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Showing codes 1053370171 — 1740249895
1053370171 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
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,
Practice Phone
: ;
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1962461087 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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: ;
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1871552992 -
JANICE
MARY
GOODISON
LCSW
Other Name
:
JANICE
MCCAFFREY
Mailing Address
:
6563 SKY HEIGHTS DR
TOOELE
UT
84074-3097
Phone
: 406-499-2709;
Fax
: ;
Practice Location Address
:
6563 SKY HEIGHTS DR
,
, TOOELE
, UT
, 84074-3097
Practice Phone
: 406-499-2709;
Practice Fax
:
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1780643809 -
DR.
DR.
CATHY
PHAM
GIESE
O.D.
Other Name
:
Mailing Address
:
401 SW 153RD ST
BURIEN
WA
98166-2247
Phone
: 206-244-1780;
Fax
: 206-433-6040;
Practice Location Address
:
401 SW 153RD ST STE A
,
, BURIEN
, WA
, 98166
Practice Phone
: 206-244-1780;
Practice Fax
: 206-433-6040
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1598724619 -
DR.
DR.
DOUGLAS
GOTTSCHALK
Other Name
:
Mailing Address
:
PO BOX 2147
FORT MYERS
FL
33902-2147
Phone
: 239-424-1400;
Fax
: 239-424-1421;
Practice Location Address
:
16230 SUMMERLIN RD
, SUITE 215
, FORT MYERS
, FL
, 33908-5768
Practice Phone
: 239-343-6050;
Practice Fax
:
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1407815525 -
LUIS
FERNANDO
LAOS
MD
Other Name
:
Mailing Address
:
1893 KINGSLEY AVE
SUITE C
ORANGE PARK
FL
32073-4491
Phone
: 904-276-2044;
Fax
: 904-276-2106;
Practice Location Address
:
1893 KINGSLEY AVE
, SUITE C
, ORANGE PARK
, FL
, 32073-4491
Practice Phone
: 904-276-2044;
Practice Fax
: 904-276-2106
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1225097348 -
LYNNE
ANNE MARCUM
KIRK
MD
Other Name
:
LYNNE
MARCUM
KIRK
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-8600;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-8600;
Practice Fax
:
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1134188253 -
DR.
DR.
PAUL
ARTHUR
DUTKY
MD
Other Name
:
Mailing Address
:
3914 NW FAIRWAY LN
BREMERTON
WA
98312-1341
Phone
: 360-479-2683;
Fax
: 360-479-2683;
Practice Location Address
:
3914 NW FAIRWAY LN
,
, BREMERTON
, WA
, 98312-1341
Practice Phone
: 360-479-2683;
Practice Fax
: 360-479-2683
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1790744829 -
MARGARET
SUE
PEARLE
MD PHD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-8765;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-8765;
Practice Fax
:
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1609835735 -
JOHN
A
TESTA
MD
Other Name
:
Mailing Address
:
166 WATERBURY RD
STE 300
PROSPECT
CT
06712
Phone
: 203-758-0878;
Fax
: 203-758-0877;
Practice Location Address
:
166 WATERBURY RD
, STE 300
, PROSPECT
, CT
, 06712
Practice Phone
: 203-758-0878;
Practice Fax
: 203-758-0877
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1518926641 -
BOBBY
L
CHAN
OD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1427017557 -
HOWARD
W
MORGAN
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2300;
Fax
: 214-645-2301;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2300;
Practice Fax
: 214-645-2301
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1336108463 -
KAREN
R
HOUPT
MD
Other Name
:
Mailing Address
:
6100 WINDHAVEN PKWY
PLANO
TX
75093-8046
Phone
: 972-608-0330;
Fax
: ;
Practice Location Address
:
6100 WINDHAVEN PKWY
,
, PLANO
, TX
, 75093-8046
Practice Phone
: 972-608-0330;
Practice Fax
:
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1245299379 -
AMIT
G
PANDYA
MD
Other Name
:
Mailing Address
:
325 DISTEL CIR
LOS ALTOS
CA
94022-1408
Phone
: ;
Fax
: ;
Practice Location Address
:
701 E EL CAMINO REAL
,
, MOUNTAIN VIEW
, CA
, 94040-2833
Practice Phone
: 650-934-7676;
Practice Fax
:
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1154380285 -
DR.
DR.
OLIN
BEVERLY
MAULDIN
JR.
M.D.
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: ;
Fax
: ;
Practice Location Address
:
6271 SAINT AUGUSTINE RD
, UFJP SAN JOSE PEDIATRIC AND ADOLESCENTER CENTER
, JACKSONVILLE
, FL
, 32217-2523
Practice Phone
: 904-633-0460;
Practice Fax
: 904-633-0461
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1063471191 -
GILBERT
WALLACE
WOLFE
CRNA
Other Name
:
Mailing Address
:
13633 BLUFF CIR
SAN ANTONIO
TX
78216-1903
Phone
: 210-595-3923;
Fax
: 210-595-3923;
Practice Location Address
:
13633 BLUFFCIRCLE
,
, SAN ANTONIO
, TX
, 78216-1903
Practice Phone
: 210-595-3923;
Practice Fax
:
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1972562007 -
MICHAEL
DAVID
FERRETTA
JR.
Other Name
:
Mailing Address
:
USS GONZALEZ DDG 66
MEDICAL DEPARTMENT
FPO
AE
09570-1284
Phone
: 757-445-6269;
Fax
: ;
Practice Location Address
:
USS GONZALEZ DDG 66
, MEDICAL DEPARTMENT
, FPO
, AE
, 09570-1284
Practice Phone
: 757-445-6269;
Practice Fax
:
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1881653913 -
MRS.
MRS.
NANCY
J
LEWIS
C.P.N.P.
Other Name
:
Mailing Address
:
305 N 5TH ST
IRONTON
OH
45638-1578
Phone
: 740-532-3534;
Fax
: 740-532-0027;
Practice Location Address
:
10777 COUNTY ROAD 107
,
, PROCTORVILLE
, OH
, 45669-8130
Practice Phone
: 740-302-0541;
Practice Fax
: 740-886-0255
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1699734723 -
HENRY
CHOI
MD
Other Name
:
Mailing Address
:
PO BOX 730990
DALLAS
TX
75373-0990
Phone
: 972-791-1224;
Fax
: 972-692-7965;
Practice Location Address
:
2625 BOLTON BOONE DR
,
, DESOTO
, TX
, 75115-2011
Practice Phone
: 972-283-1516;
Practice Fax
: 972-283-1448
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1689633729 -
HUAN-YOU
WANG
MD, PHD
Other Name
:
Mailing Address
:
200 WEST ARBOR DRIVE 8320
SAN DIEGO
CA
92103-8320
Phone
: 619-543-5966;
Fax
: ;
Practice Location Address
:
200 WEST ARBOR DRIVE 8320
,
, SAN DIEGO
, CA
, 92103-8320
Practice Phone
: 619-543-5966;
Practice Fax
: 619-543-3730
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1497714539 -
HEATHER
M
PLATT
APRN
Other Name
:
Mailing Address
:
469 MIGEON AVE
TORRINGTON
CT
06790-4643
Phone
: 860-489-0931;
Fax
: 860-489-3325;
Practice Location Address
:
469 MIGEON AVE
,
, TORRINGTON
, CT
, 06790-4643
Practice Phone
: 860-489-0931;
Practice Fax
: 860-489-3325
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1306805445 -
STEVEN
MAYTHAM
VERITY
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1215996350 -
DAVID
ROBERT
WEAKLEY
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1124087267 -
VICTOR
MICHAEL
AQUINO
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-730-5437;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-730-5437;
Practice Fax
:
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1033178173 -
DENNIS
C
KING
MD
Other Name
:
Mailing Address
:
1000 36TH ST
VERO BEACH
FL
32960-4862
Phone
: 772-567-4311;
Fax
: 772-563-4723;
Practice Location Address
:
4165 9TH ST SW
, SUITE 106
, VERO BEACH
, FL
, 32968-4878
Practice Phone
: 772-569-7706;
Practice Fax
:
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1942269089 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1851350995 -
DANNY
KIM
LEE
MD
Other Name
:
Mailing Address
:
3501 MEMORIAL PKWY SW
SUITE 200
HUNTSVILLE
AL
35801-5319
Phone
: 256-533-0315;
Fax
: 256-536-0360;
Practice Location Address
:
3501 MEMORIAL PKWY SW
, SUITE 200
, HUNTSVILLE
, AL
, 35801-5319
Practice Phone
: 256-533-0315;
Practice Fax
: 256-536-0360
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1760441802 -
DVA HEALTHCARE RENAL CARE INC
Other Name
:
MAGNOLIA DIALYSIS
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4514;
Fax
: 866-594-9961;
Practice Location Address
:
1125 S BURNSIDE AVE
,
, GONZALES
, LA
, 70737-4248
Practice Phone
: 225-255-4070;
Practice Fax
: 225-255-4071
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1679532717 -
ROBERT
OWEN
BASH
JR.
MD
Other Name
:
Mailing Address
:
12470 TELECOM DR
SUITE 300 WEST
TEMPLE TERRACE
FL
33637-0904
Phone
: 813-871-8111;
Fax
: ;
Practice Location Address
:
12470 TELECOM DR
, SUITE 300 WEST
, TEMPLE TERRACE
, FL
, 33637-0904
Practice Phone
: 813-871-8111;
Practice Fax
:
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1588623623 -
BRIAN
ROBERT
SULLIVAN
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1396704433 -
DR.
DR.
ANUSUYA
N.
SENDOS
MD
Other Name
:
ANUSUYA
NAVAKOTINAARAAYANAN
Mailing Address
:
PO BOX 66308
HOUSTON
TX
77266-6308
Phone
: ;
Fax
: 713-523-4897;
Practice Location Address
:
6550 MAPLERIDGE #210
,
, HOUSTON
, TX
, 77081
Practice Phone
: 713-779-7200;
Practice Fax
: 713-523-4897
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1205895349 -
DOMINICK
CHRISTOPHER
CAVUOTI
DO
Other Name
:
Mailing Address
:
10232 ROSSER RD
DALLAS
TX
75229-6143
Phone
: 214-287-2159;
Fax
: ;
Practice Location Address
:
10232 ROSSER RD
,
, DALLAS
, TX
, 75229-6143
Practice Phone
: 214-287-2159;
Practice Fax
:
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1114986254 -
CASEY
ELLEN
DRAKE
MD
Other Name
:
Mailing Address
:
201 E INTERSTATE 30 STE 100
ROCKWALL
TX
75087-5402
Phone
: 214-912-1531;
Fax
: 214-520-7120;
Practice Location Address
:
201 E INTERSTATE 30 STE 100
,
, ROCKWALL
, TX
, 75087-5402
Practice Phone
: 214-912-1531;
Practice Fax
: 469-757-4890
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1023077161 -
DR.
DR.
RASHID
M
SIDDIQI
MD
Other Name
:
Mailing Address
:
1602 W BAKER RD
STE A
BAYTOWN
TX
77521-2282
Phone
: 281-428-4024;
Fax
: 281-428-4026;
Practice Location Address
:
1602 W BAKER RD
, STE A
, BAYTOWN
, TX
, 77521-2282
Practice Phone
: 281-428-4024;
Practice Fax
: 281-428-4026
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1932168077 -
YU-GUANG
HE
MD MS
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1841259983 -
JOHN
DOWLING
MCCONNELL
MD
Other Name
:
Mailing Address
:
PO BOX 344
WINSTON SALEM
NC
27157-0001
Phone
: ;
Fax
: ;
Practice Location Address
:
MEDICAL CENTER BLVD
,
, WINSTON SALEM
, NC
, 27102-0344
Practice Phone
: 336-716-2255;
Practice Fax
:
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1669431706 -
ROBERT
W
MCKENNA
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-0624;
Fax
: 214-645-0078;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-0624;
Practice Fax
: 214-645-0078
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1578522611 -
LINDA
JOHNSON
JACKSON
OD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-2020;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-2020;
Practice Fax
:
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1487613527 -
DR.
DR.
LINDA
ANN
PINKUS
D.C.
Other Name
:
Mailing Address
:
1307 COVE POINT DR
EXTON
PA
19341-1579
Phone
: 847-293-7796;
Fax
: ;
Practice Location Address
:
1400 BLACKHORSE HILL RD
,
, COATESVILLE
, PA
, 19320-2040
Practice Phone
: 610-384-7711;
Practice Fax
:
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1295794337 -
ELAINE
SWERDLOW
I
LCSW
Other Name
:
Mailing Address
:
85 W BURNSIDE AVE
BRONX
NY
10453-4015
Phone
: 718-839-8900;
Fax
: 718-228-7471;
Practice Location Address
:
25 E 183RD ST
,
, BRONX
, NY
, 10453-1242
Practice Phone
: 718-839-8900;
Practice Fax
: 718-228-7471
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1104885243 -
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Other Name
:
BOGALUSA KIDNEY CARE
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4514;
Fax
: 866-594-9961;
Practice Location Address
:
2108 AVENUE F
,
, BOGALUSA
, LA
, 70427-5027
Practice Phone
: 985-735-7811;
Practice Fax
: 985-735-1501
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1013976158 -
DR.
DR.
FRANKLIN
GEORGE
GILLIG
M.D.
Other Name
:
Mailing Address
:
28 ANTHONY RD
BOLTON
CT
06043-7539
Phone
: 860-646-2362;
Fax
: ;
Practice Location Address
:
71 HAYNES ST
,
, MANCHESTER
, CT
, 06040-4131
Practice Phone
: 860-646-1222;
Practice Fax
: 860-647-6412
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1922067065 -
MS.
MS.
BARBARA
BURGESS
PT
Other Name
:
BARBARA
BURGESS
Mailing Address
:
1182 TROY SCHENECTADY RD
SUITE LL02
LATHAM
NY
12110-1026
Phone
: 518-220-9705;
Fax
: 518-220-9651;
Practice Location Address
:
1182 TROY SCHENECTADY RD
, SUITE LL02
, LATHAM
, NY
, 12110-1026
Practice Phone
: 518-220-9705;
Practice Fax
: 518-220-9651
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1831158971 -
JEROME
CHARLES
LANE
MD
Other Name
:
Mailing Address
:
520 WEST HURON STREET
APT #603
CHICAGO
IL
60610
Phone
: 312-280-8083;
Fax
: ;
Practice Location Address
:
2300 CHILDRENS PLAZA
, BOX #37, CHILDRENS MEMORIAL HOSPITAL
, CHICAGO
, IL
, 60614
Practice Phone
: 773-327-3930;
Practice Fax
: 773-327-3939
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1740249887 -
JAMES
PARKER
MCCULLEY
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-645-0624;
Fax
: 214-645-0078;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-645-0624;
Practice Fax
: 214-645-0078
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1659330793 -
DR.
DR.
MICHAEL
D
GORDON
MD
Other Name
:
Mailing Address
:
1218 W KILBOURN AVE
SUITE 301
MILWAUKEE
WI
53233-1330
Phone
: 414-276-6000;
Fax
: 414-276-1758;
Practice Location Address
:
1218 W KILBOURN AVE
, SUITE 301
, MILWAUKEE
, WI
, 53233-1330
Practice Phone
: 414-276-6000;
Practice Fax
: 414-276-1758
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1568421600 -
MID JERSEY RESP. ASSOCIATES, MEDICAL SUPPLIES & CLINICAL SVCS., INC
Other Name
:
MJRA
Mailing Address
:
106 1/2 N BROADWAY
BOX 98
SOUTH AMBOY
NJ
08879-1706
Phone
: 732-721-0028;
Fax
: 732-721-0008;
Practice Location Address
:
106 1/2 N BROADWAY
, BOX 98
, SOUTH AMBOY
, NJ
, 08879-1706
Practice Phone
: 732-721-0028;
Practice Fax
: 732-721-0008
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1477512515 -
DVA HEALTHCARE RENAL CARE INC
Other Name
:
CHATEAU DIALYSIS
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPARTMENT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4514;
Fax
: 866-594-9961;
Practice Location Address
:
720 VILLAGE RD
,
, KENNER
, LA
, 70065-2751
Practice Phone
: 504-469-2796;
Practice Fax
: 504-469-7587
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1386603421 -
PANKAJ
BHARGAVA
MD
Other Name
:
Mailing Address
:
44 BINNEY ST
D1220 DANA-FARBER CANCER INSTITUTE
BOSTON
MA
02115
Phone
: 617-632-6184;
Fax
: 617-632-5370;
Practice Location Address
:
44 BINNEY ST
, DANA-FARBER CANCER INSTITUTE
, BOSTON
, MA
, 02115
Practice Phone
: 617-632-6184;
Practice Fax
: 617-632-5370
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1194784231 -
DANIEL
CHARLES
BOWERS
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-730-5437;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-730-5437;
Practice Fax
:
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1003875147 -
DR.
DR.
JASON
RICHARD
DIEHL
O.D.
Other Name
:
Mailing Address
:
40 E NORTH ST
EUREKA
MO
63025-1205
Phone
: 636-200-4393;
Fax
: 636-938-2650;
Practice Location Address
:
1025 COLUMBIA CTR
,
, COLUMBIA
, IL
, 62236-2546
Practice Phone
: 618-281-8611;
Practice Fax
: 618-281-3927
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1912966052 -
SUSANA
MARIA
CAMPOS
MD MPH
Other Name
:
Mailing Address
:
44 BINNEY ST
DANA-FARBER CANCER INSTITUTE
BOSTON
MA
02115
Phone
: 617-632-5269;
Fax
: 617-632-1930;
Practice Location Address
:
44 BINNEY ST
, DANA-FARBER CANCER INSTITUTE
, BOSTON
, MA
, 02115
Practice Phone
: 617-632-5269;
Practice Fax
: 617-632-1930
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1821057969 -
NORMA
JEAN
POPE
WHCNP
Other Name
:
NORMA
JEAN
NEY
Mailing Address
:
1313 BROADWAY
SUITE 5
LUBBOCK
TX
79401-3277
Phone
: 806-765-2600;
Fax
: 806-765-2604;
Practice Location Address
:
1318 BROADWAY ST
,
, LUBBOCK
, TX
, 79401-3206
Practice Phone
: 806-765-2611;
Practice Fax
: 806-741-3014
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1730148875 -
RODNEY
DOUGLAS
STEWART
RPT
Other Name
:
Mailing Address
:
1801 HWY 99 N STE 1
ASHLAND
OR
97520-9152
Phone
: 541-482-9051;
Fax
: ;
Practice Location Address
:
1801 HWY 99 N STE 1
,
, ASHLAND
, OR
, 97520-9152
Practice Phone
: 541-482-9051;
Practice Fax
:
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1649239781 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1558320697 -
MS.
MS.
PATRICIA
CALDWELL
STARK
RN ANP
Other Name
:
Mailing Address
:
PO BOX 848476
DALLAS
TX
75284-8476
Phone
: 254-202-4655;
Fax
: 254-202-4697;
Practice Location Address
:
1001 HEWITT DR
,
, WACO
, TX
, 76712-8486
Practice Phone
: 254-202-7800;
Practice Fax
: 254-202-7856
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1467411504 -
JEFFREY
A
FISCHER
PA C
Other Name
:
Mailing Address
:
3178 BRANTFORD LN
SUN PRAIRIE
WI
53590-4213
Phone
: ;
Fax
: ;
Practice Location Address
:
500 WESTLAWN DR
,
, COTTAGE GROVE
, WI
, 53527
Practice Phone
: 608-839-3104;
Practice Fax
: 608-839-3404
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1376502419 -
JOSE
J
LOYOLA, MARTINEZ
Other Name
:
Mailing Address
:
MUNOZ RIVERA ESQ GARRIDO MORALES #1
FAJARDO
PR
00738-1723
Phone
: 787-860-1767;
Fax
: 787-860-1767;
Practice Location Address
:
MUNOZ RIVERA ESQ GARRIDO MORALES #1
,
, FAJARDO
, PR
, 00738-1723
Practice Phone
: 787-860-1767;
Practice Fax
: 787-860-1767
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1285693325 -
WILLIAM
R
HEIFNER
MD
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
2402 WINNEBAGO ST
,
, MADISON
, WI
, 53704-5341
Practice Phone
: 608-242-6855;
Practice Fax
:
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1093774135 -
DEREK
E
CLEVIDENCE
MD, PHD
Other Name
:
Mailing Address
:
202 S PARK ST
MADISON
WI
53715-1507
Phone
: 608-417-6000;
Fax
: ;
Practice Location Address
:
6408 COPPS AVE
,
, MONONA
, WI
, 53716-3702
Practice Phone
: 608-417-3000;
Practice Fax
: 608-417-3100
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1902865041 -
LINDA
LENZ
PAC
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
1050 E BROADWAY
,
, MONONA
, WI
, 53716-4023
Practice Phone
: 608-222-8779;
Practice Fax
: 608-222-8944
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1811956956 -
VIDA
AMIN
MD
Other Name
:
VIDA
AMIN
Mailing Address
:
PO BOX 733784
DALLAS
TX
75373-3784
Phone
: 682-885-1855;
Fax
: 682-885-1396;
Practice Location Address
:
7120 BOULEVARD 26
,
, RICHLAND HILLS
, TX
, 76180-8608
Practice Phone
: 817-347-8025;
Practice Fax
: 817-347-8001
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1720047863 -
ERIC
D
MILLER
MD
Other Name
:
Mailing Address
:
215 CORPORATE DRIVE
SUITE A
BEAVER DAM
WI
53916
Phone
: 920-351-4530;
Fax
: 978-620-2348;
Practice Location Address
:
215 CORPORATE DR. SUITE A
, PALADINA HEALTH
, BEAVER DAM
, WI
, 53916
Practice Phone
: 920-887-9272;
Practice Fax
: 920-885-4752
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1639138779 -
RAYMOND
L
FOWLER
MD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-648-3067;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-648-3067;
Practice Fax
:
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1548229685 -
PAUL
PANKRATZ
PAC
Other Name
:
Mailing Address
:
7974 UW HEALTH CT
MIDDLETON
WI
53562-5531
Phone
: ;
Fax
: ;
Practice Location Address
:
1050 E BROADWAY
,
, MONONA
, WI
, 53716-4023
Practice Phone
: 608-222-8779;
Practice Fax
: 608-222-8944
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1457310591 -
HEIDI
STOKES
PA C
Other Name
:
Mailing Address
:
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO
CA
94111-3723
Phone
: 415-658-6791;
Fax
: ;
Practice Location Address
:
30 BROAD ST FL 45
,
, NEW YORK
, NY
, 10004-2942
Practice Phone
: 212-530-0630;
Practice Fax
:
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1366401408 -
AMY
E
KERSTEN
LCSW
Other Name
:
Mailing Address
:
15857 TERRIS LN
SAINT ROBERT
MO
65584-7505
Phone
: 907-687-2963;
Fax
: ;
Practice Location Address
:
119 N BENTON ST
,
, WAYNESVILLE
, MO
, 65583-2501
Practice Phone
: 573-433-2833;
Practice Fax
:
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1275592313 -
DR.
DR.
JENNIFER
PETERSON
FETHERSTON
D.C.
Other Name
:
Mailing Address
:
1844 N GARLAND ST
WICHITA
KS
67203-2843
Phone
: 316-619-5345;
Fax
: ;
Practice Location Address
:
1844 N GARLAND ST
,
, WICHITA
, KS
, 67203-2843
Practice Phone
: 316-619-5345;
Practice Fax
:
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1184683229 -
DR.
DR.
ERIK
GROVE
PALMER
DO
Other Name
:
Mailing Address
:
555 E TACHEVAH DR
SUITE 2W-203
PALM SPRINGS
CA
92262-5750
Phone
: 760-323-4272;
Fax
: 760-323-8597;
Practice Location Address
:
555 E TACHEVAH DR
, SUITE 2W-203
, PALM SPRINGS
, CA
, 92262-5750
Practice Phone
: 760-323-4272;
Practice Fax
: 760-323-8597
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1992764039 -
MICHAEL
R.
MANES
M.D.
Other Name
:
Mailing Address
:
810 SAINT VINCENTS DR
BIRMINGHAM
AL
35205-1601
Phone
: 205-558-3484;
Fax
: 317-583-3099;
Practice Location Address
:
6945 COUNTY HIGHWAY 1
,
, CLEVELAND
, AL
, 35049-3927
Practice Phone
: 205-625-3367;
Practice Fax
: 205-274-0857
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1801855945 -
MS.
MS.
BRENDA
DECORTE
LPC
Other Name
:
Mailing Address
:
4598 S MECHANICSVILLE RD
CLARION
PA
16214-4726
Phone
: 814-764-3821;
Fax
: 814-226-0205;
Practice Location Address
:
68 HIMES RD
,
, CLARION
, PA
, 16214-4702
Practice Phone
: 814-226-9810;
Practice Fax
: 814-226-0205
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1710946850 -
DR.
DR.
KAMRAN
YUNAS
KHATTAK
M.D.
Other Name
:
Mailing Address
:
423 WOODBRIDGE DR
CHARLESTON
WV
25311-9731
Phone
: 516-902-9827;
Fax
: ;
Practice Location Address
:
423 WOODBRIDGE DR
,
, CHARLESTON
, WV
, 25311-9731
Practice Phone
: 516-902-2827;
Practice Fax
:
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1629037767 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1538128673 -
MS.
MS.
REBEKAH
LOUISE
BERKOWITZ
MSW
Other Name
:
Mailing Address
:
4177 D CRESCENT DR
ST LOUIS
MO
63129-1071
Phone
: 314-845-0673;
Fax
: ;
Practice Location Address
:
4177 D CRESCENT
,
, ST LOUIS
, MO
, 63129-1071
Practice Phone
: 314-845-0673;
Practice Fax
:
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1447219589 -
JAMES
M
FOELSCH
MD
Other Name
:
Mailing Address
:
PO BOX 73410
FAIRBANKS
AK
99707-3410
Phone
: 800-478-4091;
Fax
: 907-770-2341;
Practice Location Address
:
1919 LATHROP ST
, SUITE 220
, FAIRBANKS
, AK
, 99701-5942
Practice Phone
: 907-452-1739;
Practice Fax
: 907-452-2384
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1356300495 -
MR.
MR.
BRYAN
K
HAIG
PT
Other Name
:
Mailing Address
:
3131 PRINCETON PIKE
BLDG. 1-A
LAWRENCEVILLE
NJ
08648-2201
Phone
: 609-912-0440;
Fax
: 609-912-1908;
Practice Location Address
:
3131 PRINCETON PIKE
, BLDG. 1-A
, LAWRENCEVILLE
, NJ
, 08648-2201
Practice Phone
: 609-912-0440;
Practice Fax
: 609-912-1908
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1265491302 -
MELISSA
I
COSTNER
MD
Other Name
:
Mailing Address
:
17051 DALLAS PKWY STE 350
ADDISON
TX
75001-7107
Phone
: 214-702-0029;
Fax
: 214-382-3453;
Practice Location Address
:
17051 DALLAS PKWY STE 350
,
, ADDISON
, TX
, 75001-7107
Practice Phone
: 214-702-0029;
Practice Fax
: 214-382-3453
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1174582217 -
JUDITH
S
MCNEEL
CNM
Other Name
:
Mailing Address
:
310 CTY X
LIVINGSTON
WI
53554-9532
Phone
: 608-778-0313;
Fax
: ;
Practice Location Address
:
310 CTY X
,
, LIVINGSTON
, WI
, 53554-9532
Practice Phone
: 608-778-0313;
Practice Fax
:
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1083673123 -
DR.
DR.
STEVE
MARK
LARSEN
PH.D.
Other Name
:
Mailing Address
:
1507 W MAIN ST
GATESVILLE
TX
76528-1024
Phone
: 254-865-8251;
Fax
: ;
Practice Location Address
:
1507 W MAIN ST
,
, GATESVILLE
, TX
, 76528-1024
Practice Phone
: 254-865-8251;
Practice Fax
:
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1891754933 -
DR.
DR.
RICHARD
L
LUEKENGA
SR.
O.D.
Other Name
:
Mailing Address
:
145 N 100 E
RICHFIELD
UT
84701-2131
Phone
: 435-896-8142;
Fax
: 435-896-9484;
Practice Location Address
:
145 N 100 E
,
, RICHFIELD
, UT
, 84701-2131
Practice Phone
: 435-896-8142;
Practice Fax
: 435-896-9484
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1700845849 -
MRS.
MRS.
TERI
LOUISE
WERNER
RN, BSN
Other Name
:
Mailing Address
:
W7829 SPRING RD
GREENVILLE
WI
54942-8619
Phone
: 920-757-8883;
Fax
: ;
Practice Location Address
:
W7829 SPRING RD
,
, GREENVILLE
, WI
, 54942-8619
Practice Phone
: 920-757-8883;
Practice Fax
:
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1619936754 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1528027661 -
MS.
MS.
MELISSA
S
WALKER
PT CLT
Other Name
:
Mailing Address
:
625 ENTERPRISE DR
OAK BROOK
IL
60523-8813
Phone
: 630-590-4029;
Fax
: 630-590-4329;
Practice Location Address
:
555 E TOWNLINE RD STE 24
,
, VERNON HILLS
, IL
, 60061-1552
Practice Phone
: 847-573-0051;
Practice Fax
: 847-573-0345
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1437118577 -
ZAKIR
N
KHAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 389
CLAY
AL
35048-0389
Phone
: 205-625-3561;
Fax
: 205-274-9638;
Practice Location Address
:
101 LEMLEY DR
, SUITE A
, ONEONTA
, AL
, 35121-2100
Practice Phone
: 205-625-3561;
Practice Fax
: 205-274-9638
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1346209483 -
MR.
MR.
SCOTT
GIALLELLA
PT
Other Name
:
Mailing Address
:
1900 ARENA DR
HAMILTON
NJ
08610-2409
Phone
: 609-585-2333;
Fax
: 609-585-6522;
Practice Location Address
:
1900 ARENA DR
,
, HAMILTON
, NJ
, 08610-2409
Practice Phone
: 609-585-2333;
Practice Fax
: 609-585-6522
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1255390399 -
DR.
DR.
APRIL
LOUISE
HARTMAN
MD
Other Name
:
Mailing Address
:
1120 15TH ST # BI1056
AUGUSTA
GA
30912-0004
Phone
: 706-446-5941;
Fax
: 706-660-2935;
Practice Location Address
:
1120 15TH ST
,
, AUGUSTA
, GA
, 30912-0004
Practice Phone
: 706-721-8623;
Practice Fax
:
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1164481206 -
DR.
DR.
MARTIN
STEWART
HIRSCH
M.D.
Other Name
:
Mailing Address
:
1650 ALA MOANA BLVD
#1113
HONOLULU
HI
96815-1432
Phone
: 808-947-4038;
Fax
: ;
Practice Location Address
:
3627 KILAUEA AVE
, #401
, HONOLULU
, HI
, 96816-2317
Practice Phone
: 808-733-9393;
Practice Fax
:
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1023077179 -
DOUGLAS
ANTHONY
GALVIN
MHS PT OCS
Other Name
:
Mailing Address
:
155 NORTHPOINT DR
MT ORAB
OH
45154
Phone
: 937-444-2933;
Fax
: 937-444-2924;
Practice Location Address
:
155 NORTHPOINT DR
,
, MT ORAB
, OH
, 45154
Practice Phone
: 937-444-2933;
Practice Fax
: 937-444-2924
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1932168085 -
JULIE
ELIZABETH
MUNDEY
MPT
Other Name
:
Mailing Address
:
4685 FORSEST AVENUE
STE C
CINCINNATI
OH
45212-3359
Phone
: ;
Fax
: ;
Practice Location Address
:
8240 NORTHCREEK DR
,
, CINCINNATI
, OH
, 45236-2283
Practice Phone
: 513-246-7000;
Practice Fax
: 513-246-5284
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1841259991 -
ANDREW
TOPLIFF
MD
Other Name
:
Mailing Address
:
410 CHURCH STREET S.E.
BOYNTON HEALTH SERVICE
MINNEAPOLIS
MN
55455
Phone
: ;
Fax
: 612-624-3911;
Practice Location Address
:
410 CHURCH STREET S.E.
, BOYNTON HEALTH SERVICES
, MINNEAPOLIS
, MN
, 55455
Practice Phone
: 612-626-3507;
Practice Fax
: 612-624-3911
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1750340808 -
RICHARD
DOUGLAS
RUCKER
JR.
MD PHD
Other Name
:
Mailing Address
:
795 MIDDLE ST
FALL RIVER
MA
02721-1733
Phone
: 508-674-5600;
Fax
: 508-675-5611;
Practice Location Address
:
795 MIDDLE ST
,
, FALL RIVER
, MA
, 02721-1733
Practice Phone
: 508-674-5600;
Practice Fax
: 508-675-5611
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1669431714 -
DONALD
BRANDT
MD
Other Name
:
Mailing Address
:
7301 OHMS LANE
SUITE 650
EDINA
MN
55439
Phone
: 952-835-9880;
Fax
: 952-857-1554;
Practice Location Address
:
201 E NICOLLET BLVD
, FAIRVIEW RIDGES HOSPITAL
, BURNSVILLE
, MN
, 55337
Practice Phone
: 952-892-2021;
Practice Fax
: 952-892-2670
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1578522629 -
JEAN
W
EAKINS
LMFT
Other Name
:
Mailing Address
:
5009 TALBOT PL S
UNIT D
RENTON
WA
98055-7931
Phone
: 425-226-6438;
Fax
: ;
Practice Location Address
:
1700 EDMONDS AVE NE
,
, RENTON
, WA
, 98056-2713
Practice Phone
: 425-271-9711;
Practice Fax
:
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1487613535 -
DR.
DR.
LESLIE
SURARA
CHUA-RAVAGO
M.D.
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: ;
Fax
: ;
Practice Location Address
:
5460 BLANDING BLVD
, ANCHOR PLAZA FAMILY PRACTICE
, JACKSONVILLE
, FL
, 32244-1957
Practice Phone
: 904-633-0610;
Practice Fax
: 904-633-0611
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1295794345 -
MAO
H.
CHEN
M.D.
Other Name
:
Mailing Address
:
331 VINE ST
WILMETTE
IL
60091-3133
Phone
: 773-258-8090;
Fax
: 773-481-6542;
Practice Location Address
:
5600 W. ADDISON ST.
, SUITE 206
, CHICAGO
, IL
, 60634-4469
Practice Phone
: 773-258-8090;
Practice Fax
: 773-481-6542
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1104885250 -
DR.
DR.
MICHAEL
STEVEN
PHILLIPS
D.M.D.
Other Name
:
Mailing Address
:
2105 SANDY POINT LN
MOUNT PLEASANT
SC
29466-8770
Phone
: 843-654-9743;
Fax
: ;
Practice Location Address
:
204 W HILL BLVD
, 628TH MEDICAL GROUP DENTAL SERVICES
, CHARLESTON AFB
, SC
, 29404-4704
Practice Phone
: 843-963-6822;
Practice Fax
:
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1013976166 -
DR.
DR.
DANIEL
GEORGE
WOJTUSIAK
D.O.
Other Name
:
Mailing Address
:
USAHC-HANAU
CMR 470 BOX 4862
APO
AE
09165
Phone
: 01149500328;
Fax
: 6668;
Practice Location Address
:
USAHC-HANAU
, CMR 470 BOX 4862
, APO
, AE
, 09165
Practice Phone
: 01149500328;
Practice Fax
: 6668
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1922067073 -
MEGEEN
PARKER
MD
Other Name
:
Mailing Address
:
1265 JOHN Q HAMMONS DR
MADISON
WI
53717-1921
Phone
: 608-662-4184;
Fax
: ;
Practice Location Address
:
675 W WASHINGTON AVE
,
, MADISON
, WI
, 53703-2637
Practice Phone
: 608-251-4156;
Practice Fax
:
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1831158989 -
JOHN
SCOTT
CAMERON
MD PHD
Other Name
:
Mailing Address
:
PO BOX 845347
DALLAS
TX
75284-5347
Phone
: 214-730-5437;
Fax
: ;
Practice Location Address
:
5323 HARRY HINES BLVD
,
, DALLAS
, TX
, 75390-7208
Practice Phone
: 214-730-5437;
Practice Fax
:
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1740249895 -
EMIL
F
MANFREDONIA
PT
Other Name
:
Mailing Address
:
8 LAUREL AVE
BORDERTOWN
NJ
08505
Phone
: 609-298-4188;
Fax
: ;
Practice Location Address
:
1440 HOWLAND SUITE 1A
,
, NORTH BUNSWID
, NJ
, 08902
Practice Phone
: 732-828-8855;
Practice Fax
:
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