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Showing codes 1245295203 — 1548225527
1245295203 -
DENISE
R.
SCOTCH
PA
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1154386118 -
KENNETH
SCOTT
KNOX
M.D.
Other Name
:
Mailing Address
:
2701 E ELVIRA RD
TUCSON
AZ
85756-7124
Phone
: 520-874-3500;
Fax
: ;
Practice Location Address
:
1501 N CAMPBELL AVE
,
, TUCSON
, AZ
, 85724-0001
Practice Phone
: 520-694-8888;
Practice Fax
: 520-694-2353
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1063477024 -
RAMI
A.
BOUTROS
M.D.
Other Name
:
Mailing Address
:
200 HAWKINS DR
JCP 1349
IOWA CITY
IA
52242-1007
Phone
: 319-356-1375;
Fax
: 319-356-3862;
Practice Location Address
:
200 HAWKINS DR
, JCP 1349
, IOWA CITY
, IA
, 52242-1007
Practice Phone
: 319-356-1375;
Practice Fax
: 319-356-3862
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1972568939 -
CELESTE
A
FORSYTH
RDN, LD
Other Name
:
Mailing Address
:
3600 KOLBE RD STE 206
LORAIN
OH
44053-1652
Phone
: 440-222-4180;
Fax
: 440-222-4181;
Practice Location Address
:
3600 KOLBE RD STE 206
,
, LORAIN
, OH
, 44053-1652
Practice Phone
: 440-222-4180;
Practice Fax
: 440-222-4181
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1881659845 -
RICHARD
GORDON
KENNEDY
M.D.
Other Name
:
Mailing Address
:
1835 FAIRPORT NINE MILE POINT RD
STE 100
PENFIELD
NY
14526-1903
Phone
: 585-758-0777;
Fax
: 585-388-9079;
Practice Location Address
:
1835 FAIRPORT NINE MILE POINT RD
, STE 100
, PENFIELD
, NY
, 14526-1903
Practice Phone
: 585-758-0777;
Practice Fax
: 585-388-9079
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1699730655 -
MADELYN
J
JACOBS
MD
Other Name
:
Mailing Address
:
PO BOX 776351
CHICAGO
IL
60677-6351
Phone
: 502-588-9490;
Fax
: 502-272-5116;
Practice Location Address
:
4950 NORTON HEALTHCARE BLVD
, STE 100
, LOUISVILLE
, KY
, 40241-2845
Practice Phone
: 502-394-6200;
Practice Fax
: 502-394-6210
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1508821562 -
ROBERT
FELIX
BESSETTE
D.O.
Other Name
:
Mailing Address
:
105 SOCKANOSSET CROSSROAD
SUITE 314
CRANSTON
RI
02920
Phone
: 401-270-7565;
Fax
: 401-270-7719;
Practice Location Address
:
105 SOCKANOSSET CROSSROAD
, SUITE 314
, CRANSTON
, RI
, 02920
Practice Phone
: 401-270-7565;
Practice Fax
: 401-270-7719
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1417912478 -
MICHAEL
G
LYKENS
MD
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
550 UNIVERSITY BLVD
,
, INDIANAPOLIS
, IN
, 46202-5149
Practice Phone
: 317-944-8660;
Practice Fax
: 317-944-4224
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1326003385 -
DR.
DR.
GREGORY
GRANT
HOLTHUSEN
M.D.
Other Name
:
Mailing Address
:
PO BOX 25626
WINSTON-SALEM
NC
27114-5626
Phone
: 336-768-1270;
Fax
: 336-765-6375;
Practice Location Address
:
170 KIMEL PARK DR
,
, WINSTON-SALEM
, NC
, 27103-6946
Practice Phone
: 336-768-1270;
Practice Fax
: 336-765-6375
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1235194291 -
ASCENSION PROVIDENCE HOSPITAL
Other Name
:
Mailing Address
:
3168 SOLUTIONS CENTER BOX 773168
CHICAGO
IL
60677-0001
Phone
: 248-680-8000;
Fax
: ;
Practice Location Address
:
16001 W 9 MILE RD
,
, SOUTHFIELD
, MI
, 48075-4818
Practice Phone
: 248-849-3000;
Practice Fax
: 248-849-2244
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1144285107 -
ASCENSION PROVIDENCE HOSPITAL
Other Name
:
Mailing Address
:
3168 SOLUTIONS CTR
CHICAGO
IL
60677-3001
Phone
: 248-680-8000;
Fax
: ;
Practice Location Address
:
16001 W 9 MILE RD
,
, SOUTHFIELD
, MI
, 48075-4818
Practice Phone
: 248-849-3000;
Practice Fax
: 248-849-2244
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1053376012 -
MICKEY
L
BATH
PAC
Other Name
:
Mailing Address
:
PO BOX 918025
ORLANDO
FL
32891-8025
Phone
: 352-392-1161;
Fax
: 352-392-5127;
Practice Location Address
:
1600 SW ARCHER RD
,
, GAINESVILLE
, FL
, 32610-3003
Practice Phone
: 352-392-1161;
Practice Fax
: 352-392-5127
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1962467928 -
MRS.
MRS.
MAVIS
J
ONKS
RD,LDN
Other Name
:
Mailing Address
:
450 MOUNTAIN LIGHT LN
UNICOI
TN
37692-4772
Phone
: 423-926-1171;
Fax
: 423-979-3402;
Practice Location Address
:
FIRST STREET BLD 200 BOX 4000
, JAMES H QUILLEN VAMC(120B)
, MOUNTAIN HOME
, TN
, 37684-4000
Practice Phone
: 423-926-1171;
Practice Fax
: 423-979-3402
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1871558833 -
LOREN
G
VANRIPER
MD
Other Name
:
Mailing Address
:
17 LANSING ST
AUBURN MEMORIAL MEDICAL SERVICES, PC
AUBURN
NY
13021-1983
Phone
: 315-255-7438;
Fax
: 315-255-7099;
Practice Location Address
:
143 NORTH ST
, SUITE #4
, AUBURN
, NY
, 13021-1852
Practice Phone
: 315-252-5028;
Practice Fax
: 315-252-1587
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1780649749 -
MARY
ANGELA
RAYHILL
APRN
Other Name
:
MARY
ANGELA
POWERS
Mailing Address
:
PO BOX 776351
CHICAGO
IL
60677-6351
Phone
: 502-588-9490;
Fax
: 502-272-5116;
Practice Location Address
:
300 HIGH POINT CT
,
, MT WASHINGTON
, KY
, 40047-6560
Practice Phone
: 502-955-6129;
Practice Fax
: 502-955-8164
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1598720559 -
DR.
DR.
JOSEPH
ROY
SALERNO
MD
Other Name
:
Mailing Address
:
8800 S OCEAN DR APT 305
JENSEN BEACH
FL
34957-2144
Phone
: 772-229-8367;
Fax
: 772-229-8367;
Practice Location Address
:
8800 S OCEAN DR APT 305
,
, JENSEN BEACH
, FL
, 34957-2144
Practice Phone
: 772-229-8367;
Practice Fax
: 772-229-8367
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1407811466 -
GREGORY
F
COPELAND
OD
Other Name
:
Mailing Address
:
1100 W OKLAHOMA AVE
ULYSSES
KS
67880-2359
Phone
: 620-356-4094;
Fax
: 620-356-1978;
Practice Location Address
:
1100 W OKLAHOMA AVE
,
, ULYSSES
, KS
, 67880-2359
Practice Phone
: 620-356-4094;
Practice Fax
: 620-356-1978
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1316902372 -
KEVIN
DOUGLAS
CAIRNS
MD
Other Name
:
Mailing Address
:
6000 N FEDERAL HWY
FT LAUDERDALE
FL
33308-2226
Phone
: 954-771-2551;
Fax
: 954-492-5266;
Practice Location Address
:
6000 N FEDERAL HWY
,
, FT LAUDERDALE
, FL
, 33308-2226
Practice Phone
: 954-771-2551;
Practice Fax
: 954-492-5266
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1225093289 -
MARIANNE
L
GRANDUSKY
PA
Other Name
:
Mailing Address
:
177 FORT WASHINGTON AVE
MHB 6GN 435
NEW YORK
NY
10032-3733
Phone
: 585-766-5675;
Fax
: ;
Practice Location Address
:
177 FORT WASHINGTON AVE
, MHB 6GN 435
, NEW YORK
, NY
, 10032-3733
Practice Phone
: 212-305-8932;
Practice Fax
: 212-305-3035
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1134184195 -
WILLOW MEDICAL OF MARYLAND, INC.
Other Name
:
Mailing Address
:
PO BOX 2686
602 E. CHARLES STREET
LA PLATA
MD
20646-2686
Phone
: 301-934-3046;
Fax
: 301-934-2250;
Practice Location Address
:
602 EAST CHARLES ST
,
, LA PLATA
, MD
, 20646-2686
Practice Phone
: 301-934-3046;
Practice Fax
: 301-934-2250
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1043275001 -
DR.
DR.
PHILIP
F
GAZIANO
MD
Other Name
:
Mailing Address
:
354 BIRNIE AVE STE 202
SPRINGFIELD
MA
01107-1109
Phone
: 413-733-3470;
Fax
: 413-732-4216;
Practice Location Address
:
354 BIRNIE AVE STE 202
,
, SPRINGFIELD
, MA
, 01107-1109
Practice Phone
: 413-733-3470;
Practice Fax
: 413-732-4216
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1952366916 -
JULIAN
A
GORDON
MD
Other Name
:
Mailing Address
:
2268 ORCHARD WAY
BEACHWOOD
OH
44122-1380
Phone
: 216-464-5600;
Fax
: 216-595-5404;
Practice Location Address
:
2268 ORCHARD WAY
,
, BEACHWOOD
, OH
, 44122-1380
Practice Phone
: 216-464-5600;
Practice Fax
: 216-595-5404
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1861457822 -
DR.
DR.
KENNETH
R
COHEN
PHARMD, PH. D., RPH.
Other Name
:
Mailing Address
:
486 COAKLEY ST
EAST MEADOW
NY
11554-3837
Phone
: 516-489-1988;
Fax
: 631-447-3700;
Practice Location Address
:
79 MIDDLEVILLE RD
,
, NORTHPORT
, NY
, 11768-2200
Practice Phone
: 631-261-4400;
Practice Fax
:
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1770548737 -
STEVEN
M
GORDON
MD
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1689639643 -
DR.
DR.
FRED
EDWARD
BOEHMKE
M.D.
Other Name
:
Mailing Address
:
8201 MAIN ST
SUITE 8
WILLIAMSVILLE
NY
14221-6046
Phone
: 716-626-6626;
Fax
: 716-626-6646;
Practice Location Address
:
8201 MAIN ST
, SUITE 8
, WILLIAMSVILLE
, NY
, 14221-6046
Practice Phone
: 716-626-6626;
Practice Fax
: 716-626-6646
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1598720567 -
UNIVERSITY OF PITTSBURGH PHYSICIANS
Other Name
:
Mailing Address
:
200 LOTHROP ST
9048A FORBES TOWER
PITTSBURGH
PA
15213-2546
Phone
: 412-647-0943;
Fax
: ;
Practice Location Address
:
200 LOTHROP ST
, 9048A FORBES TOWER
, PITTSBURGH
, PA
, 15213-2546
Practice Phone
: 412-647-0943;
Practice Fax
:
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1407811474 -
KYLE
D
TIPTON
M.D.
Other Name
:
Mailing Address
:
190 N UNION ST
STE 104
AKRON
OH
44304-1369
Phone
: 330-253-9145;
Fax
: 330-253-6222;
Practice Location Address
:
190 N UNION ST
, STE 104
, AKRON
, OH
, 44304-1369
Practice Phone
: 330-253-9145;
Practice Fax
: 330-253-6222
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1316902380 -
JOSEPH
F
FOSS
MD
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1225093297 -
MS.
MS.
ELIZABETH
FLORES
CHANG
NP
Other Name
:
Mailing Address
:
P.O. BOX 4792
RIVERSIDE
CA
92514-4792
Phone
: 909-271-5321;
Fax
: ;
Practice Location Address
:
11201 BENTON STREET
,
, LOMA LINDA
, CA
, 92357
Practice Phone
: 909-825-7084;
Practice Fax
: 909-583-6720
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1134184104 -
DR.
DR.
ELLEN
S
ROME
MD, MPH
Other Name
:
Mailing Address
:
9500 EUCLID AVE # R3
CLEVELAND
OH
44195-0001
Phone
: 216-444-3566;
Fax
: 216-445-3523;
Practice Location Address
:
9500 EUCLID AVE # R3
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 216-444-3566;
Practice Fax
: 216-445-3523
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1043275019 -
JOHN
R
HARDING
MD
Other Name
:
Mailing Address
:
20952 E 12 MILE RD
SUITE 200
ST CLAIR SHORES
MI
48081-3200
Phone
: 586-771-4820;
Fax
: 586-771-6620;
Practice Location Address
:
11051 HALL RD
, SUITE 200
, UTICA
, MI
, 48317-5735
Practice Phone
: 586-254-5759;
Practice Fax
: 586-254-5793
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1952366924 -
MICHAEL
D
OBER
MD
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
550 UNIVERSITY BLVD
,
, INDIANAPOLIS
, IN
, 46202-5149
Practice Phone
: 317-944-8660;
Practice Fax
: 317-944-4224
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1861457830 -
UNIVERSITY OF PITTSBURGH PHYSICIANS
Other Name
:
Mailing Address
:
5231 CENTRE AVE
PITTSBURGH
PA
15232-1303
Phone
: 412-647-0943;
Fax
: 412-647-4050;
Practice Location Address
:
5230 CENTRE AVE
,
, PITTSBURGH
, PA
, 15232-1304
Practice Phone
: 412-647-0943;
Practice Fax
: 412-647-4050
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1770548745 -
WINECOFF FAMILY PRACTICE PLLC
Other Name
:
Mailing Address
:
304 WINECOFF SCHOOL RD
CONCORD
NC
28027
Phone
: 704-262-7901;
Fax
: 704-262-7902;
Practice Location Address
:
304 WINECOFF SCHOOL RD
,
, CONCORD
, NC
, 28027
Practice Phone
: 704-262-7901;
Practice Fax
: 704-262-7902
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1689639650 -
ORLANDO
J
CASTILLO
M.D.
Other Name
:
Mailing Address
:
2810 W SAINT ISABEL ST
SUITE # 101
TAMPA
FL
33607-6375
Phone
: 813-873-7479;
Fax
: 813-877-6324;
Practice Location Address
:
2810 W SAINT ISABEL ST
, SUITE # 101
, TAMPA
, FL
, 33607-6375
Practice Phone
: 813-873-7479;
Practice Fax
: 813-877-6324
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1245295211 -
ROBERT
LANCE
GILSON
DC
Other Name
:
Mailing Address
:
6910 AIRPORT HWY
SUITE 1A
HOLLAND
OH
43528
Phone
: 419-867-6910;
Fax
: 419-867-9949;
Practice Location Address
:
6910 AIRPORT HWY
, SUITE 1A
, HOLLAND
, OH
, 43528
Practice Phone
: 419-867-6910;
Practice Fax
: 419-867-9949
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1154386126 -
SUSAN
H
GLAVIC
MSCCC SLP
Other Name
:
Mailing Address
:
1088 S COTTONWOOD CT
GILBERT
AZ
85296-3419
Phone
: 480-558-0184;
Fax
: ;
Practice Location Address
:
1802 W PARKSIDE LN
,
, PHOENIX
, AZ
, 85027-1322
Practice Phone
: 602-943-5472;
Practice Fax
:
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1063477032 -
HEINRICH
ELINZANO
M.D.
Other Name
:
Mailing Address
:
117 ELLENFIELD ST STE 101
PROVIDENCE
RI
02905-4513
Phone
: 401-444-6779;
Fax
: 401-444-6912;
Practice Location Address
:
593 EDDY ST
,
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-444-6788;
Practice Fax
: 401-444-8366
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1972568947 -
AMORITA
ARBOLEDA
GUNO
MD
Other Name
:
Mailing Address
:
3264 N EVERGREEN DR NE
GRAND RAPIDS
MI
49525-9746
Phone
: 616-363-7339;
Fax
: 616-361-5828;
Practice Location Address
:
1215 E MICHIGAN AVE
,
, LANSING
, MI
, 48912-1811
Practice Phone
: 517-364-2085;
Practice Fax
:
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1881659852 -
CHRISTOPHER
D
RUCKER
M.D.
Other Name
:
Mailing Address
:
1330 BOILING SPRINGS RD
SUITE 1400
SPARTANBURG
SC
29303-4201
Phone
: 864-582-2900;
Fax
: 864-582-4991;
Practice Location Address
:
1330 BOILING SPRINGS RD
, SUITE 1400
, SPARTANBURG
, SC
, 29303-4201
Practice Phone
: 864-582-2900;
Practice Fax
: 864-582-4991
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1699730663 -
MIDWEST SURGICAL SPECIALISTS, PC
Other Name
:
Mailing Address
:
10020 NICHOLAS ST
SUITE 106
OMAHA
NE
68114-2189
Phone
: 402-934-9840;
Fax
: 402-934-9846;
Practice Location Address
:
10020 NICHOLAS ST
, SUITE 106
, OMAHA
, NE
, 68114-2189
Practice Phone
: 402-934-9840;
Practice Fax
: 402-934-9846
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1508821570 -
RITU
PRASAD
M.D.
Other Name
:
Mailing Address
:
5000 COX RD
GLEN ALLEN
VA
23060-9263
Phone
: 804-968-5700;
Fax
: ;
Practice Location Address
:
10210 REISTERSTOWN RD
,
, OWINGS MILLS
, MD
, 21117-3606
Practice Phone
: 410-902-6776;
Practice Fax
:
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1417912486 -
NORTH BAY FAMILY MEDICAL CLINIC, PA
Other Name
:
Mailing Address
:
15012 LEMOYNE BLVD
BILOXI
MS
39532-5205
Phone
: 228-392-5050;
Fax
: 228-392-9168;
Practice Location Address
:
15012 LEMOYNE BLVD
,
, BILOXI
, MS
, 39532-5205
Practice Phone
: 228-392-5050;
Practice Fax
: 228-392-9168
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1326003393 -
WINECOFF FAMILY PHYSICIANS PLLC
Other Name
:
Mailing Address
:
304 WINECOFF SCHOOL RD
CONCORD
NC
28027
Phone
: 704-262-7901;
Fax
: 704-262-7902;
Practice Location Address
:
304 WINECOFF SCHOOL RD
,
, CONCORD
, NC
, 28027
Practice Phone
: 704-262-7901;
Practice Fax
: 704-262-7902
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1235194200 -
THOMAS
E.
SCARBOROUGH
M.D.
Other Name
:
Mailing Address
:
3860 AVENUE B STE C
BILLINGS
MT
59102-6273
Phone
: 406-237-5500;
Fax
: 406-237-5510;
Practice Location Address
:
3860 AVENUE B STE C
,
, BILLINGS
, MT
, 59102-6273
Practice Phone
: 406-237-5500;
Practice Fax
: 406-237-5510
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1144285115 -
MR.
MR.
FRANK
WILLIAM
WHITE
LCSW
Other Name
:
Mailing Address
:
820 JORDAN ST.
STE. 570
SHREVEPORT
LA
71101-4512
Phone
: 318-221-4455;
Fax
: 318-221-4459;
Practice Location Address
:
820 JORDAN ST
, STE. 570
, SHREVEPORT
, LA
, 71101-4518
Practice Phone
: 318-221-4455;
Practice Fax
: 318-221-4459
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1053376020 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962467936 -
QUANWEI
ZHANG
MD
Other Name
:
Mailing Address
:
8460 SVL BOX
VICTORVILLE
CA
92395-5169
Phone
: 760-493-1889;
Fax
: 888-412-8699;
Practice Location Address
:
16850 BEAR VALLEY RD STE 103
,
, VICTORVILLE
, CA
, 92395-5794
Practice Phone
: 760-493-1889;
Practice Fax
:
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1871558841 -
MR.
MR.
WILLARD
A
SHEETS
LPC
Other Name
:
Mailing Address
:
252 COURTHOUSE DRIVE P.O. BOX 299
PRESTERA CENTER
WINFIELD
WV
25213-9370
Phone
: 304-525-7851;
Fax
: 304-586-0671;
Practice Location Address
:
3375 US RT 60 E
,
, HUNTINGTON
, WV
, 25705-2837
Practice Phone
: 304-525-7851;
Practice Fax
: 304-586-0671
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1780649756 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1699730671 -
DAVID
S
SHAPIRO
MD
Other Name
:
Mailing Address
:
2222 S HARBOR CITY BLVD
MELBOURNE
FL
32901-5594
Phone
: 321-541-1714;
Fax
: 321-676-9794;
Practice Location Address
:
2222 S HARBOR CITY BLVD
, SUITE 420
, MELBOURNE
, FL
, 32901-5594
Practice Phone
: 321-541-1714;
Practice Fax
: 321-676-9794
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1508821588 -
MARK
S
PSARAKIS
MD
Other Name
:
Mailing Address
:
2222 S HARBOR CITY BLVD
MELBOURNE
FL
32901-5594
Phone
: 321-541-1777;
Fax
: 321-725-5504;
Practice Location Address
:
2222 S HARBOR CITY BLVD
, SUITE 430
, MELBOURNE
, FL
, 32901-5594
Practice Phone
: 321-541-1777;
Practice Fax
: 321-725-5504
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1417912494 -
JENNIFER
L
LANG
PA-C
Other Name
:
Mailing Address
:
1130 S HARBOR CITY BLVD
SUITE 101
MELBOURNE
FL
32901-1966
Phone
: 321-914-4211;
Fax
: 321-914-4212;
Practice Location Address
:
1130 S HARBOR CITY BLVD
, SUITE 101
, MELBOURNE
, FL
, 32901-1966
Practice Phone
: 321-914-4211;
Practice Fax
: 321-914-4212
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1326003302 -
DR.
DR.
HYON
KIM
M.D.
Other Name
:
Mailing Address
:
285 DAVIDSON AVE
SUITE 204
SOMERSET
NJ
08873-4153
Phone
: 732-271-1400;
Fax
: 732-271-3543;
Practice Location Address
:
285 DAVIDSON AVE
, SUITE 204
, SOMERSET
, NJ
, 08873-4153
Practice Phone
: 732-271-1400;
Practice Fax
: 732-271-3543
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1235194218 -
MRS.
MRS.
MILLICENT
CLEMONS
JORDAN
LPC
Other Name
:
Mailing Address
:
1 CARRIAGE LN
BLDG. J
CHARLESTON
SC
29407-6060
Phone
: 843-573-5050;
Fax
: 843-573-5030;
Practice Location Address
:
1 CARRIAGE LN
, BLDG J
, CHARLESTON
, SC
, 29407-6060
Practice Phone
: 843-573-5050;
Practice Fax
: 843-573-5030
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1144285123 -
DR.
DR.
THOMAS
MICHAEL
WILEY
M.D.
Other Name
:
Mailing Address
:
1771 TATE BLVD SE
SUITE 201
HICKORY
NC
28602-4249
Phone
: 828-324-4804;
Fax
: 828-324-7256;
Practice Location Address
:
1771 TATE BLVD SE
, SUITE 201
, HICKORY
, NC
, 28602-4249
Practice Phone
: 828-324-4804;
Practice Fax
: 828-324-7256
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1053376038 -
STEPHEN
F
WINTERMEYER
MD
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
1481 W 10TH ST
, 111P
, INDIANAPOLIS
, IN
, 46202-2803
Practice Phone
: 317-988-3917;
Practice Fax
:
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1962467944 -
DR.
DR.
ROBERT
ALEXANDER
CERWIN
M.D.
Other Name
:
Mailing Address
:
PO BOX 19368
RALEIGH
NC
27619-9368
Phone
: 919-787-8221;
Fax
: 919-789-4461;
Practice Location Address
:
3949 BROWNING PL
,
, RALEIGH
, NC
, 27609-6504
Practice Phone
: 919-787-8221;
Practice Fax
: 919-789-4461
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1033174016 -
TASHA
R
JOHNSON
MD
Other Name
:
Mailing Address
:
3821 SPRING STREET
RACINE
WI
53405-1667
Phone
: 262-687-8460;
Fax
: 262-687-3906;
Practice Location Address
:
3821 SPRING STREET
,
, RACINE
, WI
, 53405-1667
Practice Phone
: 262-687-8460;
Practice Fax
: 262-687-3906
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1942265921 -
THOMAS
J
BERNATEK
CRNA
Other Name
:
Mailing Address
:
22222 VIAJES
SAN ANTONIO
TX
78261-2898
Phone
: 210-215-4448;
Fax
: ;
Practice Location Address
:
150 E SONTERRA BLVD
, SUITE 110
, SAN ANTONIO
, TX
, 78258-4098
Practice Phone
: 210-491-9998;
Practice Fax
:
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1851356836 -
DR.
DR.
CHRISTINE
ANNE
STEIN
AU.D.
Other Name
:
Mailing Address
:
1331 E VICTOR RD
VICTOR
NY
14564-9306
Phone
: 585-398-1210;
Fax
: 585-398-1212;
Practice Location Address
:
1331 E VICTOR RD
, SUITE 220
, VICTOR
, NY
, 14564-9306
Practice Phone
: 585-398-1210;
Practice Fax
: 585-398-1212
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1760447742 -
DR.
DR.
BRYAN
BUTLER
Other Name
:
Mailing Address
:
425 ESSJAY RD STE 170
WILLIAMSVILLE
NY
14221-5782
Phone
: 716-630-1219;
Fax
: 716-817-1726;
Practice Location Address
:
85 HIGH ST
,
, BUFFALO
, NY
, 14203-1149
Practice Phone
: 716-857-8880;
Practice Fax
: 716-831-0051
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1679538656 -
KRISTI
D
SLABE
PA-C
Other Name
:
Mailing Address
:
20800 HARVARD RD
2ND FLOOR
HIGHLAND HILLS
OH
44122-7251
Phone
: ;
Fax
: ;
Practice Location Address
:
11100 EUCLID AVE
,
, CLEVELAND
, OH
, 44106-1716
Practice Phone
: 216-844-7200;
Practice Fax
:
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1588629562 -
JOSEPH
C
VENIERO
MD
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
CLEVELAND
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1396700373 -
DARREN
BROWN
CRNA
Other Name
:
Mailing Address
:
804 SCOTT NIXON MEMORIAL DR
AUGUSTA
GA
30907-2464
Phone
: 800-394-4445;
Fax
: ;
Practice Location Address
:
2606 HOSPITAL BLVD
,
, CORPUS CHRISTI
, TX
, 78405-1818
Practice Phone
: 361-949-4976;
Practice Fax
:
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1205891280 -
KEVIN
W
WATSON
MD
Other Name
:
Mailing Address
:
300 KENSINGTON AVE
NEW BRITAIN
CT
06051-3916
Phone
: 860-224-6266;
Fax
: 860-224-6269;
Practice Location Address
:
300 KENSINGTON AVE
,
, NEW BRITAIN
, CT
, 06051-3916
Practice Phone
: 860-224-6266;
Practice Fax
: 860-224-6269
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1114982196 -
GREGORY
M
VIDETIC
MD
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1023073004 -
RAFAEL
GROVAS PORRATA
Other Name
:
Mailing Address
:
PO BOX 559
SAN GERMAN
PR
00683-0559
Phone
: 787-892-5030;
Fax
: 787-264-7279;
Practice Location Address
:
43 CALLE DR VEVE
, EDIFICIO GROVAS RODRIGUEZ SUITE 1
, SAN GERMAN
, PR
, 00683-4100
Practice Phone
: 787-892-5030;
Practice Fax
: 787-264-7279
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1932164910 -
PETER
YING CHUEN
HO
M.D., FACR
Other Name
:
PETER
Y
HO
Mailing Address
:
94 HOBART AVE
SUMMIT
NJ
07901-2810
Phone
: 732-223-1760;
Fax
: ;
Practice Location Address
:
94 HOBART AVE
,
, SUMMIT
, NJ
, 07901-2810
Practice Phone
: 732-223-1760;
Practice Fax
:
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1841255825 -
MICHAEL
COHEN
Other Name
:
Mailing Address
:
6896 W SNOWVILLE RD
BRECKSVILLE
OH
44141-3214
Phone
: ;
Fax
: ;
Practice Location Address
:
636 DEL PRADO BLVD S
,
, CAPE CORAL
, FL
, 33990-2668
Practice Phone
: 239-772-6513;
Practice Fax
:
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1750346730 -
ASHISH
CHAWLA
M.D.
Other Name
:
Mailing Address
:
1 HOSPITAL DR
STE 306
LEWISBURG
PA
17837-9350
Phone
: 610-431-3122;
Fax
: 610-431-4799;
Practice Location Address
:
915 OLD FERN HILL ROAD
, BUILDING B, SUITE 300
, WEST CHESTER
, PA
, 19380
Practice Phone
: 610-431-3122;
Practice Fax
: 610-431-4799
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1669437646 -
RALPH
BENEDICT
PHD
Other Name
:
Mailing Address
:
462 GRIDER ST
BUFFALO
NY
14215-3021
Phone
: 716-898-3000;
Fax
: ;
Practice Location Address
:
462 GRIDER ST
,
, BUFFALO
, NY
, 14215-3021
Practice Phone
: 716-898-3000;
Practice Fax
:
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1578528550 -
DANIEL
J
KIRSCH
MD
Other Name
:
Mailing Address
:
PO BOX 27015
OMAHA
NE
68127-0015
Phone
: 402-393-9459;
Fax
: 402-397-9895;
Practice Location Address
:
11602 W CENTER RD
, SUITE 150
, OMAHA
, NE
, 68144-4440
Practice Phone
: 402-884-7533;
Practice Fax
: 402-884-7656
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1487619466 -
DEBORAH
B
GREENE
LICSW
Other Name
:
Mailing Address
:
91 DOVER ROAD
MILLIS
MA
02054
Phone
: ;
Fax
: ;
Practice Location Address
:
95 WEST STREET
,
, WALPOLE
, MA
, 02081
Practice Phone
: 508-660-1510;
Practice Fax
: 508-660-3122
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1295790277 -
RAYMOND
LEE
M.D.
Other Name
:
Mailing Address
:
2699 ATLANTIC AVE
LONG BEACH
CA
90806-2710
Phone
: ;
Fax
: ;
Practice Location Address
:
2699 ATLANTIC AVE
,
, LONG BEACH
, CA
, 90806-2710
Practice Phone
: 562-426-3333;
Practice Fax
:
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1104881184 -
MEREDITH
RENE
KEETON
ATC, LAT
Other Name
:
Mailing Address
:
825 ROYAL ELM CIR
HARTSVILLE
TN
37074-2004
Phone
: 615-374-8562;
Fax
: ;
Practice Location Address
:
555 HARTSVILLE PIKE
,
, GALLATIN
, TN
, 37066-2400
Practice Phone
: 615-328-8888;
Practice Fax
:
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1013972090 -
JOEL
A.
AMUNDSON
M.D.
Other Name
:
Mailing Address
:
5231 NE MARTIN LUTHER KING JR BLVD
PORTLAND
OR
97211-3235
Phone
: 503-342-2180;
Fax
: ;
Practice Location Address
:
5231 NE MARTIN LUTHER KING JR BLVD
,
, PORTLAND
, OR
, 97211-3235
Practice Phone
: 503-342-2180;
Practice Fax
:
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1922063908 -
EUGENE
P.
WANG
D.O.
Other Name
:
Mailing Address
:
2375 SUMMIT PARK DR
PETOSKEY
MI
49770-8685
Phone
: 231-348-3283;
Fax
: 231-348-3331;
Practice Location Address
:
2375 SUMMIT PARK DR
,
, PETOSKEY
, MI
, 49770-8685
Practice Phone
: 231-348-3283;
Practice Fax
: 231-348-3331
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1831154814 -
CASEY
N.
SPRAGUE
M.D.
Other Name
:
Mailing Address
:
2925 CHICAGO AVE
MINNEAPOLIS
MN
55407-1321
Phone
: 612-262-5000;
Fax
: ;
Practice Location Address
:
AMC-COON RAPIDS WOMEN'S HEALTH
, 3960 COON RAPIDS BLVD
, COON RAPIDS
, MN
, 55433
Practice Phone
: 763-236-9236;
Practice Fax
:
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1740245729 -
DR.
DR.
MARK
D
EISNER
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO ST
STE. 625, BOX 1821
SAN FRANCISCO
CA
94143
Phone
: ;
Fax
: ;
Practice Location Address
:
400 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2961;
Practice Fax
: 415-353-2568
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1659336634 -
MICHELLE
LEWIS
PMHNP
Other Name
:
Mailing Address
:
255 DRYDEN CIR
COCOA
FL
32926-2481
Phone
: 321-536-9089;
Fax
: 321-978-9280;
Practice Location Address
:
2015 GRANT PL
,
, MELBOURNE
, FL
, 32901-5600
Practice Phone
: 772-492-6394;
Practice Fax
: 709-400-7957
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1568427540 -
MRS.
MRS.
CONNIE
D
ABBOTT
ARNP BC
Other Name
:
Mailing Address
:
PO BOX 638
DUE WEST FAMILY MEDICINE
DUE WEST
SC
29639
Phone
: 864-379-2345;
Fax
: 864-379-3228;
Practice Location Address
:
6 COLLEGE STREET
, DUE WEST FAMILY MEDICINE
, DUE WEST
, SC
, 29639
Practice Phone
: 864-379-2345;
Practice Fax
: 864-379-3228
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1477518454 -
GREGORY
MORRIS
GIESLER
MD
Other Name
:
Mailing Address
:
55 E CALIFORNIA BLVD
3RD FLOOR
PASADENA
CA
91105-3944
Phone
: 626-793-1227;
Fax
: 626-793-3794;
Practice Location Address
:
55 E CALIFORNIA BLVD
, 3RD FLOOR
, PASADENA
, CA
, 91105-3944
Practice Phone
: 626-793-1227;
Practice Fax
: 626-793-3794
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1386609360 -
DR.
DR.
DAVID
MICHAEL
RHODES
MD
Other Name
:
Mailing Address
:
5220 NORTHSHORE DR
NORTH LITTLE ROCK
AR
72118-5297
Phone
: 501-663-6455;
Fax
: 501-663-4877;
Practice Location Address
:
5220 NORTHSHORE DR
,
, NORTH LITTLE ROCK
, AR
, 72118-5297
Practice Phone
: 501-663-6455;
Practice Fax
: 501-663-4877
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1194780171 -
JOHN
H
HINES
M.D.
Other Name
:
Mailing Address
:
PO BOX 950202
LOUISVILLE
KY
40295-0202
Phone
: 502-969-6552;
Fax
: 502-212-1358;
Practice Location Address
:
120 W BROADWAY
,
, LOUISVILLE
, KY
, 40202-2110
Practice Phone
: 502-772-8662;
Practice Fax
: 502-996-8309
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1003871088 -
DR.
DR.
BARRY
STEVEN
LEITMAN
M.D.
Other Name
:
Mailing Address
:
550 1ST AVE
NBV 3W40
NEW YORK
NY
10016-6402
Phone
: 212-263-5526;
Fax
: 212-263-7666;
Practice Location Address
:
550 1ST AVE
, NBV 3W40
, NEW YORK
, NY
, 10016-6402
Practice Phone
: 212-263-5526;
Practice Fax
: 212-263-7666
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1912962994 -
DR.
DR.
PETER
C
MORRIS
MD
Other Name
:
Mailing Address
:
4101 TIGER LILY RD STE 100
LINCOLN
NE
68516-5587
Phone
: 402-420-7000;
Fax
: 402-420-6969;
Practice Location Address
:
4101 TIGER LILY RD STE 100
,
, LINCOLN
, NE
, 68516-5587
Practice Phone
: 402-420-7000;
Practice Fax
: 402-420-6969
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1821053802 -
GREGORY
W
PIERCE
M.D.
Other Name
:
Mailing Address
:
5000 COX RD
GLEN ALLEN
VA
23060-9263
Phone
: 804-968-5700;
Fax
: ;
Practice Location Address
:
5486 INDIAN RIVER RD
,
, VIRGINIA BEACH
, VA
, 23464-5365
Practice Phone
: 757-424-2490;
Practice Fax
:
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1730144718 -
PAUL
SCOTT
GOEN
M D
Other Name
:
Mailing Address
:
10702 INVERNESS RD
BELTON
TX
76513-9730
Phone
: 254-624-5288;
Fax
: ;
Practice Location Address
:
2401 S 31ST ST
,
, TEMPLE
, TX
, 76508-0001
Practice Phone
: 254-724-2111;
Practice Fax
:
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1649235623 -
KRISTY
WASHINGTON
CRNP, PMHNP
Other Name
:
Mailing Address
:
487 DEVON PARK DR STE 207
WAYNE
PA
19087-1808
Phone
: 610-892-3800;
Fax
: ;
Practice Location Address
:
487 DEVON PARK DR STE 207
,
, WAYNE
, PA
, 19087-1808
Practice Phone
: 610-892-3800;
Practice Fax
:
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1558326538 -
DR.
DR.
HENRY
KURTIS
BIGGS
D.O.
Other Name
:
Mailing Address
:
1250 PINE RIDGE RD
NAPLES
FL
34108-8913
Phone
: 239-261-2663;
Fax
: 239-262-5633;
Practice Location Address
:
1250 PINE RIDGE RD
,
, NAPLES
, FL
, 34108-8913
Practice Phone
: 239-261-2663;
Practice Fax
: 239-262-5633
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1467417444 -
TARO
KAIBARA
MD
Other Name
:
Mailing Address
:
2910 N 3RD AVE
PHOENIX
AZ
85013-4434
Phone
: 480-917-5600;
Fax
: 602-294-4494;
Practice Location Address
:
1875 W FRYE RD STE 300
,
, CHANDLER
, AZ
, 85224-6184
Practice Phone
: 480-917-5600;
Practice Fax
: 602-294-4494
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1376508358 -
DR.
DR.
KIMBERLY
ANN
COCHRAN
MD
Other Name
:
Mailing Address
:
8800 W 75TH ST
STE 100
SHAWNEE MISSION
KS
66204-2205
Phone
: 913-632-9810;
Fax
: ;
Practice Location Address
:
8800 W 75TH ST
, STE 100
, SHAWNEE MISSION
, KS
, 66204-2205
Practice Phone
: 913-632-9810;
Practice Fax
:
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1285699264 -
MAX
G
MORGAN
MD
Other Name
:
Mailing Address
:
PO BOX 95970
SOUTH JORDAN
UT
84095-0970
Phone
: 801-352-9500;
Fax
: 801-352-9502;
Practice Location Address
:
2450 EXEC PKWY
,
, LEHI
, UT
, 84043-3737
Practice Phone
: 801-753-5555;
Practice Fax
: 801-901-6478
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1093770075 -
DR.
DR.
CHRISTOPHER
RAFAEL
LARRAZABAL
MD
Other Name
:
Mailing Address
:
500 MEMORIAL CIR
SUITE A
ORMOND BEACH
FL
32174-5071
Phone
: 386-676-2779;
Fax
: 386-676-2811;
Practice Location Address
:
500 MEMORIAL CIR
, SUITE A
, ORMOND BEACH
, FL
, 32174-5071
Practice Phone
: 386-676-2779;
Practice Fax
: 386-676-2811
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1902861982 -
DAVID
G.
GERHARD
M.D.
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
1836 SOUTH AVE
,
, LA CROSSE
, WI
, 54601-5429
Practice Phone
: 608-782-7300;
Practice Fax
:
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1811952898 -
DR.
DR.
MARK
WILLIAM
DOERING
MD
Other Name
:
Mailing Address
:
874 FOX DR
WINCHESTER
VA
22603
Phone
: 540-662-0990;
Fax
: 540-678-8054;
Practice Location Address
:
874 FOX DR
,
, WINCHESTER
, VA
, 22603
Practice Phone
: 540-662-0990;
Practice Fax
: 540-678-8054
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1720043706 -
DR.
DR.
JAMES
D
GREIG
MD FACS
Other Name
:
Mailing Address
:
321 N KUAKINI STREET
SUITE 814
HONOLULU
HI
96817
Phone
: 808-533-4544;
Fax
: 808-532-6766;
Practice Location Address
:
321 N KUAKINI STREET
, SUITE 814
, HONOLULU
, HI
, 96817
Practice Phone
: 808-533-4544;
Practice Fax
: 808-532-6766
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1639134612 -
MS.
MS.
ROBIN
A
MONTAGUE
LICSW
Other Name
:
Mailing Address
:
7 CLEVELAND ST
ARLINGTON
MA
02474
Phone
: 781-641-2425;
Fax
: ;
Practice Location Address
:
154 E MAIN ST
,
, WESTBORO
, MA
, 01581
Practice Phone
: 508-870-0647;
Practice Fax
: 508-799-6325
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1548225527 -
DR.
DR.
JOSEPH
MARAKOVITS
MD
Other Name
:
Mailing Address
:
22 PINE ST
SUITE 304
BRISTOL
CT
06010-6948
Phone
: 960-582-3235;
Fax
: 860-582-0692;
Practice Location Address
:
22 PINE ST
, SUITE 304
, BRISTOL
, CT
, 06010-6948
Practice Phone
: 960-582-3235;
Practice Fax
: 860-582-0692
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