE A
, LAYTON
, UT
, 84041
Practice Phone
: 801-773-8644;
Practice Fax
: 801-773-9828
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1740266188 -
MICHAEL
E
DAILEY
MY
Other Name
:
Mailing Address
:
123 EVERETT RD
ALBANY
NY
12205-1407
Phone
: 518-701-2000;
Fax
: 518-701-2020;
Practice Location Address
:
400 PATROON CREEK BLVD
, STE 205
, ALBANY
, NY
, 12206-5012
Practice Phone
: 518-482-9111;
Practice Fax
: 518-482-6142
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1659357093 -
SCOTT
ALEXANDER
MARSHALL
JR.
M.D.
Other Name
:
Mailing Address
:
PO BOX 55310
BIRMINGHAM
AL
35255-5310
Phone
: ;
Fax
: ;
Practice Location Address
:
619 19TH ST S
,
, BIRMINGHAM
, AL
, 35249-1900
Practice Phone
: 205-934-4011;
Practice Fax
:
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1568448900 -
RICHARD
C
DALY
M.D.
Other Name
:
Mailing Address
:
200 1ST ST SW
ROCHESTER
MN
55905-0001
Phone
: 507-284-2511;
Fax
: ;
Practice Location Address
:
200 1ST ST SW
,
, ROCHESTER
, MN
, 55905
Practice Phone
: 507-284-2511;
Practice Fax
:
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1356327795 -
RONALD
F
LESS
MD
Other Name
:
Mailing Address
:
17 EXCHANGE ST W
SUITE 622
SAINT PAUL
MN
55102-1045
Phone
: 651-227-9141;
Fax
: 651-265-6772;
Practice Location Address
:
1655 BEAM AVE
, SUITE 102
, MAPLEWOOD
, MN
, 55109-1163
Practice Phone
: 651-227-9141;
Practice Fax
: 651-265-6772
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1265418602 -
MS.
MS.
DEBORAH
LEE
PEARSON
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
: 505-823-8282;
Practice Fax
: 505-823-8275
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1083690424 -
DR.
DR.
ROBERT
L
SCHNEIDER
DDS MS
Other Name
:
Mailing Address
:
51300 POMERANTZ FAMILY PAVILION
IOWA CITY
IA
52242
Phone
: 319-356-2743;
Fax
: 319-353-6923;
Practice Location Address
:
51300 POMERANTZ FAMILY PAVILION
,
, IOWA CITY
, IA
, 52242
Practice Phone
: 319-356-2743;
Practice Fax
: 319-353-6923
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1891771234 -
THERAPEUTIC ASSOCIATES INC
Other Name
:
Mailing Address
:
16083 SW UPPER BOONES FERRY RD
SUITE 300
TIGARD
OR
97224-7736
Phone
: 503-443-6156;
Fax
: 503-639-9699;
Practice Location Address
:
4415 SW VERMONT ST
,
, PORTLAND
, OR
, 97219-1020
Practice Phone
: 503-244-0570;
Practice Fax
: 503-244-0572
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1700862141 -
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
:
1521 S. STAPLES
, #103
, CORPUS CHRISTI
, TX
, 78404-0000
Practice Phone
: 361-888-8480;
Practice Fax
:
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1619953056 -
DR.
DR.
KENDALL
M
EGAN
M.D.
Other Name
:
Mailing Address
:
8465 W SAHARA AVE
SUITE 111 PMB 473
LAS VEGAS
NV
89117
Phone
: ;
Fax
: ;
Practice Location Address
:
8660 SPRING MOUNTAIN RD STE 101
,
, LAS VEGAS
, NV
, 89117-4101
Practice Phone
: 702-930-6441;
Practice Fax
: 702-357-4283
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1528044963 -
LABORATORY CORPORATION OF AMERICA HOLDINGS
Other Name
:
Mailing Address
:
PO BOX 2240
BURLINGTON
NC
27216-2240
Phone
: 800-222-7566;
Fax
: 336-436-1048;
Practice Location Address
:
6100 E MAIN ST SUITE 107
,
, COLUMBUS
, OH
, 43213-0000
Practice Phone
: 614-864-7359;
Practice Fax
:
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1437135878 -
EVA
L
ALLISON
NP
Other Name
:
Mailing Address
:
20 PRESTIGE PLZ
SUITE 100
MIAMISBURG
OH
45342-5354
Phone
: 937-436-4658;
Fax
: ;
Practice Location Address
:
3535 SOUTHERN BLVD
,
, KETTERING
, OH
, 45429-1221
Practice Phone
: 937-395-8166;
Practice Fax
:
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1346226784 -
DR.
DR.
ALEX
E
RIKHTER
MD
Other Name
:
Mailing Address
:
1140 HAMMOND DR NE
SUITE G7105
ATLANTA
GA
30328-5338
Phone
: 770-351-0900;
Fax
: ;
Practice Location Address
:
3867 ROSWELL RD N.E.
, SUITE 100
, ATLANTA
, GA
, 30342-4451
Practice Phone
: 678-904-5611;
Practice Fax
:
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1164408506 -
DR.
DR.
MARC
D.
SIMMONS
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
: 978-946-8026;
Practice Location Address
:
1 GENERAL ST
, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.
, LAWRENCE
, MA
, 01841-2961
Practice Phone
: 978-683-4000;
Practice Fax
: 978-946-8026
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1073599411 -
DR.
DR.
GARY
W
OLIVER
MD
Other Name
:
Mailing Address
:
535 MILLER AVE
SUITE 400
MILL VALLEY
CA
94941-2905
Phone
: 415-413-6100;
Fax
: 415-383-1275;
Practice Location Address
:
1800 SULLIVAN AVE
, SUITE 403
, DALY CITY
, CA
, 94015-2228
Practice Phone
: 650-994-3238;
Practice Fax
: 650-991-1119
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