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Showing codes 1801597315 — 1417523978
1801597315 -
TERAH
BAUTISTA
FNP-C
Other Name
:
Mailing Address
:
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
46845-1701
Phone
: ;
Fax
: ;
Practice Location Address
:
10620 CORPORATE DR
,
, FORT WAYNE
, IN
, 46845-1711
Practice Phone
: 260-266-7100;
Practice Fax
: 260-266-6695
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1821277641 -
KATHRYN
D
ANDERSON
CPNP-PC
Other Name
:
Mailing Address
:
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
46845-1701
Phone
: ;
Fax
: ;
Practice Location Address
:
2620 S WESTERN AVE
,
, MARION
, IN
, 46953-3556
Practice Phone
: 765-573-2530;
Practice Fax
: 765-573-2535
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1396607941 -
WILDFLOWER THERAPY SERVICES, LLC
Other Name
:
Mailing Address
:
2930 W LINCOLNSHIRE BLVD
TOLEDO
OH
43606-2821
Phone
: ;
Fax
: ;
Practice Location Address
:
2930 W LINCOLNSHIRE BLVD
,
, TOLEDO
, OH
, 43606-2821
Practice Phone
: 718-313-2899;
Practice Fax
:
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1205798857 -
CYNTHIA
ELKINS
Other Name
:
Mailing Address
:
905 30TH ST APT 2
PARKERSBURG
WV
26104-2443
Phone
: 304-893-8280;
Fax
: ;
Practice Location Address
:
905 30TH ST APT 2
,
, PARKERSBURG
, WV
, 26104-2443
Practice Phone
: 304-893-8280;
Practice Fax
:
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1114889763 -
TUAN
QUOC
PHAN
LVN
Other Name
:
Mailing Address
:
2403 PROFESSIONAL DR
SANTA ROSA
CA
95403-3007
Phone
: 707-544-3295;
Fax
: ;
Practice Location Address
:
790 SONOMA AVE
,
, SANTA ROSA
, CA
, 95404-4713
Practice Phone
: 707-544-3295;
Practice Fax
:
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1912569047 -
ANNA
LEVINE
DO
Other Name
:
Mailing Address
:
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE
IN
46845-1701
Phone
: ;
Fax
: ;
Practice Location Address
:
11050 PARKVIEW CIRCLE DR
,
, FORT WAYNE
, IN
, 46845-1739
Practice Phone
: 833-724-8326;
Practice Fax
: 260-425-6845
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1831462795 -
KNESSET SOCIAL ADULT DAY CARE, INC.
Other Name
:
Mailing Address
:
128 BRIGHTON BEACH AVE STE 400A
BROOKLYN
NY
11235-8086
Phone
: 718-975-3322;
Fax
: 347-772-3663;
Practice Location Address
:
128 BRIGHTON BEACH AVE STE 400A
,
, BROOKLYN
, NY
, 11235-8086
Practice Phone
: 917-570-2850;
Practice Fax
: 347-772-3663
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1871293217 -
DR.
DR.
GARRICK
JOHN
LABRIOLA
DMD
Other Name
:
Mailing Address
:
2105 BOND ST APT 311
CHARLOTTESVILLE
VA
22901-2006
Phone
: 571-213-2724;
Fax
: ;
Practice Location Address
:
41 STONERIDGE DR
,
, WAYNESBORO
, VA
, 22980-6523
Practice Phone
: 540-943-5211;
Practice Fax
:
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1962908335 -
DR.
DR.
TUNG-LIN
JESSE
YUAN
DO
Other Name
:
Mailing Address
:
150 BERGEN ST
NEWARK
NJ
07103-2496
Phone
: 973-972-9438;
Fax
: ;
Practice Location Address
:
150 BERGEN ST
,
, NEWARK
, NJ
, 07103-2496
Practice Phone
: 973-972-9438;
Practice Fax
:
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1023970670 -
KRISTI
GUFFEY
RRT-ACCS
Other Name
:
Mailing Address
:
4101 WOOLWORTH AVE
OMAHA
NE
68105-1850
Phone
: ;
Fax
: ;
Practice Location Address
:
4101 WOOLWORTH AVE
,
, OMAHA
, NE
, 68105-1850
Practice Phone
: 402-995-3312;
Practice Fax
:
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1932061587 -
IRMA
PADILLA
Other Name
:
Mailing Address
:
9600 CENTER AVE STE 160
RANCHO CUCAMONGA
CA
91730-5838
Phone
: 858-264-5858;
Fax
: ;
Practice Location Address
:
9600 CENTER AVE STE 160
,
, RANCHO CUCAMONGA
, CA
, 91730-5838
Practice Phone
: 858-264-5858;
Practice Fax
:
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1699351783 -
DR.
DR.
KATELYNN
MARIE
WILTON
MD, PHD
Other Name
:
Mailing Address
:
876 W VILLAGE CIR SE
ROCHESTER
MN
55904-5109
Phone
: 315-345-8359;
Fax
: ;
Practice Location Address
:
75 FRANCIS ST
,
, BOSTON
, MA
, 02115-6106
Practice Phone
: 617-732-7510;
Practice Fax
:
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1417484080 -
JANELL
BRIGGS
LPC
Other Name
:
Mailing Address
:
300 68TH ST SE
GRAND RAPIDS
MI
49548-6927
Phone
: 616-455-5000;
Fax
: ;
Practice Location Address
:
700 E HAMMOND RD STE 200
,
, TRAVERSE CITY
, MI
, 49686-8641
Practice Phone
: 231-947-2255;
Practice Fax
:
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1154573293 -
SIVAN
ROSE
ELEFSON
MA
Other Name
:
Mailing Address
:
40 SPEEN ST STE 106
FRAMINGHAM
MA
01701-1898
Phone
: 508-404-0441;
Fax
: ;
Practice Location Address
:
40 SPEEN ST STE 106
,
, FRAMINGHAM
, MA
, 01701-1898
Practice Phone
: 508-404-0441;
Practice Fax
:
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1154883759 -
DR.
DR.
ORIANA
KALEN
WRIGHT
MD
Other Name
:
Mailing Address
:
8200 DODGE ST
OMAHA
NE
68114-4113
Phone
: 402-955-4236;
Fax
: ;
Practice Location Address
:
8200 DODGE ST
,
, OMAHA
, NE
, 68114-4113
Practice Phone
: 402-955-4236;
Practice Fax
:
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1629175989 -
PARAG
GANAPATI
PATIL
MD
Other Name
:
Mailing Address
:
802 N RIVERSIDE RD STE 150
SAINT JOSEPH
MO
64507-2508
Phone
: 816-271-4025;
Fax
: 816-271-4026;
Practice Location Address
:
802 N RIVERSIDE RD STE 150
,
, SAINT JOSEPH
, MO
, 64507-2508
Practice Phone
: 816-271-4025;
Practice Fax
: 816-271-4026
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1063155307 -
KRISTINA
WILLMERING
LPC
Other Name
:
KRISTINA
BOTEVA
Mailing Address
:
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE
AZ
85251-7630
Phone
: ;
Fax
: ;
Practice Location Address
:
16535 W BLUEMOUND RD STE 200
,
, BROOKFIELD
, WI
, 53005-5906
Practice Phone
: 262-542-3255;
Practice Fax
:
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1841948999 -
JORGE
FELIX
SANCHEZ DIAZ
Other Name
:
Mailing Address
:
19811 NW 38TH PL
MIAMI GARDENS
FL
33055-1905
Phone
: 786-608-1857;
Fax
: ;
Practice Location Address
:
19811 NW 38TH PL
,
, MIAMI GARDENS
, FL
, 33055-1905
Practice Phone
: 786-608-1857;
Practice Fax
:
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1437684917 -
DR.
DR.
ASHLY
CHRISTINE
RUF
MD
Other Name
:
Mailing Address
:
PO BOX 7412011
CHICAGO
IL
60674-2011
Phone
: 314-362-5298;
Fax
: 888-824-2176;
Practice Location Address
:
1 BARNES JEWISH HOSPITAL PLZ
, DIV SURG ACCS
, SAINT LOUIS
, MO
, 63110-1003
Practice Phone
: 314-362-5298;
Practice Fax
: 888-824-2176
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1841152493 -
CHRISTY
TEAGUE
Other Name
:
Mailing Address
:
8247 ELK AVE
STONEWOOD
WV
26301-8019
Phone
: 304-838-3555;
Fax
: ;
Practice Location Address
:
8247 ELK AVE
,
, STONEWOOD
, WV
, 26301-8019
Practice Phone
: 304-838-3555;
Practice Fax
:
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1750243309 -
HEATHER
LYNN
CLEMENTONI
LMT
Other Name
:
Mailing Address
:
848 JONES RD
CLIFFORD TWP
PA
18470-7925
Phone
: ;
Fax
: ;
Practice Location Address
:
503 SUNSET DR
,
, OLYPHANT
, PA
, 18447-1323
Practice Phone
: 570-489-4444;
Practice Fax
:
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1235135146 -
DR.
DR.
LINDSAY
LOUISE
GRAHAM
D.O.
Other Name
:
LINDSAY
ARBOGAST
GRAHAM
Mailing Address
:
3600 FORBES TOWER
FORBES TOWER - PLAZA LEVEL SUITE 140
PITTSBURGH
PA
15213
Phone
: ;
Fax
: ;
Practice Location Address
:
90 SHENANGO ST STE 5
,
, GREENVILLE
, PA
, 16125-2060
Practice Phone
: 440-293-5555;
Practice Fax
: 440-293-6643
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1003154600 -
PINNACLE SENIOR CARE OF MISSOURI, LLC
Other Name
:
Mailing Address
:
34 35TH ST STE 4-5B516
BROOKLYN
NY
11232-2021
Phone
: 718-748-5908;
Fax
: ;
Practice Location Address
:
8706 MANCHESTER RD
, #108
, SAINT LOUIS
, MO
, 63144-2733
Practice Phone
: 314-266-0970;
Practice Fax
: 778-320-7988
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1124998257 -
REGAN
LYNN
WILLIAMS
PA-C
Other Name
:
Mailing Address
:
500 UNIVERSITY DR MC CA410
HERSHEY
PA
17033-2360
Phone
: 717-531-5208;
Fax
: 717-531-0119;
Practice Location Address
:
500 UNIVERSITY DR
,
, HERSHEY
, PA
, 17033-2360
Practice Phone
: 717-531-8521;
Practice Fax
: 717-531-5068
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1770134132 -
MR.
MR.
JUSTIN
M
TELLO
Other Name
:
Mailing Address
:
5420 LAND O' LAKES BLVD SUITE 105
LAND O' LAKES
FL
34639
Phone
: 727-365-7674;
Fax
: ;
Practice Location Address
:
5420 LAND O' LAKES BLVD SUITE 105
,
, LAND O' LAKES
, FL
, 34639
Practice Phone
: 813-996-9800;
Practice Fax
: 813-874-0471
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1730662982 -
RANDI
L
KENT
PA-C
Other Name
:
RANDI
L
FABSITS
Mailing Address
:
101 E MILWAUKEE ST STE 315
JANESVILLE
WI
53545-3002
Phone
: 608-305-0201;
Fax
: 608-563-0765;
Practice Location Address
:
115 W DOTY ST
,
, MADISON
, WI
, 53703-3276
Practice Phone
: 608-284-6146;
Practice Fax
:
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1669334215 -
MAAKYAH
SHERMAN
Other Name
:
Mailing Address
:
4575 SE DIXIE HWY
STUART
FL
34997-6826
Phone
: ;
Fax
: ;
Practice Location Address
:
525 N TRYON ST STE 1600
,
, CHARLOTTE
, NC
, 28202-0213
Practice Phone
: 855-832-6727;
Practice Fax
:
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1578425120 -
LAURYN
ARSENAULT
Other Name
:
Mailing Address
:
283 E 300 S
CENTERVILLE
UT
84014-2258
Phone
: 801-897-5604;
Fax
: 801-992-8508;
Practice Location Address
:
283 E 300 S
,
, CENTERVILLE
, UT
, 84014-2258
Practice Phone
: 801-897-5604;
Practice Fax
: 801-992-8508
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1487516035 -
ASHLEY NOE THERAPY
Other Name
:
Mailing Address
:
7125 HEADLEY ST SE UNIT 131
ADA
MI
49301-4504
Phone
: 616-287-0322;
Fax
: ;
Practice Location Address
:
7125 HEADLEY ST SE UNIT 131
,
, ADA
, MI
, 49301-4504
Practice Phone
: 616-287-0322;
Practice Fax
:
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1558940361 -
MARC
MANZO
MD
Other Name
:
Mailing Address
:
1120 15TH ST # BI5070
AUGUSTA
GA
30912-0004
Phone
: 706-721-7005;
Fax
: ;
Practice Location Address
:
1120 15TH ST # BI5070
,
, AUGUSTA
, GA
, 30912-0004
Practice Phone
: 706-721-7005;
Practice Fax
:
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1295461002 -
KAYLA
RAE
SCHRAGE
PA-C
Other Name
:
Mailing Address
:
12 MAXA CT
MANORVILLE
NY
11949-2107
Phone
: ;
Fax
: ;
Practice Location Address
:
496 COUNTY ROAD 111 BLDG B
,
, MANORVILLE
, NY
, 11949-3386
Practice Phone
: 631-369-5000;
Practice Fax
:
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1215801444 -
ALI
JAMSHID
NP
Other Name
:
Mailing Address
:
180 THOMAS JOHNSON DR
FREDERICK
MD
21702-4409
Phone
: 301-696-8802;
Fax
: ;
Practice Location Address
:
180 THOMAS JOHNSON DRIVE
,
, FREDRICK
, MD
, 21702
Practice Phone
: 301-696-8802;
Practice Fax
:
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1841044393 -
AMANDA
ROSE
BOHMER
RN
Other Name
:
Mailing Address
:
4352 W SYLVANIA AVE STE A
TOLEDO
OH
43623-3441
Phone
: 419-561-5433;
Fax
: ;
Practice Location Address
:
4352 W SYLVANIA AVE STE A
,
, TOLEDO
, OH
, 43623-3441
Practice Phone
: 419-561-5433;
Practice Fax
:
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1144728965 -
KELSIE
O
CAIN
APRN
Other Name
:
KELSIE
O
EDSELL
Mailing Address
:
6200 DUTCHMANS LN STE 200
LOUISVILLE
KY
40205-3285
Phone
: 502-456-6200;
Fax
: 502-456-6655;
Practice Location Address
:
502 HAUSFELDT LN
,
, NEW ALBANY
, IN
, 47150-2221
Practice Phone
: 502-456-6200;
Practice Fax
: 502-456-6655
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1750251112 -
THE GRACE SPACE COUNSELING AND WELLNESS LLC
Other Name
:
Mailing Address
:
1700 NORTHSIDE DR NW STE A7
ATLANTA
GA
30318-2695
Phone
: 470-632-4799;
Fax
: ;
Practice Location Address
:
1933 SHAWN WAYNE CIRCLE SE
,
, ATLANTA
, GA
, 30316
Practice Phone
: 470-632-4799;
Practice Fax
:
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1104788751 -
MELISSA
LINEBURG
Other Name
:
Mailing Address
:
8340 GREENSBORO DR UNIT 116
MC LEAN
VA
22102-3535
Phone
: 304-303-5911;
Fax
: ;
Practice Location Address
:
8340 GREENSBORO DR UNIT 116
,
, MC LEAN
, VA
, 22102-3535
Practice Phone
: 304-303-5911;
Practice Fax
:
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1871356147 -
JEWEL ABA THERAPY
Other Name
:
Mailing Address
:
116 MLK SR HERITAGE TRL
STOCKBRIDGE
GA
30281-3424
Phone
: 770-212-9500;
Fax
: 470-410-1917;
Practice Location Address
:
116 MLK SR HERITAGE TRL
,
, STOCKBRIDGE
, GA
, 30281-3424
Practice Phone
: 770-212-9500;
Practice Fax
: 470-410-1917
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1831688688 -
MS.
MS.
EMILY
STARR
LICSW
Other Name
:
Mailing Address
:
16 COPPERWOOD DR
STOUGHTON
MA
02072-1441
Phone
: 617-417-5451;
Fax
: ;
Practice Location Address
:
100 CAMBRIDGE ST
,
, BOSTON
, MA
, 02114-2509
Practice Phone
: 617-417-5451;
Practice Fax
:
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1851853089 -
DR.
DR.
VERONICA
DANYELLE
SMITH
MD
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY
MO
64108-4619
Phone
: 816-234-3000;
Fax
: 816-302-9939;
Practice Location Address
:
2401 GILLHAM RD
,
, KANSAS CITY
, MO
, 64108-4619
Practice Phone
: 816-234-3000;
Practice Fax
: 816-302-9939
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1154294833 -
SK PHYSICAL MEDICINE, PLLC
Other Name
:
Mailing Address
:
PO BOX 18045
CORPUS CHRISTI
TX
78480-8045
Phone
: 361-288-2388;
Fax
: 361-288-2389;
Practice Location Address
:
6330 SARATOGA BLVD STE B
,
, CORPUS CHRISTI
, TX
, 78414-3482
Practice Phone
: 361-288-2388;
Practice Fax
: 361-288-2389
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1770860090 -
H AUGUSTESEN PLLC
Other Name
:
Mailing Address
:
15795 PORT SHELDON STREET
WEST OLIVE
MI
49460
Phone
: 269-343-3464;
Fax
: ;
Practice Location Address
:
1005 W GREEN STREET
,
, HASTINGS
, MI
, 49058
Practice Phone
: 269-948-8057;
Practice Fax
:
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1750171534 -
MARINA
OLIYNYK
NP
Other Name
:
Mailing Address
:
13800 CHAUVIN AVE
ORLANDO
FL
32827-3822
Phone
: ;
Fax
: ;
Practice Location Address
:
2401 W UNIVERSITY AVE STE 3500A
,
, MUNCIE
, IN
, 47303-3428
Practice Phone
: 765-702-2819;
Practice Fax
:
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1952721615 -
JENNIFER
LYNN
WALKER
DNP, CNP, AG-ACNP, T
Other Name
:
JENNIFER
EMERSON
Mailing Address
:
251 E HURON ST STE 15-738
CHICAGO
IL
60611-2908
Phone
: 312-926-9218;
Fax
: 312-926-6134;
Practice Location Address
:
4301 W MARKHAM ST # 500
,
, LITTLE ROCK
, AR
, 72205-7101
Practice Phone
: 501-686-8000;
Practice Fax
: 501-526-5148
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1013879667 -
EMANUEL
MELENDEZ
JR.
MSW, LCSW
Other Name
:
Mailing Address
:
107 N 12TH ST
MILLVILLE
NJ
08332-3319
Phone
: 609-435-2248;
Fax
: 856-765-5210;
Practice Location Address
:
221 RIVER STREET, 9TH FLOOR
,
, HOBOKEN
, NJ
, 07030-5990
Practice Phone
: 646-941-7645;
Practice Fax
: 929-596-7897
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1922960574 -
NICOLE
JEANNE
DORN
MSN, RN, CNL CRRN
Other Name
:
Mailing Address
:
22550 ASPEN AVE
WARRENS
WI
54666-8640
Phone
: ;
Fax
: ;
Practice Location Address
:
500 E VETERANS ST
,
, TOMAH
, WI
, 54660-3105
Practice Phone
: 608-372-3971;
Practice Fax
:
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1437011228 -
NORTHWESTERN COUNSELING & SUPPORT SERVICES INC
Other Name
:
Mailing Address
:
107 FISHER POND RD
SAINT ALBANS
VT
05478-6286
Phone
: 802-524-6554;
Fax
: 802-524-3894;
Practice Location Address
:
107 FISHER POND RD
,
, SAINT ALBANS
, VT
, 05478-6286
Practice Phone
: 802-524-6554;
Practice Fax
:
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1871957720 -
DR.
DR.
JOSHUA
MICHAEL
BLEICHER
M.D.
Other Name
:
Mailing Address
:
21 1/2 WOOLF AVE
IOWA CITY
IA
52246-2253
Phone
: 402-990-1827;
Fax
: ;
Practice Location Address
:
35 PARK ST
,
, NEW HAVEN
, CT
, 06519-1110
Practice Phone
: 203-737-2966;
Practice Fax
: 203-737-3621
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1265087779 -
CHAMPION EMS
Other Name
:
Mailing Address
:
2945 STONE HOGAN CONNECTOR RD SW STE 211
ATLANTA
GA
30331-2839
Phone
: 770-744-9157;
Fax
: ;
Practice Location Address
:
2945 STONE HOGAN CONNECTOR RD SW STE 211
,
, ATLANTA
, GA
, 30331-2839
Practice Phone
: 770-744-9157;
Practice Fax
:
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1467523589 -
DR.
DR.
GENARO
J
ADRIAN
PH.D.
Other Name
:
Mailing Address
:
97 MAIN ST
MANCHESTER
CT
06042-3141
Phone
: 860-770-6600;
Fax
: ;
Practice Location Address
:
97 MAIN ST
,
, MANCHESTER
, CT
, 06042-3141
Practice Phone
: 860-470-6002;
Practice Fax
:
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1457213795 -
NOA
TANI TANGIR
ARAUJO
BCBA
Other Name
:
Mailing Address
:
7108 S KANNER HWY
STUART
FL
34997-7462
Phone
: 855-832-6727;
Fax
: 772-675-9100;
Practice Location Address
:
931 VILLAGE BLVD
, SUITE 905-358
, WEST PALM BEACH
, FL
, 33409-1803
Practice Phone
: 855-832-6727;
Practice Fax
: 772-675-9100
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1366980559 -
BENEDICT
AWO
DO
Other Name
:
Mailing Address
:
5040 BRADENTON AVE STE A
DUBLIN
OH
43017-3524
Phone
: 614-389-5452;
Fax
: 614-389-5399;
Practice Location Address
:
5040 BRADENTON AVE STE 3
,
, DUBLIN
, OH
, 43017-3522
Practice Phone
: 614-389-5452;
Practice Fax
:
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1578263265 -
XIANG YAO
ZHENG
Other Name
:
Mailing Address
:
6201 GREENLEIGH AVE
BALTIMORE
MD
21220-2004
Phone
: 410-933-6423;
Fax
: ;
Practice Location Address
:
1800 ORLEANS ST
,
, BALTIMORE
, MD
, 21287-0010
Practice Phone
: 410-955-5000;
Practice Fax
:
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1083722904 -
BROOKE
R
SWEENEY
M.D.
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY
MO
64108-4619
Phone
: 816-234-3000;
Fax
: 816-302-9939;
Practice Location Address
:
2401 GILLHAM RD
,
, KANSAS CITY
, MO
, 64108-4619
Practice Phone
: 816-234-3000;
Practice Fax
: 816-302-9939
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1316574965 -
KRISTIN
SHEPPARD
Other Name
:
Mailing Address
:
1060 5TH AVE
NEW YORK
NY
10128-0104
Phone
: ;
Fax
: ;
Practice Location Address
:
1060 5TH AVE
,
, NEW YORK
, NY
, 10128-0104
Practice Phone
: 212-988-8269;
Practice Fax
:
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1770591455 -
MOHAMMAD
ANISUR
RAHMAN
M.D
Other Name
:
Mailing Address
:
PO BOX 18045
CORPUS CHRISTI
TX
78480-8045
Phone
: 361-288-2388;
Fax
: 361-288-2389;
Practice Location Address
:
6330 SARATOGA BLVD STE B
,
, CORPUS CHRISTI
, TX
, 78414-3482
Practice Phone
: 361-288-2388;
Practice Fax
: 361-288-2389
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1831051481 -
VCSNJ
Other Name
:
Mailing Address
:
PO BOX 6573
LAWRENCEVILLE
NJ
08648-0573
Phone
: 609-844-0452;
Fax
: 609-844-0518;
Practice Location Address
:
22 GORDON AVE
,
, LAWRENCEVILLE
, NJ
, 08648-1033
Practice Phone
: 609-844-0452;
Practice Fax
: 609-844-0518
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1891037016 -
MRS.
MRS.
KIMBERLY
RICE
BICKEL
AGPCNP-BC
Other Name
:
Mailing Address
:
72 KENOZIA LAKE RD
SHOKAN
NY
12481-5109
Phone
: 267-257-2280;
Fax
: ;
Practice Location Address
:
99 GOLDEN HILL DR
,
, KINGSTON
, NY
, 12401-6442
Practice Phone
: 845-340-3390;
Practice Fax
:
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1275649733 -
CHRISTOPHER
L.
SWEENEY
M.D.
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY
MO
64108-4619
Phone
: 816-234-3000;
Fax
: 816-302-9939;
Practice Location Address
:
2401 GILLHAM RD
,
, KANSAS CITY
, MO
, 64108-4619
Practice Phone
: 816-234-3000;
Practice Fax
: 816-302-9939
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1942091962 -
CARE AT HOME SOLUTIONS LLC
Other Name
:
Mailing Address
:
11516 SEGUNDO PL
FISHERS
IN
46040-9047
Phone
: 317-572-5697;
Fax
: ;
Practice Location Address
:
11516 SEGUNDO PL
,
, FISHERS
, IN
, 46040-9047
Practice Phone
: 317-513-8553;
Practice Fax
:
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1730915596 -
ANNA
KAROLINA
JACHIMOWICZ
PA-C
Other Name
:
Mailing Address
:
4052 LEGACY PKWY STE 200
LANSING
MI
48911-4285
Phone
: 517-272-9700;
Fax
: 517-272-9706;
Practice Location Address
:
4052 LEGACY PKWY STE 200
,
, LANSING
, MI
, 48911-4285
Practice Phone
: 517-272-9700;
Practice Fax
: 517-272-9706
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1700850559 -
RAMESH
K
GOPI
MD
Other Name
:
Mailing Address
:
15732 LOS GATOS BLVD STE 1000
LOS GATOS
CA
95032-2504
Phone
: 408-356-0683;
Fax
: 408-358-1629;
Practice Location Address
:
20660 STEVENS CREEK BLVD
, SUITE 333
, CUPERTINO
, CA
, 95014-2120
Practice Phone
: 650-940-7218;
Practice Fax
: 650-988-7838
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1336119155 -
DR.
DR.
HUY
D.
TRAN
M.D.
Other Name
:
Mailing Address
:
12951 SOUTH FREEWAY
HOUSTON
TX
77047
Phone
: 713-526-5771;
Fax
: 713-526-2036;
Practice Location Address
:
6621 FANNIN ST
,
, HOUSTON
, TX
, 77030-2358
Practice Phone
: 832-824-1000;
Practice Fax
:
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1811086515 -
BRIAN
E.
KOGON
MD
Other Name
:
Mailing Address
:
PO BOX 776879
CHICAGO
IL
60677-6351
Phone
: 502-559-9425;
Fax
: 502-272-5339;
Practice Location Address
:
411 E CHESTNUT ST
,
, LOUISVILLE
, KY
, 40202-1713
Practice Phone
: 502-588-7600;
Practice Fax
: 502-588-7700
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1740142397 -
JESSICA
LUZ
MORALES
Other Name
:
Mailing Address
:
16 SIBLEY ST
PROVIDENCE
RI
02907-3227
Phone
: 401-519-3501;
Fax
: 401-456-2147;
Practice Location Address
:
877 CHALKSTONE AVE
,
, PROVIDENCE
, RI
, 02908-4728
Practice Phone
: 401-519-3501;
Practice Fax
: 401-456-2147
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1659233203 -
ANJELICA
WILLIAMSON
Other Name
:
Mailing Address
:
1490 E MAIN ST
COLUMBUS
OH
43205-2140
Phone
: 614-252-0731;
Fax
: ;
Practice Location Address
:
1490 E MAIN ST
,
, COLUMBUS
, OH
, 43205-2140
Practice Phone
: 614-252-0731;
Practice Fax
:
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1568324119 -
TARA
DEFORD
Other Name
:
Mailing Address
:
1827 E IRELAND RD
SOUTH BEND
IN
46614-2845
Phone
: 574-387-4313;
Fax
: ;
Practice Location Address
:
1834 FIELDS BLVD
,
, GREENFIELD
, IN
, 46140-3029
Practice Phone
: 574-387-4313;
Practice Fax
:
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1386506939 -
BREANNA
LLAMAS
Other Name
:
Mailing Address
:
1827 E IRELAND RD
SOUTH BEND
IN
46614-2845
Phone
: 574-387-4313;
Fax
: ;
Practice Location Address
:
7311 QUALITY CIR
,
, ANDERSON
, IN
, 46013-2014
Practice Phone
: 574-387-4313;
Practice Fax
:
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1144933656 -
BAILEE
RUFO
BCABA
Other Name
:
Mailing Address
:
6627 ROSE ST
CASS CITY
MI
48726-1262
Phone
: 989-872-3834;
Fax
: 989-839-4451;
Practice Location Address
:
6627 ROSE ST
,
, CASS CITY
, MI
, 48726-1262
Practice Phone
: 989-872-3834;
Practice Fax
: 989-839-4451
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1679256374 -
VITA
MARY
LEVIT
PT, DPT
Other Name
:
Mailing Address
:
2540 CANNONBALL CT
BENSALEM
PA
19020-2263
Phone
: 267-515-9324;
Fax
: ;
Practice Location Address
:
2540 CANNONBALL CT
,
, BENSALEM
, PA
, 19020-2263
Practice Phone
: 267-515-9324;
Practice Fax
:
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1295465672 -
DR.
DR.
TYLER
SCOTT
KEMERER
DDS, MS
Other Name
:
Mailing Address
:
3315 N GLEANER RD
FREELAND
MI
48623-8829
Phone
: 989-860-4047;
Fax
: ;
Practice Location Address
:
100 BREWSTER BLVD
,
, CAMP LEJEUNE
, NC
, 28547-2575
Practice Phone
: 910-451-1658;
Practice Fax
:
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1356795272 -
KAR-WEI
LEUNG
M.D.
Other Name
:
Mailing Address
:
PO BOX 940716
HOUSTON
TX
77094-7716
Phone
: 346-510-7749;
Fax
: ;
Practice Location Address
:
11451 KATY FWY STE 340
,
, HOUSTON
, TX
, 77079-2009
Practice Phone
: 832-862-7246;
Practice Fax
: 832-862-6777
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1134702079 -
DR.
DR.
GIDEON
OKARI
NYAKUNDI
MD
Other Name
:
Mailing Address
:
15125 22 MILE RD
SHELBY TOWNSHIP
MI
48315-4406
Phone
: 603-706-2916;
Fax
: ;
Practice Location Address
:
15125 22 MILE RD
,
, SHELBY TOWNSHIP
, MI
, 48315-4406
Practice Phone
: 586-532-0599;
Practice Fax
:
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1952636367 -
CHRISTINE
R
WEIBEL
ACNP-BC, APNP
Other Name
:
Mailing Address
:
1506 S ONEIDA ST
APPLETON
WI
54915-1305
Phone
: 920-730-6700;
Fax
: ;
Practice Location Address
:
1506 S ONEIDA ST
,
, APPLETON
, WI
, 54915-1305
Practice Phone
: 920-730-6700;
Practice Fax
:
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1932848348 -
LAUREL
OSMER
OSMER
Other Name
:
Mailing Address
:
2110 WASHINGTON BLVD
ARLINGTON
VA
22204-5719
Phone
: 802-404-2508;
Fax
: ;
Practice Location Address
:
2110 WASHINGTON BLVD
,
, ARLINGTON
, VA
, 22204-5719
Practice Phone
: 802-404-2508;
Practice Fax
:
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1194687749 -
TAMI
M
DAVIS
RRT
Other Name
:
Mailing Address
:
13809 S 53RD ST
PAPILLION
NE
68133-2914
Phone
: 400-261-8462;
Fax
: ;
Practice Location Address
:
4101 WOOLWORTH AVE
,
, OMAHA
, NE
, 68105-1850
Practice Phone
: 400-261-8462;
Practice Fax
:
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1003778655 -
MATTHEW
UNGERER
Other Name
:
Mailing Address
:
PO BOX 851
BELMAR
NJ
07719-0851
Phone
: 732-910-9196;
Fax
: ;
Practice Location Address
:
508 10TH AVE
,
, BELMAR
, NJ
, 07719-2317
Practice Phone
: 732-910-9196;
Practice Fax
:
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1912869561 -
DONTEAH
DRAKE
Other Name
:
Mailing Address
:
770 WOODLANE RD
WESTAMPTON
NJ
08060-3804
Phone
: 609-267-5928;
Fax
: 866-362-4769;
Practice Location Address
:
770 WOODLANE RD
,
, WESTAMPTON
, NJ
, 08060-3804
Practice Phone
: 609-267-5928;
Practice Fax
: 866-362-4769
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1669332862 -
MRS.
MRS.
TAMICA
A
BOBO
LMSW
Other Name
:
Mailing Address
:
80 W SUNRISE HWY
VALLEY STREAM
NY
11581-1102
Phone
: ;
Fax
: ;
Practice Location Address
:
80 W SUNRISE HWY
,
, VALLEY STREAM
, NY
, 11581-1102
Practice Phone
: 516-792-0013;
Practice Fax
:
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1598260572 -
ROBERT
TREVINO
MD, PHD
Other Name
:
Mailing Address
:
2401 GILLHAM RD
PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY
MO
64108-4619
Phone
: 816-234-3000;
Fax
: 816-302-9939;
Practice Location Address
:
5808 W 110TH ST
,
, OVERLAND PARK
, KS
, 66211-2504
Practice Phone
: 913-696-8000;
Practice Fax
: 816-302-9939
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1265149173 -
JAMILLIA
R
TINDALL
LMSW
Other Name
:
JAMILLIA
EAKES
Mailing Address
:
1707 LINWOOD DR STE B
PARAGOULD
AR
72450-5365
Phone
: 870-604-4455;
Fax
: ;
Practice Location Address
:
1707 LINWOOD DR STE B
,
, PARAGOULD
, AR
, 72450-5365
Practice Phone
: 870-604-4455;
Practice Fax
:
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1548520273 -
MARIA
BOUHARB
LPC
Other Name
:
Mailing Address
:
717 CHERRY AVE
ROYAL OAK
MI
48073-3945
Phone
: 210-379-1101;
Fax
: ;
Practice Location Address
:
717 CHERRY AVE
,
, ROYAL OAK
, MI
, 48073-3945
Practice Phone
: 210-379-1101;
Practice Fax
:
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1104849983 -
ANGELA
ROSE
BARTON-SCHERDER
LPC
Other Name
:
ANGELA
BARTON
Mailing Address
:
818 W CHAMP CLARK DR
BOWLING GREEN
MO
63334-2034
Phone
: 573-324-5655;
Fax
: 573-324-5490;
Practice Location Address
:
818 W CHAMP CLARK DR
,
, BOWLING GREEN
, MO
, 63334-2034
Practice Phone
: 573-324-5655;
Practice Fax
: 573-324-5490
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1285594598 -
INSIGHT HEALTHCARE, LLC
Other Name
:
Mailing Address
:
4508 ISLAND VIEW DR
OSHKOSH
WI
54901-1309
Phone
: 930-213-4485;
Fax
: ;
Practice Location Address
:
4508 ISLAND VIEW DR
,
, OSHKOSH
, WI
, 54901-1309
Practice Phone
: 920-213-4485;
Practice Fax
:
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1780183590 -
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Other Name
:
Mailing Address
:
8431 FREDERICKSBURG RD FL 5
SAN ANTONIO
TX
78229-3392
Phone
: 210-450-9300;
Fax
: 210-450-6023;
Practice Location Address
:
8300 FLOYD CURL DR FL 3
,
, SAN ANTONIO
, TX
, 78229-3931
Practice Phone
: 210-450-9300;
Practice Fax
: 210-450-6023
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1477743771 -
DR.
DR.
JANEL
LACEY
NIELSEN
D.O.
Other Name
:
Mailing Address
:
PO BOX 412503
BOSTON
MA
02241-2503
Phone
: ;
Fax
: ;
Practice Location Address
:
789 CENTRAL AVE
,
, DOVER
, NH
, 03820-2526
Practice Phone
: 603-609-6819;
Practice Fax
:
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1336436559 -
AURORA PHARMACY INC
Other Name
:
Mailing Address
:
2219 GARFIELD ST STE 100
TWO RIVERS
WI
54241-2416
Phone
: 920-794-8029;
Fax
: 920-794-8070;
Practice Location Address
:
2219 GARFIELD ST
, SUITE 100
, TWO RIVERS
, WI
, 54241-2416
Practice Phone
: 920-794-8029;
Practice Fax
: 920-794-8070
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1730041385 -
HILLARY
CHASE
Other Name
:
Mailing Address
:
2902 CALDERA BLVD
MIDLAND
TX
79705-2610
Phone
: 432-770-6816;
Fax
: ;
Practice Location Address
:
2902 CALDERA BLVD
,
, MIDLAND
, TX
, 79705-2610
Practice Phone
: 432-770-6816;
Practice Fax
:
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1649132291 -
TIMOTHY
BROCK
Other Name
:
Mailing Address
:
7525 WARREN SHARON RD
BROOKFIELD
OH
44403-9796
Phone
: 330-369-5030;
Fax
: 330-969-1155;
Practice Location Address
:
7525 WARREN SHARON RD
,
, BROOKFIELD
, OH
, 44403-9796
Practice Phone
: 330-369-5030;
Practice Fax
: 330-969-1155
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1477415024 -
CAMERON
DAKOTA
WEST
Other Name
:
Mailing Address
:
1200 CORPORATE DR STE 400
HOOVER
AL
35242-5424
Phone
: 423-238-7217;
Fax
: ;
Practice Location Address
:
6455 S FRY RD STE 102
,
, KATY
, TX
, 77494-8322
Practice Phone
: 281-731-8112;
Practice Fax
:
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1144550922 -
JESSICA
MARIE
MCCARTHY
C.R.N.P.
Other Name
:
JESSICA
MARIE
CLEGHORN
Mailing Address
:
1209 CEDARHILL DR
ROYAL OAK
MI
48067-1287
Phone
: 267-994-0021;
Fax
: ;
Practice Location Address
:
15125 22 MILE RD
,
, SHELBY TWP
, MI
, 48315-4406
Practice Phone
: 586-532-0599;
Practice Fax
:
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1639779143 -
ANGELA
JAGDISH
SHAH
MS, ACMHC, LPCC, MED
Other Name
:
Mailing Address
:
1290 CHAMBERS RD
AURORA
CO
80011-7117
Phone
: ;
Fax
: ;
Practice Location Address
:
1504 GALENA ST
,
, AURORA
, CO
, 80010-2219
Practice Phone
: 303-617-2300;
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:
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1841812922 -
TANYA
HARTMAN
APRN, FNP-C
Other Name
:
TANYA
MAY
HAWES
Mailing Address
:
1500 1ST AVE N UNIT 3
BIRMINGHAM
AL
35203-1866
Phone
: 205-545-5088;
Fax
: ;
Practice Location Address
:
405 FANNIN INDUSTRIAL PARK
,
, BLUE RIDGE
, GA
, 30513-4191
Practice Phone
: 706-309-5500;
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1003362179 -
AURORA PHARMACY INC
Other Name
:
Mailing Address
:
12500 AURORA DR STE 1000
PLEASANT PRAIRIE
WI
53158-1227
Phone
: 262-857-5900;
Fax
: 262-857-5901;
Practice Location Address
:
12500 AURORA DR STE 1000
,
, PLEASANT PRAIRIE
, WI
, 53158-1227
Practice Phone
: 262-857-5900;
Practice Fax
: 262-857-5901
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1114596442 -
ZAKIRA
ENGLISH
Other Name
:
Mailing Address
:
1829 REISTERSTOWN RD STE 350
PIKESVILLE
MD
21208-7126
Phone
: 410-241-3420;
Fax
: ;
Practice Location Address
:
1421 S CATON AVE STE 105
,
, BALTIMORE
, MD
, 21227-1029
Practice Phone
: 410-800-2545;
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:
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1174273098 -
RACHEL
GLASSER
MD
Other Name
:
RACHEL
TRIAY
Mailing Address
:
11100 EUCLID AVE
CLEVELAND
OH
44106-1716
Phone
: 216-844-3400;
Fax
: ;
Practice Location Address
:
11100 EUCLID AVE
,
, CLEVELAND
, OH
, 44106-1716
Practice Phone
: 216-844-3400;
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1144205535 -
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Name
:
Mailing Address
:
PO BOX 5038
4800 WEST 57TH STREET
SIOUX FALLS
SD
57117-5038
Phone
: 605-362-3100;
Fax
: 605-362-3265;
Practice Location Address
:
2710 CANAL BLVD
,
, HAYS
, KS
, 67601-1701
Practice Phone
: 785-621-2499;
Practice Fax
: 785-621-2498
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1558223107 -
TINA
HAVERLAND
APRN
Other Name
:
Mailing Address
:
4239 PHEASANT HOLW
BATAVIA
OH
45103-2690
Phone
: 216-632-1589;
Fax
: ;
Practice Location Address
:
5412 COURSEVIEW DR
,
, MASON
, OH
, 45040-2355
Practice Phone
: 513-204-1910;
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1467314013 -
DANIELLE
AMOILS
Other Name
:
Mailing Address
:
13295 BISCAYNE BAY TER
NORTH MIAMI
FL
33181-2229
Phone
: 305-951-0655;
Fax
: ;
Practice Location Address
:
1500 SW 66TH AVE
,
, PLANTATION
, FL
, 33317-5152
Practice Phone
: 754-323-7750;
Practice Fax
:
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1134824816 -
TAMMY
LYNN
WOODS
Other Name
:
Mailing Address
:
619 N MAIN ST
MUSKOGEE
OK
74401-4431
Phone
: 918-682-8407;
Fax
: ;
Practice Location Address
:
619 N MAIN ST
,
, MUSKOGEE
, OK
, 74401-4431
Practice Phone
: 918-682-8407;
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:
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1417523978 -
ELIZABETH
BRIGGS
SLP
Other Name
:
Mailing Address
:
8 SHORT ST
CASTLETON
NY
12033-1839
Phone
: ;
Fax
: ;
Practice Location Address
:
1807 WESTERN AVE
,
, ALBANY
, NY
, 12203-4601
Practice Phone
: 518-417-1460;
Practice Fax
:
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