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Showing codes 1356302079 — 1538120266
1356302079 -
DR.
DR.
FRANK
A.
MAFFEI
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-2710
Practice Phone
: 570-271-6562;
Practice Fax
:
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1265493985 -
PATRICIA
A
HUNT
F.N.P.
Other Name
:
Mailing Address
:
451 E UNIVERSITY DR
TEMPE
AZ
85281-2000
Phone
: 480-965-3346;
Fax
: 480-965-8914;
Practice Location Address
:
451 E UNIVERSITY DR
,
, TEMPE
, AZ
, 85281-2000
Practice Phone
: 480-965-3346;
Practice Fax
: 480-965-8914
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1174584890 -
DR.
DR.
SANIA
PEREZ
M.D.
Other Name
:
Mailing Address
:
171 FRANKLIN TPK
WALDWICK
NJ
07450
Phone
: 201-612-1500;
Fax
: ;
Practice Location Address
:
171 FRANKLIN TPK
,
, WALDWICK
, NJ
, 07463
Practice Phone
: 201-612-5100;
Practice Fax
: 201-612-4499
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1083675706 -
DAVID
P
LURIE
M. D.
Other Name
:
Mailing Address
:
106 WOODLAWN DR
JOHNSON CITY
TN
37604-5977
Phone
: 423-929-3358;
Fax
: 423-929-0106;
Practice Location Address
:
106 WOODLAWN DR
,
, JOHNSON CITY
, TN
, 37604-5977
Practice Phone
: 423-929-3358;
Practice Fax
: 423-929-0106
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1891756516 -
STEPHEN
CRAIG
ROSS
M.D.
Other Name
:
Mailing Address
:
522 N NEW BALLAS RD
SUITE 240
SAINT LOUIS
MO
63141-6857
Phone
: 314-567-5100;
Fax
: 314-567-3387;
Practice Location Address
:
522 N NEW BALLAS RD
, SUITE 240
, SAINT LOUIS
, MO
, 63141-6857
Practice Phone
: 314-567-5100;
Practice Fax
: 314-567-3387
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1700847423 -
ANNE
P
KAISER
MD
Other Name
:
ANNE
P
ALBRINCK
Mailing Address
:
PO BOX 632875
CINCINNATI
OH
45263-2875
Phone
: 513-853-4731;
Fax
: 513-569-5199;
Practice Location Address
:
440 RAY NORRISH DR
,
, CINCINNATI
, OH
, 45246-1520
Practice Phone
: 513-671-7700;
Practice Fax
: 513-671-5435
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1619938339 -
DR.
DR.
DAVID
DUANE
PERKINS
D.O.
Other Name
:
Mailing Address
:
137 COUNTRY CIR
ADVANCE
NC
27006-7456
Phone
: 336-998-5359;
Fax
: ;
Practice Location Address
:
1601 BRENNER AVE
,
, SALISBURY
, NC
, 28144-2515
Practice Phone
: 704-638-9000;
Practice Fax
:
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1528029246 -
MR.
MR.
PAUL
S
MACKINNON
NP
Other Name
:
Mailing Address
:
PO BOX 62
TURNPIKE STATION
SHREWSBURY
MA
01545-0062
Phone
: 508-334-8815;
Fax
: 508-334-5374;
Practice Location Address
:
55 LAKE AVE N
, DEPARTMENT OF EMERGENCY MEDICINE
, WORCESTER
, MA
, 01655-0002
Practice Phone
: 508-856-5256;
Practice Fax
:
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1437110152 -
DR.
DR.
LINDA
ANN
ZILLI
OD
Other Name
:
Mailing Address
:
2921 ERIE BLVD E
SYRACUSE
NY
13224
Phone
: 315-445-7465;
Fax
: 315-445-7675;
Practice Location Address
:
600 OLD COUNTRY RD
,
, GARDEN CITY
, NY
, 11530
Practice Phone
: 516-745-6565;
Practice Fax
: 516-683-1729
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1346201068 -
SUSAN
L
MEROLA-MCCONN
MD
Other Name
:
Mailing Address
:
218 ROYAL PALM WAY
PALM BEACH
FL
33480-4303
Phone
: 305-243-2327;
Fax
: ;
Practice Location Address
:
218 ROYAL PALM WAY
,
, PALM BEACH
, FL
, 33480-4303
Practice Phone
: 305-243-2327;
Practice Fax
:
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1255392973 -
CASSIE
L
LANDRUM
Other Name
:
Mailing Address
:
1792 ALYSHEBA WAY
LEXINGTON
KY
40509-2288
Phone
: 859-293-6133;
Fax
: ;
Practice Location Address
:
1792 ALYSHEBA WAY
,
, LEXINGTON
, KY
, 40509-2288
Practice Phone
: 859-293-6133;
Practice Fax
:
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1164483889 -
FRENCH BROAD VOLUNTEER FIRE DEPT
Other Name
:
Mailing Address
:
PO BOX 863
LEWISVILLE
NC
27023-0863
Phone
: 336-766-4448;
Fax
: 336-766-1279;
Practice Location Address
:
572 FLETCHER MARTIN RD
,
, ALEXANDER
, NC
, 28701-9727
Practice Phone
: 828-683-3651;
Practice Fax
:
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1073574794 -
RENAL TREATMENT CENTERS-ILLINOIS INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1425 HAMPTON AVE
,
, SAINT LOUIS
, MO
, 63139-3115
Practice Phone
: 314-781-4022;
Practice Fax
: 314-781-4063
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1982665600 -
DR.
DR.
MEDHAT
ISMAIL
MD
Other Name
:
Mailing Address
:
27 ALMADERA DR
WAYNE
NJ
07470-2471
Phone
: 973-790-3433;
Fax
: ;
Practice Location Address
:
246 HAMBURG TPKE
, SUITE 208
, WAYNE
, NJ
, 07470-2156
Practice Phone
: 973-790-3433;
Practice Fax
:
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1790746410 -
MS.
MS.
MARIA
C
RONSON
PT
Other Name
:
MARIA
MESSINA
Mailing Address
:
8201 ATLEE RD STE D
MECHANICSVILLE
VA
23116-1815
Phone
: 804-569-1787;
Fax
: 804-569-9787;
Practice Location Address
:
8201 ATLEE RD STE D
,
, MECHANICSVILLE
, VA
, 23116
Practice Phone
: 804-569-1787;
Practice Fax
: 804-569-9787
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1609837327 -
MS.
MS.
DULCIE
Y
WITMAN
LADC
Other Name
:
Mailing Address
:
222 SAINT JOHN ST
STE 102
PORTLAND
ME
04102
Phone
: 207-775-4026;
Fax
: 207-775-4026;
Practice Location Address
:
222 SAINT JOHN ST
, STE 102
, PORTLAND
, ME
, 04102
Practice Phone
: 207-775-4026;
Practice Fax
: 207-775-4026
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1518928233 -
LISA
ARIEL
BERKI
Other Name
:
Mailing Address
:
CORNELL UNIVERSITY HEALTH SERVICES
HO PLAZA
ITHACA
NY
14853-3101
Phone
: 607-255-6946;
Fax
: 607-254-3503;
Practice Location Address
:
CORNELL UNIVERSITY HEALTH SERVICES
, HO PLAZA
, ITHACA
, NY
, 14853-3101
Practice Phone
: 607-255-6946;
Practice Fax
: 607-254-3503
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1427019140 -
MATTHEW
S
BOONE
Other Name
:
Mailing Address
:
CORNELL UNIVERSITY HEALTH SERVICES
HO PLAZA
ITHACA
NY
14853-3101
Phone
: 607-255-6946;
Fax
: 607-254-3503;
Practice Location Address
:
CORNELL UNIVERSITY HEALTH SERVICES
, HO PLAZA
, ITHACA
, NY
, 14853-3101
Practice Phone
: 607-255-6946;
Practice Fax
: 607-254-3503
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1336100056 -
RICHARD
SILBERGLEIT
MD
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD
MI
48033-3849
Phone
: ;
Fax
: ;
Practice Location Address
:
3601 W 13 MILE RD
, 400 FSC-PCS
, ROYAL OAK
, MI
, 48073-6712
Practice Phone
: 248-432-2481;
Practice Fax
:
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1245291962 -
CISSNA PARK FIRE PROTECTION DISTRICT IROQUOIS COUNTY ILLINOIS
Other Name
:
Mailing Address
:
PO BOX 273
206 N SECOND STREET
CISSNA PARK
IL
60924-0273
Phone
: 815-457-2900;
Fax
: ;
Practice Location Address
:
206 N SECOND STREET
,
, CISSNA PARK
, IL
, 60924
Practice Phone
: 815-457-2900;
Practice Fax
:
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1154382877 -
DR.
DR.
HENRY
C.
MAGUIRE
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-4903
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-1405
Practice Phone
: 570-271-6012;
Practice Fax
:
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1063473783 -
DR.
DR.
FARUQ
MAHMUD
M.D.
Other Name
:
Mailing Address
:
100 N ACADEMY AVE
DANVILLE
PA
17822-3034
Phone
: 570-271-6144;
Fax
: 570-271-6578;
Practice Location Address
:
100 N ACADEMY AVE
,
, DANVILLE
, PA
, 17822-2007
Practice Phone
: 570-271-6301;
Practice Fax
:
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1972564698 -
DR.
DR.
PETER
J
HOWARD
M.D.
Other Name
:
Mailing Address
:
PO BOX 725
COOPERSTOWN
NY
13326-0725
Phone
: 607-547-3276;
Fax
: 607-547-3259;
Practice Location Address
:
1 ATWELL RD
,
, COOPERSTOWN
, NY
, 13326-1301
Practice Phone
: 607-547-3276;
Practice Fax
: 607-547-3259
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1881655504 -
DR.
DR.
JAMES
MILTON
REYNOLDS
M.D.
Other Name
:
Mailing Address
:
PO BOX 910
HUNTINGTON
WV
25712-0910
Phone
: 304-522-1550;
Fax
: 304-522-0704;
Practice Location Address
:
5221 US ROUTE 60 E
,
, HUNTINGTON
, WV
, 25705-2022
Practice Phone
: 304-522-1550;
Practice Fax
: 304-522-0704
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1699736314 -
DR.
DR.
ROBERT
EDWARD
REEVE
M.D.
Other Name
:
Mailing Address
:
PO BOX 844658
DALLAS
TX
75284-4658
Phone
: ;
Fax
: ;
Practice Location Address
:
2401 S 31ST ST
,
, TEMPLE
, TX
, 76508-0001
Practice Phone
: 254-724-2111;
Practice Fax
:
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1508827221 -
DR.
DR.
EDWARD
G
SACHS
OD
Other Name
:
Mailing Address
:
3349 MONROE AVE
PEARLE VISION
ROCHESTER
NY
14618-5513
Phone
: 585-381-1616;
Fax
: 585-381-0718;
Practice Location Address
:
3349 MONROE AVE
, PEARLE VISION
, ROCHESTER
, NY
, 14618-5513
Practice Phone
: 585-381-1616;
Practice Fax
: 585-381-0718
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1417918137 -
MS.
MS.
JULIDE
A
OZAN
PA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP PSYCHIATRY
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-3688;
Practice Fax
: 904-244-3455
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1326009044 -
ST. CLAIRE MEDICAL CENTER, INC
Other Name
:
Mailing Address
:
316 W 2ND ST
MOREHEAD
KY
40351-1550
Phone
: 606-784-3771;
Fax
: 606-783-6847;
Practice Location Address
:
316 W 2ND ST
,
, MOREHEAD
, KY
, 40351-1550
Practice Phone
: 606-784-3771;
Practice Fax
: 606-783-6847
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1235190950 -
PROACTIVE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF VANCOUVER, LLC
Other Name
:
Mailing Address
:
PO BOX 52194
DEPT CODE 963
PHOENIX
AZ
85072-2194
Phone
: 503-489-1781;
Fax
: 503-489-1650;
Practice Location Address
:
805 BROADWAY ST
,
, VANCOUVER
, WA
, 98660-3213
Practice Phone
: 360-823-0138;
Practice Fax
: 360-823-0141
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1144281866 -
MR.
MR.
STEVE
SWINSON
MSPT
Other Name
:
Mailing Address
:
324 N 1680 E
ST GEORGE
UT
84790-2500
Phone
: 435-674-1269;
Fax
: 435-674-1783;
Practice Location Address
:
324 N 1680 E
,
, ST GEORGE
, UT
, 84790-2500
Practice Phone
: 435-674-1269;
Practice Fax
: 435-674-1783
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1053372771 -
KENNETH
MILES
COHEN
Other Name
:
Mailing Address
:
CORNELL UNIVERSITY HEALTH SERVICES
HO PLAZA
ITHACA
NY
14853-3101
Phone
: 607-255-6946;
Fax
: 607-254-3503;
Practice Location Address
:
CORNELL UNIVERSITY HEALTH SERVICES
, HO PLAZA
, ITHACA
, NY
, 14853-3101
Practice Phone
: 607-255-6946;
Practice Fax
: 607-254-3503
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1962463687 -
MS.
MS.
CAROLYN
JO
MCLAUGHLIN
NP
Other Name
:
Mailing Address
:
PO BOX 62
TURNPIKE STATION
SHREWSBURY
MA
01545-0062
Phone
: 508-334-8815;
Fax
: 508-334-5374;
Practice Location Address
:
281 LINCOLN ST
, PRE ADMISSION TESTING
, WORCESTER
, MA
, 01605-2138
Practice Phone
: 508-334-5734;
Practice Fax
:
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1871554592 -
RICHARD
N
BROWNSBERGER
P.A.
Other Name
:
Mailing Address
:
PO BOX 462750
ESCONDIDO
CA
92046-2750
Phone
: 760-520-8500;
Fax
: 760-520-8523;
Practice Location Address
:
488 E VALLEY PKWY
, SUITE 404
, ESCONDIDO
, CA
, 92025-3363
Practice Phone
: 760-739-7666;
Practice Fax
: 760-739-7633
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1780645408 -
DR.
DR.
BRIAN
M
SMITH
M.D.
Other Name
:
Mailing Address
:
PO BOX 955534
SAINT LOUIS
MO
63195-5534
Phone
: ;
Fax
: ;
Practice Location Address
:
400 MEDICAL PLZ STE 200
,
, LAKE ST LOUIS
, MO
, 63367-1417
Practice Phone
: 636-625-2662;
Practice Fax
:
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1598726218 -
THERESA
C
PHILLIPS
PA-C
Other Name
:
Mailing Address
:
123 SUMMER ST
WORCESTER
MA
01608-1200
Phone
: 508-363-5000;
Fax
: ;
Practice Location Address
:
123 SUMMER ST
,
, WORCESTER
, MA
, 01608-1200
Practice Phone
: 508-363-5000;
Practice Fax
:
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1407817125 -
DR.
DR.
BAO PHUONG
N
NGUYEN
M.D.
Other Name
:
Mailing Address
:
3533 S ALAMEDA ST
CORPUS CHRISTI
TX
78411-1721
Phone
: 361-694-5445;
Fax
: 361-694-5449;
Practice Location Address
:
3533 S ALAMEDA ST
,
, CORPUS CHRISTI
, TX
, 78411-1721
Practice Phone
: 361-694-5445;
Practice Fax
: 361-694-5449
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1316908031 -
MS.
MS.
OLIVIA
THERESA
DIMAGGIO
MD
Other Name
:
Mailing Address
:
100 GRANITE DR
STE 200
MEDIA
PA
19063-5134
Phone
: 610-565-1945;
Fax
: 610-892-7848;
Practice Location Address
:
100 GRANITE DR
, STE 200
, MEDIA
, PA
, 19063
Practice Phone
: 610-565-1945;
Practice Fax
: 610-892-7848
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1225099948 -
DR.
DR.
JEFFREY
LEWIS
JARETT
OD
Other Name
:
Mailing Address
:
2921 ERIE BLVD EAST
SYRACUSE
NY
13224
Phone
: 315-445-7465;
Fax
: 315-445-7675;
Practice Location Address
:
NORTHWAY PLAZA RTE 9 AND QUAKER RD
, EMPIRE VISION CENTERS
, GLENS FALLS
, NY
, 12801
Practice Phone
: 518-745-1200;
Practice Fax
: 518-745-8441
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1134180854 -
DR.
DR.
MARTIN
BENJIE
HIRSCHHORN
OD
Other Name
:
Mailing Address
:
2921 ERIE BLVD E
SYRACUSE
NY
13224
Phone
: 315-445-7465;
Fax
: 315-445-7675;
Practice Location Address
:
RTE 13 & RTE 281
, EMPIRE VISION CENTERS
, CORTLAND
, NY
, 13045
Practice Phone
: 609-756-2751;
Practice Fax
: 609-756-9924
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1043271760 -
DR.
DR.
ALOK
SHARMA
OD
Other Name
:
Mailing Address
:
2921 ERIE BLVD EAST
SYRACUSE
NY
13224
Phone
: 315-445-7465;
Fax
: 315-445-7675;
Practice Location Address
:
110 CONSUMER SQUARE
, EMPIRE VISION CENTERS
, PLATTSBURGH
, NY
, 12901
Practice Phone
: 518-562-0200;
Practice Fax
: 518-562-3647
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1952362675 -
DR.
DR.
DOUGLAS
A
WEMMER
M.D.
Other Name
:
Mailing Address
:
210 N TUSTIN AVE
SANTA ANA
CA
92705-3807
Phone
: 800-883-7243;
Fax
: 714-647-1245;
Practice Location Address
:
8929 UNIVERSITY CENTER LN
,
, SAN DIEGO
, CA
, 92122-1007
Practice Phone
: 858-554-0220;
Practice Fax
:
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1861453581 -
LEIGH
E
MATLAGA
M.D.
Other Name
:
Mailing Address
:
1576 MERRITT BLVD
SUITE 3
BALTIMORE
MD
21222-2132
Phone
: 410-650-2191;
Fax
: ;
Practice Location Address
:
1576 MERRITT BLVD
, SUITE 3
, BALTIMORE
, MD
, 21222-2132
Practice Phone
: 410-650-2191;
Practice Fax
:
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1770544496 -
JOHNSON PHYSICAL THERAPY INC
Other Name
:
Mailing Address
:
550 S CANFIELD NILES RD
YOUNGSTOWN
OH
44515-4024
Phone
: 330-799-4446;
Fax
: ;
Practice Location Address
:
550 S CANFIELD NILES RD
,
, YOUNGSTOWN
, OH
, 44515-4024
Practice Phone
: 330-799-4446;
Practice Fax
:
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1689635302 -
KATHY
KRUTKO
CRNA
Other Name
:
Mailing Address
:
3100 SPRING FOREST RD STE 130
RALEIGH
NC
27616-2880
Phone
: 919-882-7908;
Fax
: 919-873-9821;
Practice Location Address
:
5801 BREMO RD
, ST MARY'S HOSPITAL
, RICHMOND
, VA
, 23226-1907
Practice Phone
: 804-288-6258;
Practice Fax
:
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1497716112 -
DR.
DR.
AMY
PATRICIA
MIKHAIL
M.D.
Other Name
:
Mailing Address
:
1904 VALLEYVIEW DR
ANN ARBOR
MI
48105-9362
Phone
: 734-480-9672;
Fax
: ;
Practice Location Address
:
911 BROWN ST
,
, ANN ARBOR
, MI
, 48104-3203
Practice Phone
: 734-769-3702;
Practice Fax
: 734-769-2075
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1306807029 -
EVELYN
MENDEZ
Other Name
:
Mailing Address
:
1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE
NC
28203-5866
Phone
: ;
Fax
: ;
Practice Location Address
:
1001 BLYTHE BLVD
, MEDICAL CENTER PLAZA SUITE 200
, CHARLOTTE
, NC
, 28203-5866
Practice Phone
: 704-381-8840;
Practice Fax
:
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1215998935 -
ASSOCIATED INTERNAL MEDICINE MED GRP INC
Other Name
:
Mailing Address
:
350 30TH ST
STE 320
OAKLAND
CA
94609-3424
Phone
: 510-465-6700;
Fax
: 510-465-7765;
Practice Location Address
:
350 30TH ST
, STE 320
, OAKLAND
, CA
, 94609-3424
Practice Phone
: 510-465-6700;
Practice Fax
: 510-465-7765
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1124089842 -
JOHN
MICHAEL
HURCHIK
DPM
Other Name
:
Mailing Address
:
5841 ARGERIAN DR STE 102
WESLEY CHAPEL
FL
33545-4505
Phone
: 813-788-1006;
Fax
: 407-671-4155;
Practice Location Address
:
5841 ARGERIAN DR STE 102
,
, WESLEY CHAPEL
, FL
, 33545-4505
Practice Phone
: 813-788-1006;
Practice Fax
: 407-671-4155
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1033170758 -
SUSAN
JO
ROBERTS
NP
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
230 WORCESTER ST
,
, WELLESLEY
, MA
, 02481-5420
Practice Phone
: 781-431-5200;
Practice Fax
: 781-431-5298
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1942261664 -
MS.
MS.
JANICE
LEE
ROGERS
NP
Other Name
:
Mailing Address
:
2107 CLINCHFIELD DR
FAYETTEVILLE
NC
28304-3632
Phone
: 910-578-7231;
Fax
: ;
Practice Location Address
:
2300 RAMSEY ST
,
, FAYETTEVILLE
, NC
, 28301-3856
Practice Phone
: 910-488-2120;
Practice Fax
: 910-482-5286
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1851352579 -
DR.
DR.
RICHARD
V.
WILLIAMSON
MD
Other Name
:
Mailing Address
:
1400 E KINCAID ST
C/O CREDENTIALING
MOUNT VERNON
WA
98274-4127
Phone
: 360-428-2500;
Fax
: 360-428-6485;
Practice Location Address
:
2320 FREEWAY DRIVE
,
, MOUNT VERNON
, WA
, 98273
Practice Phone
: 360-814-6800;
Practice Fax
: 360-814-6917
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1760443485 -
SHIRLEY
J
BRISTER
PT
Other Name
:
Mailing Address
:
1809 E 13TH ST
SUITE 100
TULSA
OK
74104-4419
Phone
: 918-582-6800;
Fax
: ;
Practice Location Address
:
1809 E 13TH ST
, SUITE 100
, TULSA
, OK
, 74104-4419
Practice Phone
: 918-582-6800;
Practice Fax
:
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1679534390 -
DR.
DR.
DOUGLAS
M
DELONG
M.D.
Other Name
:
Mailing Address
:
PO BOX 725
COOPERSTOWN
NY
13326-0725
Phone
: 607-547-3967;
Fax
: 607-547-3259;
Practice Location Address
:
1 ATWELL RD
,
, COOPERSTOWN
, NY
, 13326-1301
Practice Phone
: 607-547-3967;
Practice Fax
: 607-547-3259
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1588625206 -
RONALD
WILSON
TAYLOR
D.D.S., M.S.
Other Name
:
Mailing Address
:
701 N LEONARD RD
SAINT JOSEPH
MO
64506-3161
Phone
: 816-232-2030;
Fax
: ;
Practice Location Address
:
3109 FREDERICK AVE
, SUITE A
, SAINT JOSEPH
, MO
, 64506-2911
Practice Phone
: 816-364-4774;
Practice Fax
:
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1578524294 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1487615100 -
ANN
T
MCINTOSH
MD
Other Name
:
Mailing Address
:
5435 FELTL RD
MINNETONKA
MN
55343-7983
Phone
: 952-835-9880;
Fax
: 952-857-1554;
Practice Location Address
:
6500 EXCELSIOR BLVD
, METHODIST HOSPITAL
, ST LOUIS PARK
, MN
, 55426
Practice Phone
: 952-993-6080;
Practice Fax
: 952-993-6047
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1295796910 -
DAVID
EARLE
LPC
Other Name
:
Mailing Address
:
7656 JEFFERSON HWY
SUITE: 1A
BATON ROUGE
LA
70809-1101
Phone
: 225-927-2455;
Fax
: 225-927-7921;
Practice Location Address
:
7656 JEFFERSON HWY
, SUITE: 1A
, BATON ROUGE
, LA
, 70809-1101
Practice Phone
: 225-927-2455;
Practice Fax
: 225-927-7921
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1104887827 -
MRS.
MRS.
KRISTIN
M
BOARDMAN
MD
Other Name
:
KRISTIN
M
MURRAY
Mailing Address
:
4115 LAKE OTIS PKWY
ANCHORAGE
AK
99508-5213
Phone
: 907-563-7228;
Fax
: 907-563-6278;
Practice Location Address
:
4115 LAKE OTIS PKWY
,
, ANCHORAGE
, AK
, 99508-5213
Practice Phone
: 907-563-7228;
Practice Fax
: 907-563-6278
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1013978733 -
LISA
BOGUSKI-FILGUEIRA
M.D.
Other Name
:
Mailing Address
:
1 GUSTAVE L LEVY PL
BOX 1200
NEW YORK
NY
10029-6500
Phone
: 212-659-8559;
Fax
: ;
Practice Location Address
:
1 GUSTAVE L LEVY PL
, BOX 1200
, NEW YORK
, NY
, 10029-6500
Practice Phone
: 212-659-8559;
Practice Fax
:
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1922069640 -
CAROL
ANN
ANDERSON
PNP
Other Name
:
Mailing Address
:
2800 N VANCOUVER AVE
SUITE 165
PORTLAND
OR
97227-1630
Phone
: 503-413-2902;
Fax
: 503-413-5220;
Practice Location Address
:
2800 N VANCOUVER AVE
, SUITE 165
, PORTLAND
, OR
, 97227-1630
Practice Phone
: 503-413-2902;
Practice Fax
: 503-413-5220
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1831150556 -
DR.
DR.
JIM
V
MCKAY
D.D.S.
Other Name
:
Mailing Address
:
4200 BRYANT IRVIN RD
SUITE 109
BENBROOK
TX
76109-4287
Phone
: 817-731-6386;
Fax
: 817-763-0534;
Practice Location Address
:
4200 BRYANT IRVIN RD
, SUITE 109
, BENBROOK
, TX
, 76109-4287
Practice Phone
: 817-731-6386;
Practice Fax
: 817-763-0534
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1740241462 -
EMILY
J
SARD
N.P.
Other Name
:
Mailing Address
:
5402 S STAPLES ST STE 103
CORPUS CHRISTI
TX
78411-4656
Phone
: 361-980-1299;
Fax
: 361-986-8988;
Practice Location Address
:
5402 S STAPLES ST STE 103
,
, CORPUS CHRISTI
, TX
, 78411-4656
Practice Phone
: 361-980-1299;
Practice Fax
: 361-986-8988
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1659332377 -
MARISSA
T.
SANTOS
M.D.
Other Name
:
Mailing Address
:
6914 41ST AVE
SUITE C2
WOODSIDE
NY
11377-4028
Phone
: 718-478-5600;
Fax
: 718-478-5335;
Practice Location Address
:
9229 QUEENS BLVD
, SUITE CB
, REGO PARK
, NY
, 11374-1056
Practice Phone
: 718-478-5600;
Practice Fax
: 718-478-5335
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1568423283 -
DAVID
P
MASON
MD
Other Name
:
Mailing Address
:
PO BOX 602484
CHARLOTTE
NC
28260-2484
Phone
: 910-763-9833;
Fax
: 910-763-5166;
Practice Location Address
:
1809 GLEN MEADE RD
,
, WILMINGTON
, NC
, 28403-6022
Practice Phone
: 910-763-9833;
Practice Fax
: 910-763-5166
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1477514198 -
SELECT PHYSICAL THERAPY OF OHIO LIMITED PARTNERSHIP
Other Name
:
Mailing Address
:
10615 MONTGOMERY RD
STE 100
CINCINNATI
OH
45242-4461
Phone
: 513-221-1115;
Fax
: ;
Practice Location Address
:
10615 MONTGOMERY RD
, STE 100
, CINCINNATI
, OH
, 45242-4461
Practice Phone
: 513-221-1115;
Practice Fax
:
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1386605004 -
KAREN
M
ARMOUR
MD
Other Name
:
Mailing Address
:
2401 W BELVEDERE AVE
ATTN CREDENTIALING
BALTIMORE
MD
21215
Phone
: 410-601-5524;
Fax
: 410-601-8946;
Practice Location Address
:
2411 W BELVEDERE AVE
, STE 205
, BALTIMORE
, MD
, 21215
Practice Phone
: 410-601-8331;
Practice Fax
: 410-601-8859
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1194786814 -
DVA RENAL HEALTHCARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
637 DUNN RD
, STE 125
, HAZELWOOD
, MO
, 63042-1757
Practice Phone
: 314-731-8039;
Practice Fax
: 314-731-8084
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1003877721 -
JOSEPH
C.
O'LAUGHLIN
D.O.
Other Name
:
Mailing Address
:
37399 GARFIELD RD
SUITE 104
CLINTON TOWNSHIP
MI
48036-3672
Phone
: 586-286-5400;
Fax
: 586-263-4831;
Practice Location Address
:
37399 GARFIELD RD
, SUITE 104
, CLINTON TOWNSHIP
, MI
, 48036-3672
Practice Phone
: 586-286-5400;
Practice Fax
: 586-263-4831
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1912968637 -
MRS.
MRS.
LANA
TERENS
DDS
Other Name
:
Mailing Address
:
1908 MOTT AVE
FAR ROCK AWAY
NY
11691-4101
Phone
: 718-327-8816;
Fax
: 718-327-5197;
Practice Location Address
:
1908 MOTT AVE
,
, FAR ROCK AWAY
, NY
, 11691-4101
Practice Phone
: 718-327-8816;
Practice Fax
: 718-327-5197
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1821059544 -
GIRISH
KALVA
M.D
Other Name
:
Mailing Address
:
5058 SOUTH, MORAY CT
HOLLADAY
UT
84117-3200
Phone
: 801-913-7590;
Fax
: 801-272-6109;
Practice Location Address
:
5058 SOUTH, MORAY CT
,
, HOLLADAY
, UT
, 84117-3200
Practice Phone
: 801-913-7590;
Practice Fax
: 801-272-6109
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1730140450 -
TROY
D
YEOMANS
D.C
Other Name
:
Mailing Address
:
1573 W FAIRBANKS AVE
SUITE 200
WINTER PARK
FL
32789-4679
Phone
: 407-637-8300;
Fax
: 407-637-8301;
Practice Location Address
:
1573 W FAIRBANKS AVE
, SUITE 200
, WINTER PARK
, FL
, 32789-4679
Practice Phone
: 407-637-8300;
Practice Fax
: 407-637-8301
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1649231366 -
MR.
MR.
ALFRED
CLAYTON
BANNERMAN
M.D.
Other Name
:
Mailing Address
:
180 SALEM ROAD
WESTBURY
NY
11590
Phone
: 516-997-3269;
Fax
: ;
Practice Location Address
:
8900 VAN WYCK EXPRESSWAY
,
, JAMAICA
, NY
, 11418-2832
Practice Phone
: 718-206-7089;
Practice Fax
: 718-206-7055
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1558322271 -
MARGARET
ANN
LUEDKE
PH.D.
Other Name
:
M.
ANN
LUEDKE
Mailing Address
:
66 TIMBEROAK CT
LYNCHBURG
VA
24502-3459
Phone
: 434-237-6236;
Fax
: 434-237-9155;
Practice Location Address
:
66 TIMBEROAK CT
,
, LYNCHBURG
, VA
, 24502-3459
Practice Phone
: 434-237-6236;
Practice Fax
: 434-237-9155
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1467413187 -
DR.
DR.
DIANE
L
WETZIG
PHD
Other Name
:
Mailing Address
:
3690 ORANGE PL
STE 430
BEACHWOOD
OH
44122-4464
Phone
: 216-464-5330;
Fax
: ;
Practice Location Address
:
3690 ORANGE PL
, STE 430
, BEACHWOOD
, OH
, 44122-4464
Practice Phone
: 216-464-5330;
Practice Fax
:
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1376504092 -
CONEJOS COUNTY HOSPITAL CORPORATION
Other Name
:
Mailing Address
:
509 MAIN STREET
LA JARA
CO
81140
Phone
: 719-274-5000;
Fax
: 719-274-4111;
Practice Location Address
:
509 MAIN STREET
,
, LA JARA
, CO
, 81140
Practice Phone
: 719-274-5000;
Practice Fax
: 719-274-4111
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1285695908 -
ROBERT
C
THOMAS
MD
Other Name
:
Mailing Address
:
5435 FELTL RD
MINNETONKA
MN
55343-7983
Phone
: 952-835-9880;
Fax
: 952-857-1554;
Practice Location Address
:
4050 COON RAPIDS BLVD
, MERCY MEDICAL CENTER
, COON RAPIDS
, MN
, 55433
Practice Phone
: 763-236-7144;
Practice Fax
: 763-236-7733
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1093776718 -
MR.
MR.
HAROLD
J
REISS
II
PA
Other Name
:
Mailing Address
:
7858 SHRADER RD
RICHMOND
VA
23294
Phone
: 804-270-1305;
Fax
: 804-273-9294;
Practice Location Address
:
7858 SHRADER RD
,
, RICHMOND
, VA
, 23294
Practice Phone
: 804-270-1305;
Practice Fax
: 804-273-9294
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1902867625 -
MANVINDER
SINGH
MD
Other Name
:
Mailing Address
:
41000 WOODWARD AVE
SUITE 100 EAST
BLOOMFIELD HILLS
MI
48304-5130
Phone
: 248-593-6990;
Fax
: 248-593-5925;
Practice Location Address
:
41000 WOODWARD AVE
, SUITE 100 EAST
, BLOOMFIELD HILLS
, MI
, 48304-5130
Practice Phone
: 248-593-6990;
Practice Fax
: 248-593-5925
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1811958531 -
WHITE RIVER RURAL HEALTH CENTER INC
Other Name
:
Mailing Address
:
623 N 9TH STREET
PO BOX 497
AUGUSTA
AR
72006
Phone
: 870-347-3300;
Fax
: 870-347-3492;
Practice Location Address
:
111 WEST WILBUR D MILLS AVE
,
, KENSETT
, AR
, 72082
Practice Phone
: 501-742-5660;
Practice Fax
: 501-742-5900
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1720049448 -
MS.
MS.
DEBORAH
C
PENDRY
PA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP FAMILY PRACTICE
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-3193;
Practice Fax
: 904-244-5511
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1639130354 -
DR.
DR.
ANTONIO
R
PRATS
MD
Other Name
:
Mailing Address
:
3641 S MIAMI AVE STE 353B
MIAMI
FL
33133-4204
Phone
: 305-854-4334;
Fax
: 305-854-6966;
Practice Location Address
:
3641 S MIAMI AVE STE 353B
,
, MIAMI
, FL
, 33133-4204
Practice Phone
: 305-854-4334;
Practice Fax
: 305-854-6966
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1548221260 -
WILLIAM
THOMAS
SHIMEALL
MD MPH
Other Name
:
Mailing Address
:
8901 WISCONSIN AVE
BETHESDA
MD
20889-0004
Phone
: 301-319-4408;
Fax
: 301-295-2433;
Practice Location Address
:
8901 WISCONSIN AVE
,
, BETHESDA
, MD
, 20889-0004
Practice Phone
: 301-319-4408;
Practice Fax
: 301-295-2433
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1457312175 -
INLAND EMPIRE UROLOGY MEDICAL GROUP INC
Other Name
:
Mailing Address
:
4500 BROCKTON AVE
SUITE 204
RIVERSIDE
CA
92501-4090
Phone
: 951-683-7620;
Fax
: 951-683-3052;
Practice Location Address
:
4500 BROCKTON AVE
, SUITE 204
, RIVERSIDE
, CA
, 92501-4090
Practice Phone
: 951-683-7620;
Practice Fax
: 951-683-3052
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1366403081 -
DR.
DR.
LISA
GREY
BRIDGEWATER
PH.D.
Other Name
:
Mailing Address
:
PO BOX 828
CHESTER
SC
29706-0828
Phone
: 803-517-0322;
Fax
: ;
Practice Location Address
:
229 JOHNSTON ST
,
, ROCK HILL
, SC
, 29730-3579
Practice Phone
: 803-517-0322;
Practice Fax
:
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1275594996 -
MR.
MR.
SEAN
LITTLE
PA
Other Name
:
Mailing Address
:
1115 BOULDERS PKWY
SUITE 200
NORTH CHESTERFIELD
VA
23225-4067
Phone
: 804-560-5595;
Fax
: 804-560-9029;
Practice Location Address
:
7858 SHRADER RD
,
, RICHMOND
, VA
, 23294
Practice Phone
: 804-270-1305;
Practice Fax
: 804-273-9294
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1184685802 -
DR.
DR.
SAMUEL
O
FADARE
JR.
MD
Other Name
:
Mailing Address
:
1513 UNION AVE STE 2500
MOBERLY
MO
65270-9412
Phone
: 660-372-1313;
Fax
: 660-372-1339;
Practice Location Address
:
5604 NE ANTIOCH RD
,
, GLADSTONE
, MO
, 64119-2327
Practice Phone
: 660-372-1313;
Practice Fax
: 660-372-1339
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1902867633 -
GARY
A
VICKERS
DO
Other Name
:
Mailing Address
:
1551 WALL ST
SUITE 310
SAINT CHARLES
MO
63303-3539
Phone
: 636-669-2268;
Fax
: 314-209-8127;
Practice Location Address
:
224 S WOODS MILL RD STE 435S
,
, CHESTERFIELD
, MO
, 63017-3408
Practice Phone
: 314-576-2394;
Practice Fax
: 314-590-5937
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1811958549 -
DR.
DR.
RICHARD
E
MINKLEY
MD
Other Name
:
Mailing Address
:
3033 S 27TH ST
SUITE 202
MILWAUKEE
WI
53215-3600
Phone
: 414-908-6601;
Fax
: 414-385-2980;
Practice Location Address
:
3201 S 16TH ST
, 2015
, MILWAUKEE
, WI
, 53215-4537
Practice Phone
: 414-908-6601;
Practice Fax
: 414-385-2980
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1720049455 -
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: ;
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: ;
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: ;
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:
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1639130362 -
SONJA
A
SEWARD
PT
Other Name
:
SONJA
A
KIRWAN
Mailing Address
:
PO BOX 715868
PHILADELPHIA
PA
19171-5868
Phone
: 804-915-1910;
Fax
: 804-968-1803;
Practice Location Address
:
4710 PUDDLEDOCK RD STE 100
,
, PRINCE GEORGE
, VA
, 23875-1269
Practice Phone
: 804-732-0035;
Practice Fax
: 804-732-0045
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1548221278 -
GREGORY
R
HOLT
MD
Other Name
:
Mailing Address
:
1809 E 13TH ST
SUITE 100
TULSA
OK
74104-4419
Phone
: 918-582-6800;
Fax
: ;
Practice Location Address
:
1809 E 13TH ST
, SUITE 100
, TULSA
, OK
, 74104-4419
Practice Phone
: 918-582-6800;
Practice Fax
:
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1457312183 -
DR.
DR.
KEITH
ALAN
BOURGEOIS
M.D.
Other Name
:
Mailing Address
:
1315 ST JOSEPH PKWY
SUITE 1601
HOUSTON
TX
77002-8233
Phone
: 713-650-0391;
Fax
: 713-650-0395;
Practice Location Address
:
1315 ST JOSEPH PKWY
, SUITE 1601
, HOUSTON
, TX
, 77002-8233
Practice Phone
: 713-650-0391;
Practice Fax
: 713-650-0395
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1366403099 -
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:
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:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1275594905 -
DANNY
SHEARER
MD
Other Name
:
Mailing Address
:
1160 VARNUM ST NE
311
WASHINGTON
DC
20017-2107
Phone
: 202-832-2880;
Fax
: 202-832-0456;
Practice Location Address
:
1160 VARNUM ST NE
, 311
, WASHINGTON
, DC
, 20017-2107
Practice Phone
: 202-832-2880;
Practice Fax
: 202-832-0456
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1184685810 -
BJORN
PALSSON
FLYGENRING
MD
Other Name
:
Mailing Address
:
2925 CHICAGO AVE
MINNEAPOLIS
MN
55407-1321
Phone
: 612-262-5000;
Fax
: ;
Practice Location Address
:
800 E 28TH ST
,
, MINNEAPOLIS
, MN
, 55407-3723
Practice Phone
: 612-775-3030;
Practice Fax
:
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1992766620 -
SAMUEL
ALBERT
KLEM
JR.
MD
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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1801857537 -
CHARLES RIVER MEDICAL ASSOCIATES, PC
Other Name
:
Mailing Address
:
571 UNION AVE
FRAMINGHAM
MA
01702-5855
Phone
: ;
Fax
: ;
Practice Location Address
:
571 UNION AVE
,
, FRAMINGHAM
, MA
, 01702-5855
Practice Phone
: 508-653-0136;
Practice Fax
: 508-653-4689
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1710948443 -
PREMIER MEDICAL ASSOCIATES
Other Name
:
Mailing Address
:
929 BOSTON POST RD
OLD SAYBROOK
CT
06475-2143
Phone
: 860-388-1115;
Fax
: ;
Practice Location Address
:
929 BOSTON POST RD
,
, OLD SAYBROOK
, CT
, 06475-2143
Practice Phone
: 860-388-1115;
Practice Fax
:
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1629039359 -
DELNA
E
LEE
MD
Other Name
:
DELNA
E
THOMAS
Mailing Address
:
814 PIERCE ST
SUITE 102
SIOUX CITY
IA
51101-1058
Phone
: 712-226-2600;
Fax
: 712-226-2605;
Practice Location Address
:
4545 SERGEANT RD
,
, SIOUX CITY
, IA
, 51106-4706
Practice Phone
: 712-274-2400;
Practice Fax
: 712-274-1484
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1538120266 -
MRS.
MRS.
ANGELA
HARTMAN
PERRIN
ARNP-C
Other Name
:
Mailing Address
:
4500 SAN PABLO ROAD
DIVISION OF CARDIOLOGY , DAVIS 7B EAST
JACKSONVILLE
FL
32224
Phone
: 904-953-2000;
Fax
: 904-953-2911;
Practice Location Address
:
4500 SAN PABLO ROAD
, DAVIS 7B-EAST
, JACKSONVILLE
, FL
, 32224
Practice Phone
: 904-953-2000;
Practice Fax
: 904-953-2911
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