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Showing codes 1700815149 — 1003844598
1700815149 -
MR.
MR.
RICHARD
BRYAN
ROSENBLUM
MA, MS, ATC
Other Name
:
Mailing Address
:
92 HERON CT
MANALAPAN
ENGLISHTOWN
NJ
07726-9018
Phone
: 732-851-6136;
Fax
: ;
Practice Location Address
:
260 TRIANGLE RD
,
, HILLSBOROUGH
, NJ
, 08844-4878
Practice Phone
: 908-874-3420;
Practice Fax
:
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1619906054 -
MICHELLE
F
REARDON
NP
Other Name
:
Mailing Address
:
345 WHITNEY AVE
NEW HAVEN
CT
06511
Phone
: 203-752-2856;
Fax
: 203-752-8785;
Practice Location Address
:
1039 E MAIN ST
,
, STAMFORD
, CT
, 06902-4108
Practice Phone
: 203-327-2722;
Practice Fax
: 203-975-4539
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1528097961 -
CHRISTIANA
EMRICH
PT
Other Name
:
Mailing Address
:
103 DAVIS RD
SUITE M
LEAGUE CITY
TX
77573-2731
Phone
: ;
Fax
: ;
Practice Location Address
:
103 DAVIS RD
, SUITE M
, LEAGUE CITY
, TX
, 77573-2731
Practice Phone
: 281-338-6777;
Practice Fax
: 281-338-6778
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1437188877 -
DR.
DR.
BARTON
L
COMSTOCK
MD
Other Name
:
Mailing Address
:
5515 CLEVELAND AVE
SUITE 1
STEVENSVILLE
MI
49127-9670
Phone
: 269-429-6604;
Fax
: 269-429-1715;
Practice Location Address
:
5515 CLEVELAND AVE
, SUITE 1
, STEVENSVILLE
, MI
, 49127-9670
Practice Phone
: 269-429-6604;
Practice Fax
: 269-429-1715
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1346279783 -
FRANKLINTOWN REHABILITATION ASSOCIATES, LLC
Other Name
:
Mailing Address
:
SIX FRANKLIN PLAZA
PHILADELPHIA
PA
19102
Phone
: 215-587-3122;
Fax
: 215-587-9405;
Practice Location Address
:
SIX FRANKLIN PLAZA
,
, PHILADELPHIA
, PA
, 19102
Practice Phone
: 215-587-3122;
Practice Fax
: 215-587-9405
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1255360699 -
HQM OF MONTGOMERY COUNTY, LLC
Other Name
:
Mailing Address
:
198 OLD FARMERS RD
CLARKSVILLE
TN
37043-4032
Phone
: 931-358-2900;
Fax
: ;
Practice Location Address
:
198 OLD FARMERS ROAD
,
, CLARKSVILLE
, TN
, 37043
Practice Phone
: 931-358-2900;
Practice Fax
:
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1164451506 -
MRS.
MRS.
NANCY
M
CREWS
LCSW
Other Name
:
Mailing Address
:
685 RIPPLE WATER RUN
LILBURN
GA
30047-7323
Phone
: 678-380-8291;
Fax
: ;
Practice Location Address
:
4851 LULA ST NW
,
, LILBURN
, GA
, 30047-3850
Practice Phone
: 678-697-6049;
Practice Fax
:
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1073542411 -
MARY
GERMAINE
D'ANNIBALLE
ARNP
Other Name
:
Mailing Address
:
2719 E MADISON ST
SUITE 301
SEATTLE
WA
98112-4752
Phone
: ;
Fax
: ;
Practice Location Address
:
2719 E MADISON ST
, SUITE 301
, SEATTLE
, WA
, 98112-4752
Practice Phone
: 206-390-7186;
Practice Fax
:
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1982633327 -
LUIS
VARELA
MD
Other Name
:
Mailing Address
:
7 EAST 93RD STREET 1B
NEW YORK
NY
10128
Phone
: 201-996-4614;
Fax
: 201-968-1866;
Practice Location Address
:
30 PROSPECT AVE
, ETD
, HACKENSACK
, NJ
, 07601-1914
Practice Phone
: 201-996-4614;
Practice Fax
: 201-968-1866
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1790714137 -
PHILIP
WALDEN
MD
Other Name
:
Mailing Address
:
1 DIAMOND HILL RD
BERKELEY HEIGHTS
NJ
07922-2104
Phone
: 908-273-4300;
Fax
: 201-968-1866;
Practice Location Address
:
1 DIAMOND HILL RD
,
, BERKELEY HEIGHTS
, NJ
, 07922-2104
Practice Phone
: 908-273-4300;
Practice Fax
: 201-968-1866
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1609805043 -
JOHN
M
KUKULA
PA
Other Name
:
Mailing Address
:
PO BOX 64075
BALTIMORE
MD
21264-4075
Phone
: ;
Fax
: ;
Practice Location Address
:
301 SAINT PAUL PL
, SURGICAL PA'S
, BALTIMORE
, MD
, 21202-2102
Practice Phone
: 410-332-9265;
Practice Fax
:
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1518996958 -
DR.
DR.
JUSTIN
B
PLAXICO
D.O.
Other Name
:
Mailing Address
:
435 N MONTE VISTA ST
ADA
OK
74820-4676
Phone
: 580-310-0102;
Fax
: 580-310-0104;
Practice Location Address
:
435 N MONTE VISTA ST
,
, ADA
, OK
, 74820-4676
Practice Phone
: 580-310-0102;
Practice Fax
: 580-310-0104
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1427087865 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1336178771 -
MRS.
MRS.
JENNIFER
MICHELLE
GILLIAM
SLP
Other Name
:
Mailing Address
:
5521 FAIRFAX CT
MCKINNEY
TX
75070-9329
Phone
: 214-679-3505;
Fax
: ;
Practice Location Address
:
5521 FAIRFAX CT
,
, MCKINNEY
, TX
, 75070-9329
Practice Phone
: 214-679-3505;
Practice Fax
:
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1245269687 -
DR.
DR.
JEFFREY
GOLD
ARBUCKLE
D.D.S.
Other Name
:
Mailing Address
:
281 S MAIN ST
CENTERVILLE
UT
84014-2292
Phone
: 801-292-0733;
Fax
: 801-298-5336;
Practice Location Address
:
281 S MAIN ST
,
, CENTERVILLE
, UT
, 84014-2292
Practice Phone
: 801-292-0733;
Practice Fax
: 801-298-5336
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1245268721 -
JANNA
MICHELLE
HALLEY
Other Name
:
Mailing Address
:
2527 MADISON ST
#7
EVERETT
WA
98203-4893
Phone
: 425-737-1252;
Fax
: ;
Practice Location Address
:
3040 NE 127TH ST
,
, SEATTLE
, WA
, 98125-4415
Practice Phone
: 206-362-7572;
Practice Fax
: 206-361-6213
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1154359636 -
GREG
DAVIS
DDS
Other Name
:
Mailing Address
:
5321 CENTER ST
OMAHA
NE
68106-2338
Phone
: 402-551-2238;
Fax
: ;
Practice Location Address
:
5321 CENTER ST
,
, OMAHA
, NE
, 68106-2338
Practice Phone
: 402-551-2238;
Practice Fax
:
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1063440543 -
DR.
DR.
FREDRIC
L
BONINE
DDS, MS, PC
Other Name
:
Mailing Address
:
6893 GRAND RIVER RD
BRIGHTON
MI
48114-9345
Phone
: 810-229-9180;
Fax
: 810-229-1880;
Practice Location Address
:
6893 GRAND RIVER RD
,
, BRIGHTON
, MI
, 48114-9345
Practice Phone
: 810-229-9180;
Practice Fax
: 810-229-1880
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1972531457 -
DR.
DR.
WILLIAM
RICHARD
CHENITZ
MD, FACP
Other Name
:
WILLIAM
RICHARD
CHENITZ
Mailing Address
:
111 CENTRAL AVE
NEWARK
NJ
07102
Phone
: 973-624-4908;
Fax
: 973-877-5595;
Practice Location Address
:
111 CENTRAL AVE
,
, NEWARK
, NJ
, 07102-1909
Practice Phone
: 973-624-4908;
Practice Fax
: 973-877-5595
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1881622363 -
DR.
DR.
JACQUELINE
BETH
BERK
DC
Other Name
:
JACQUELINE
BETH
FARMER
Mailing Address
:
325 S CHARLES G SEIVERS BLVD
CLINTON
TN
37716-3942
Phone
: 865-457-8888;
Fax
: 865-457-8886;
Practice Location Address
:
325 S CHARLES G SEIVERS BLVD
,
, CLINTON
, TN
, 37716-3942
Practice Phone
: 865-457-8888;
Practice Fax
: 865-457-8886
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1699703173 -
DR.
DR.
NICOLE
NEMETH
MD
Other Name
:
Mailing Address
:
495 HIGHLAND ROAD
SUITE 100
COATESVILLE
PA
19320
Phone
: 610-684-9500;
Fax
: 610-384-3998;
Practice Location Address
:
495 HIGHLAND ROAD
, SUITE 100
, COATESVILLE
, PA
, 19320
Practice Phone
: 610-384-9500;
Practice Fax
: 610-384-3998
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1508894080 -
REBEKAH
A
REIFF
PA-C
Other Name
:
Mailing Address
:
245 STATE ST SE
STE 228
GRAND RAPIDS
MI
49503
Phone
: 616-685-1808;
Fax
: 616-685-1850;
Practice Location Address
:
200 JEFFERSON SE
, SUITE 4200
, GRAND RAPIDS
, MI
, 49503
Practice Phone
: 616-685-5039;
Practice Fax
: 616-685-8910
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1417985995 -
DR.
DR.
BRADLEY
R.
BUCHBINDER
M.D.
Other Name
:
Mailing Address
:
93 CROFTON RD
WABAN
MA
02468-2114
Phone
: 617-965-8267;
Fax
: 617-558-0311;
Practice Location Address
:
55 FRUIT ST
, MASSACHUSETTS GENERAL HOSPITAL, GRAY 2, NEURORADIOLOGY
, BOSTON
, MA
, 02114-2621
Practice Phone
: 617-726-8320;
Practice Fax
: 617-724-3338
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1326076803 -
JOHN
B
RADA
III
M.D.
Other Name
:
Mailing Address
:
PO BOX 2153
DEPT 1868
BIRMINGHAM
AL
35287-1868
Phone
: 901-372-4418;
Fax
: 901-383-4854;
Practice Location Address
:
6570 STAGE RD
, SUITE 160
, MEMPHIS
, TN
, 38134-2862
Practice Phone
: 901-372-4418;
Practice Fax
: 901-383-4854
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1235167719 -
SUMMA PHYSICIANS INC
Other Name
:
Mailing Address
:
1077 GORGE BLVD
AKRON
OH
44310-2408
Phone
: 234-312-5691;
Fax
: ;
Practice Location Address
:
525 E MARKET ST
,
, AKRON
, OH
, 44304-1619
Practice Phone
: 330-375-6350;
Practice Fax
:
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1144258625 -
RICHARD
T
MIYAMOTO
M.D.
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
705 RILEY HOSPITAL DR
, SUITE 0860
, INDIANAPOLIS
, IN
, 46202-5109
Practice Phone
: 317-274-3556;
Practice Fax
: 317-278-3743
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1053349530 -
DR.
DR.
CHRISTOPHER
MICHAEL
BARDORF
M.D.
Other Name
:
Mailing Address
:
4875 WARD ROAD
SUITE 600
WHEAT RIDGE
CO
80033
Phone
: 303-456-9456;
Fax
: 303-463-7560;
Practice Location Address
:
4875 WARD ROAD
, SUITE 600
, WHEAT RIDGE
, CO
, 80033
Practice Phone
: 303-456-9456;
Practice Fax
: 303-463-7560
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1962430447 -
DR.
DR.
ANNA
LEE
STEELE
M.D.
Other Name
:
Mailing Address
:
4875 WARD ROAD
SUITE 600
WHEAT RIDGE
CO
80033
Phone
: 303-456-9456;
Fax
: 303-463-7560;
Practice Location Address
:
4875 WARD ROAD
, SUITE 600
, WHEAT RIDGE
, CO
, 80033
Practice Phone
: 303-456-9456;
Practice Fax
: 303-463-7560
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1871521351 -
DR.
DR.
ROBERT
J
ANGLIM
DPM
Other Name
:
Mailing Address
:
4701 N CUMBERLAND AVE
NORRIDGE
IL
60706-2905
Phone
: 708-456-5150;
Fax
: ;
Practice Location Address
:
4701 N CUMBERLAND AVE
,
, NORRIDGE
, IL
, 60706-2905
Practice Phone
: 708-456-5150;
Practice Fax
:
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1780612267 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1598793077 -
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Other Name
:
Mailing Address
:
PO BOX 17366
AUSTIN
TX
78760-7366
Phone
: 512-978-9000;
Fax
: 512-978-9001;
Practice Location Address
:
600 W CARRIE MANOR ST
,
, MANOR
, TX
, 78653-5035
Practice Phone
: 512-978-9780;
Practice Fax
: 512-978-9781
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1407884984 -
DR.
DR.
MAURIZIO
ZEKI
ALBALA
M.D.
Other Name
:
Mailing Address
:
69 E FOX POINT DR
LITTLE CHUTE
WI
54911-4105
Phone
: 920-427-8271;
Fax
: 920-939-6024;
Practice Location Address
:
526 W WISCONSIN AVE
,
, APPLETON
, WI
, 54911-4382
Practice Phone
: 920-939-6015;
Practice Fax
: 920-939-6024
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1316975899 -
VALERIE
L
LEE
DNP
Other Name
:
Mailing Address
:
3340 E GOLDSTONE WAY
MERIDIAN
ID
83642-1026
Phone
: 208-367-4096;
Fax
: 208-367-4051;
Practice Location Address
:
1055 N CURTIS ROAD
,
, BOISE
, ID
, 83706
Practice Phone
: 208-367-4096;
Practice Fax
: 208-367-4051
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1225066707 -
KATHERINE
E
MILLER
MD
Other Name
:
Mailing Address
:
3340 E GOLDSTONE WAY
MERIDIAN
ID
83642-1026
Phone
: 208-302-5000;
Fax
: 208-302-5025;
Practice Location Address
:
2141 E PARK CENTER BLVD
,
, BOISE
, ID
, 83706-6701
Practice Phone
: 208-302-5000;
Practice Fax
: 208-302-5025
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1134157613 -
STEVEN
RICHARD
NEWMAN
MD
Other Name
:
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: 435-586-7676;
Fax
: ;
Practice Location Address
:
1303 N MAIN ST
,
, CEDAR CITY
, UT
, 84721-9746
Practice Phone
: 435-586-7676;
Practice Fax
:
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1043248529 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1952339434 -
JEFFREY
L
REIMERS
PA
Other Name
:
Mailing Address
:
3340 E GOLDSTONE WAY
MERIDIAN
ID
83642-1026
Phone
: 208-302-6800;
Fax
: 208-302-6855;
Practice Location Address
:
1510 12TH AVE RD
, STE 200
, NAMPA
, ID
, 83686-2834
Practice Phone
: 208-302-6800;
Practice Fax
: 208-302-6855
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1861420341 -
SUSAN
MARIE
WASSENHOVE
PA-C
Other Name
:
Mailing Address
:
812 W 4TH STREET
MISHAWAKA
IN
46544
Phone
: 574-255-1604;
Fax
: ;
Practice Location Address
:
812 W 4TH ST
,
, MISHAWAKA
, IN
, 46544-1738
Practice Phone
: 574-255-1604;
Practice Fax
:
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1770511255 -
MARLA
FLORES
REVES
MFT
Other Name
:
Mailing Address
:
1011 DEVONSHIRE DR STE D
ENCINITAS
CA
92024-5136
Phone
: 760-271-3165;
Fax
: ;
Practice Location Address
:
1011 DEVONSHIRE DR STE D
,
, ENCINITAS
, CA
, 92024-5136
Practice Phone
: 760-271-3165;
Practice Fax
:
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1689602161 -
RALPH
DUANE
COOK
M.D.
Other Name
:
Mailing Address
:
PO BOX 945921
ATLANTA
GA
30394-5921
Phone
: 386-231-4529;
Fax
: 386-368-8927;
Practice Location Address
:
801 E DIXIE AVE
,
, LEESBURG
, FL
, 34748
Practice Phone
: 352-742-1171;
Practice Fax
: 352-742-7241
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1497783971 -
EDWARD
Y
PARK
DO
Other Name
:
Mailing Address
:
2149 E WARNER RD
SUITE 101
TEMPE
AZ
85284-3494
Phone
: 480-610-6100;
Fax
: 480-464-0189;
Practice Location Address
:
2149 E WARNER RD STE 102
,
, TEMPE
, AZ
, 85284-3495
Practice Phone
: 480-610-6100;
Practice Fax
: 480-464-0189
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1306874888 -
COMMUNITY HOSPITAL ASSOCIATION
Other Name
:
Mailing Address
:
PO BOX 1328
MC COOK
NE
69001-1328
Phone
: 308-344-8303;
Fax
: 308-344-8572;
Practice Location Address
:
302 E 6TH ST
,
, CURTIS
, NE
, 69025-6102
Practice Phone
: 308-367-4162;
Practice Fax
:
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1215965793 -
MARY
A
HOOD
RNBSNMSNCRNP
Other Name
:
Mailing Address
:
306 E CEDAR AVE
CONNELLSVILLE
PA
15425-4550
Phone
: 724-628-0971;
Fax
: ;
Practice Location Address
:
404 W MAIN ST
,
, UNIONTOWN
, PA
, 15401-2868
Practice Phone
: 724-439-4990;
Practice Fax
: 724-439-4155
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1124056601 -
MICHAEL
G
SCHNEIDER
MD
Other Name
:
Mailing Address
:
PO BOX 551420
FORT LAUDERDALE
FL
33355-1420
Phone
: 800-243-3839;
Fax
: 954-839-2569;
Practice Location Address
:
2701 N DECATUR RD
,
, DECATUR
, GA
, 30033-5918
Practice Phone
: 678-514-1991;
Practice Fax
: 678-514-1992
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1033147517 -
SHEHZAD
SAMI
MD
Other Name
:
Mailing Address
:
3411 GARTH RD
SUITE 228
BAYTOWN
TX
77521-3851
Phone
: 281-839-7949;
Fax
: 281-839-7924;
Practice Location Address
:
6051 GARTH RD
, SUITE 300
, BAYTOWN
, TX
, 77521-9890
Practice Phone
: 281-839-7949;
Practice Fax
: 281-839-7924
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1942238423 -
DAVID
WILSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 1733
FREDERICK
MD
21702-0733
Phone
: 301-663-4357;
Fax
: ;
Practice Location Address
:
94 OLD SHORT HILLS RD
,
, LIVINGSTON
, NJ
, 07039-5672
Practice Phone
: 973-322-5800;
Practice Fax
:
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1851329338 -
UMEIKA
GRIFFITH STEPHENS
APRN, BC
Other Name
:
Mailing Address
:
19401 HUBBARD DR
SUITE 200
DEARBORN
MI
48126-2641
Phone
: 313-982-8159;
Fax
: 313-982-8493;
Practice Location Address
:
19401 HUBBARD DR
, SUITE 200
, DEARBORN
, MI
, 48126-2641
Practice Phone
: 313-982-8159;
Practice Fax
: 313-982-8493
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1760410245 -
DR.
DR.
KELLY
SEID
M.D.
Other Name
:
Mailing Address
:
5000 W 4TH ST
HATTIESBURG
MS
39402-1000
Phone
: 601-450-0521;
Fax
: 601-450-0554;
Practice Location Address
:
5000 W 4TH ST
,
, HATTIESBURG
, MS
, 39402-1000
Practice Phone
: 601-450-0521;
Practice Fax
: 601-450-0554
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1679501159 -
DR.
DR.
CRISTIE
LEE
ROUSH
DNP, GNP-BC, CORLN
Other Name
:
Mailing Address
:
704 STONEHILL
CHELSEA
MI
48118-9043
Phone
: 734-769-7100;
Fax
: 734-761-7304;
Practice Location Address
:
2215 FULLER RD
,
, ANN ARBOR
, MI
, 48105-2303
Practice Phone
: 734-769-7100;
Practice Fax
: 734-761-7304
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1588692065 -
PAULA
M.
JUELICH
PHD
Other Name
:
Mailing Address
:
1836 LACKLAND HILL PKWY
ATTNT: CREDENTIALING DEPT.
SAINT LOUIS
MO
63146-3572
Phone
: 314-989-0300;
Fax
: 314-810-1399;
Practice Location Address
:
6420 CLAYTON RD
, 6TH FLOOR
, SAINT LOUIS
, MO
, 63117-1811
Practice Phone
: 314-768-5205;
Practice Fax
: 314-768-5315
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1396773875 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1205864782 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1114955697 -
DR.
DR.
MORDECAI
M
GERSTEIN
M.D.
Other Name
:
Mailing Address
:
2949 W LUNT AVE
CHICAGO
IL
60645-2919
Phone
: 773-274-2678;
Fax
: 773-274-2697;
Practice Location Address
:
2949 W LUNT AVE
,
, CHICAGO
, IL
, 60645-2919
Practice Phone
: 773-274-2678;
Practice Fax
: 773-274-2697
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1023046505 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1932137411 -
PAUL
T
BRUSASCHETTI
P.A.
Other Name
:
Mailing Address
:
PO BOX 912215
DENVER
CO
80291-2215
Phone
: 303-306-7783;
Fax
: 303-306-7753;
Practice Location Address
:
1024 S LEMAY AVE
,
, FORT COLLINS
, CO
, 80524
Practice Phone
: 970-495-7000;
Practice Fax
: 303-306-7753
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1841228327 -
CORVALLIS FAMILY MEDICINE PC
Other Name
:
Mailing Address
:
2400 NW KINGS BLVD
CORVALLIS
OR
97330
Phone
: 541-757-2400;
Fax
: 541-757-4719;
Practice Location Address
:
2400 NW KINGS BLVD
,
, CORVALLIS
, OR
, 97330
Practice Phone
: 541-757-2400;
Practice Fax
: 541-757-4719
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1750319232 -
DR.
DR.
THOMAS
LANE
SUTTON
M.D.
Other Name
:
Mailing Address
:
26901 BEAUMONT BLVD
SOUTHFIELD
MI
48033-3849
Phone
: 947-522-1867;
Fax
: ;
Practice Location Address
:
3535 W 13 MILE RD STE 707
,
, ROYAL OAK
, MI
, 48073-6770
Practice Phone
: 248-551-0487;
Practice Fax
:
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1083642565 -
DR.
DR.
NARONG
SIMAKAJORNBOON
MD
Other Name
:
Mailing Address
:
3333 BURNET AVE
MLC 2021
CINCINNATI
OH
45229-3026
Phone
: 513-638-6771;
Fax
: ;
Practice Location Address
:
3333 BURNET AVE
, MLC 2021
, CINCINNATI
, OH
, 45229-3026
Practice Phone
: 513-636-6771;
Practice Fax
:
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1891723375 -
DR.
DR.
MICHAEL
M
JADALI
D.O. , RPH
Other Name
:
Mailing Address
:
3097 MOORPARK AVE STE 200
SAN JOSE
CA
95128-2543
Phone
: 408-244-7246;
Fax
: 408-244-7248;
Practice Location Address
:
3097 MOORPARK AVE STE 200
,
, SAN JOSE
, CA
, 95128-2543
Practice Phone
: 408-244-7246;
Practice Fax
: 408-244-7248
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1700814282 -
MR.
MR.
GREG
HENDRIX
L.C.S.W.
Other Name
:
Mailing Address
:
1902 N 180 W
OREM
UT
84057-2110
Phone
: 801-576-7811;
Fax
: 801-576-7878;
Practice Location Address
:
433 S 500 E
,
, AMERICAN FORK
, UT
, 84003-2527
Practice Phone
: 801-216-8000;
Practice Fax
: 801-216-8001
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1619905197 -
DR.
DR.
SCOTT
ALAN
PROTZMAN
M.D.
Other Name
:
Mailing Address
:
1720 MURCHISON DR
EL PASO
TX
79902-2921
Phone
: 915-533-7465;
Fax
: 915-534-1304;
Practice Location Address
:
1720 MURCHISON DR
,
, EL PASO
, TX
, 79902-2921
Practice Phone
: 915-533-7465;
Practice Fax
: 915-534-1304
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1528096005 -
DR.
DR.
SYED
G
SHAMIM
DOCTOR OF PHARMACY
Other Name
:
Mailing Address
:
17622 ESPRIT DR
TAMPA
FL
33647-2505
Phone
: 813-994-7511;
Fax
: ;
Practice Location Address
:
13000 BRUCE B DOWNS BLVD
,
, TAMPA
, FL
, 33612-4745
Practice Phone
: 813-972-7521;
Practice Fax
:
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1437187911 -
DEAN
NICHOLS
MD
Other Name
:
Mailing Address
:
8000 E MAPLEWOOD AVE
BLDG 5 STE 200
GREENWOOD VILLAGE
CO
80111-4727
Phone
: 303-438-3999;
Fax
: 720-439-9500;
Practice Location Address
:
455 SHERMAN ST
, STE 510
, DENVER
, CO
, 80203-4400
Practice Phone
: 303-377-6825;
Practice Fax
: 303-780-0787
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1346278827 -
MELVIN
PITTS
MD
Other Name
:
Mailing Address
:
8000 E MAPLEWOOD AVE
BLDG 5 STE 200
GREENWOOD VILLAGE
CO
80111-4727
Phone
: 303-438-3999;
Fax
: 720-439-9500;
Practice Location Address
:
8000 E MAPLEWOOD AVE
, BLDG 5 STE 200
, GREENWOOD VILLAGE
, CO
, 80111-4727
Practice Phone
: 303-438-3999;
Practice Fax
: 720-439-9500
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1255369732 -
DR.
DR.
STEPHANIE
J
SMITH
MD
Other Name
:
Mailing Address
:
PO BOX 551420
FORT LAUDERDALE
FL
33355-1420
Phone
: 800-243-3839;
Fax
: 954-839-2569;
Practice Location Address
:
1250 JESSE JEWELL PKWY SE STE 200
,
, GAINESVILLE
, GA
, 30501-3865
Practice Phone
: 770-297-7277;
Practice Fax
:
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1164450649 -
ROBERT
C
PHILIPS
DPM
Other Name
:
Mailing Address
:
134 RIVERSIDE DR
BINGHAMTON
NY
13905-4219
Phone
: 607-723-9018;
Fax
: 607-723-0715;
Practice Location Address
:
134 RIVERSIDE DR
,
, BINGHAMTON
, NY
, 13905-4219
Practice Phone
: 607-723-9018;
Practice Fax
: 607-723-0715
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1073541553 -
HY-VEE INC
Other Name
:
Mailing Address
:
PO BOX 850442
MINNEAPOLIS
MN
55485-0442
Phone
: 515-267-2800;
Fax
: 515-559-2593;
Practice Location Address
:
3140 AGENCY ST
,
, BURLINGTON
, IA
, 52601-1977
Practice Phone
: 319-752-2773;
Practice Fax
: 319-754-8440
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1982632469 -
DR.
DR.
BARRY
E
BRAND
M.D.
Other Name
:
Mailing Address
:
8240 SW 160TH ST
VILLAGE OF PALMETTO BAY
FL
33157-3651
Phone
: 305-235-5736;
Fax
: 305-662-9515;
Practice Location Address
:
9555 N KENDALL DR
, SUITE 100
, MIAMI
, FL
, 33176-1978
Practice Phone
: 305-273-7319;
Practice Fax
: 305-662-9515
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1891723383 -
GABRIEL
NICOLAS
CONTRERAS
MD, MPH
Other Name
:
GABRIEL
NICOLAS
CONTRERAS MARTIN
Mailing Address
:
1500 NW 12TH AVE
JMT - EAST 1007
MIAMI
FL
33136-1051
Phone
: 305-243-4664;
Fax
: 305-243-9927;
Practice Location Address
:
1611 NW 12TH AVE
, BOX 016960 M851
, MIAMI
, FL
, 33136-1005
Practice Phone
: 305-585-1111;
Practice Fax
: 305-243-8470
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1700814290 -
MICHELE
M
SHOBER
D.O.
Other Name
:
Mailing Address
:
708 N JEFFERSON ST
NEW CASTLE
PA
16101-2178
Phone
: 724-658-5597;
Fax
: 724-658-8364;
Practice Location Address
:
708 N JEFFERSON ST
,
, NEW CASTLE
, PA
, 16101-2178
Practice Phone
: 724-658-5597;
Practice Fax
: 724-658-8364
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1619905106 -
EUGENE
M
COOPER
MD, MHA
Other Name
:
Mailing Address
:
5064 SW 141ST AVE
MIRAMAR
FL
33027-5965
Phone
: 305-829-5449;
Fax
: 305-243-8470;
Practice Location Address
:
1611 NW 12TH AVE
, BOX 016960 M851
, MIAMI
, FL
, 33136-1005
Practice Phone
: 305-243-4664;
Practice Fax
: 305-243-8470
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1528096013 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1437187929 -
WILLIAM
GRADISHAR
MD
Other Name
:
Mailing Address
:
680 N LAKE SHORE DR
SUITE 1000
CHICAGO
IL
60611-4546
Phone
: 312-695-9797;
Fax
: ;
Practice Location Address
:
675 N SAINT CLAIR ST
, GALTER 21-100
, CHICAGO
, IL
, 60611-5975
Practice Phone
: 312-695-0990;
Practice Fax
: 312-695-1106
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1346278835 -
KENNETH
DUANE
BOWMAN
M.D.
Other Name
:
Mailing Address
:
11995 SINGLETREE LN STE 500
EDEN PRAIRIE
MN
55344-5349
Phone
: 952-595-1301;
Fax
: 612-294-4903;
Practice Location Address
:
11995 SINGLETREE LN STE 500
,
, EDEN PRAIRIE
, MN
, 55344-5349
Practice Phone
: 952-595-1301;
Practice Fax
: 612-294-4903
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1255369740 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1164450656 -
DR.
DR.
DEEPA
CHADHA
MD
Other Name
:
Mailing Address
:
630 W 168TH ST # MC28
NEW YORK
NY
10032-3725
Phone
: 212-305-1948;
Fax
: 212-305-5777;
Practice Location Address
:
630 W 168TH ST # MC28
,
, NEW YORK
, NY
, 10032-3725
Practice Phone
: 212-305-1948;
Practice Fax
: 212-305-5777
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1073541561 -
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Other Name
:
Mailing Address
:
PO BOX 17366
AUSTIN
TX
78760-7366
Phone
: 512-978-9074;
Fax
: 512-978-9013;
Practice Location Address
:
500 E 7TH ST
,
, AUSTIN
, TX
, 78701-3319
Practice Phone
: 512-978-9920;
Practice Fax
: 512-901-9762
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1982632477 -
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Other Name
:
Mailing Address
:
PO BOX 17366
AUSTIN
TX
78760-7366
Phone
: 512-978-9000;
Fax
: 512-978-9001;
Practice Location Address
:
211 COMAL ST
,
, AUSTIN
, TX
, 78702-4326
Practice Phone
: 512-978-9200;
Practice Fax
: 512-978-9220
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1790713287 -
MRS.
MRS.
NAYDA
I
PEREZ
MSW
Other Name
:
Mailing Address
:
CALLE 3 D-12
URB SANTA FSIDRA III
FAJARDO
PR
00738
Phone
: 787-860-3601;
Fax
: ;
Practice Location Address
:
AVE FERNANDEZ JUNCOS CALLE MOLINILLOS
, CAROLINA MEDICAL PLAZA A1
, CAROLINA
, PR
, 00985
Practice Phone
: 787-641-0774;
Practice Fax
: 787-641-2759
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1609804194 -
GLADYNELL
NEGRON
MSW
Other Name
:
Mailing Address
:
PO BOX 71474
APS CLINICS OF PR INC
SAN JUAN
PR
00936-8574
Phone
: ;
Fax
: ;
Practice Location Address
:
CENTRO COMERCIAL JARDINES DE NARAJITO
, NARANJITO OFFICCE
, NARANJITO
, PR
, 00719
Practice Phone
: 787-641-0773;
Practice Fax
: 787-641-2749
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1518995000 -
BECK'S HEALTHCARE, LLC
Other Name
:
Mailing Address
:
PO BOX 1947
CLAYTON
GA
30525-0049
Phone
: 706-244-1096;
Fax
: 706-782-5044;
Practice Location Address
:
3886 GA HIGHWAY 17 RD
, SUITE A-5
, EASTANOLLEE
, GA
, 30538-3810
Practice Phone
: 706-244-1096;
Practice Fax
: 706-782-5024
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1427086917 -
MARN PROSTHETIC LABORATORY MEDICAL CENTER INC
Other Name
:
Mailing Address
:
PO BOX 29431
SAN JUAN
PR
00929-0431
Phone
: 787-769-6849;
Fax
: 787-769-6849;
Practice Location Address
:
AVE ITURREGUI OE 12
, 4TA EXT COUNTRY CLUB
, CAROLINA
, PR
, 00982
Practice Phone
: 787-769-6849;
Practice Fax
: 787-769-6849
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1336177823 -
DR.
DR.
PETER
ANTHONY
RIENZI
M.D.
Other Name
:
Mailing Address
:
711 TROY SCHENECTADY RD STE 203
LATHAM
NY
12110-2461
Phone
: 518-782-3700;
Fax
: 518-782-3799;
Practice Location Address
:
2546 BALLTOWN RD
, SUITE 200
, SCHENECTADY
, NY
, 12309-1079
Practice Phone
: 518-374-1444;
Practice Fax
: 518-374-0491
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1245268739 -
DARREN
J
WEINHEIMER
DPM
Other Name
:
Mailing Address
:
134 RIVERSIDE DR
BINGHAMTON
NY
13905-4219
Phone
: 607-734-9539;
Fax
: 607-723-0715;
Practice Location Address
:
134 RIVERSIDE DR
,
, BINGHAMTON
, NY
, 13905-4219
Practice Phone
: 607-734-9539;
Practice Fax
: 607-723-0715
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1154359644 -
MRS.
MRS.
KATHERINE
M
SOMMER
RD
Other Name
:
KATHERINE
M
SOMMER
Mailing Address
:
3018 N PATTERSON ST
VALDOSTA
GA
31602-1711
Phone
: 229-249-4121;
Fax
: 229-249-4031;
Practice Location Address
:
2501 N PATTERSON ST
,
, VALDOSTA
, GA
, 31602-1735
Practice Phone
: 229-259-4139;
Practice Fax
: 229-259-4925
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1063440550 -
HY-VEE INC
Other Name
:
Mailing Address
:
PO BOX 850442
MINNEAPOLIS
MN
55485-0442
Phone
: 515-267-2800;
Fax
: ;
Practice Location Address
:
1843 JOHNSON AVE NW
,
, CEDAR RAPIDS
, IA
, 52405-4752
Practice Phone
: 515-453-2784;
Practice Fax
: 515-327-2162
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1972531465 -
MRS.
MRS.
CYNTHIA
JO
ROE
ARNP
Other Name
:
CYNTHIA
JO
LONG-ROE
Mailing Address
:
106 BURR AVE
PAULS VALLEY
OK
73075-3848
Phone
: 405-238-4633;
Fax
: 405-238-4690;
Practice Location Address
:
106 BURR AVE.
,
, PAULS VALLEY
, OK
, 73075
Practice Phone
: 405-238-4633;
Practice Fax
: 405-238-4690
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1881622371 -
KELLY
M
KASPER
MD
Other Name
:
Mailing Address
:
PO BOX 44730
INDIANAPOLIS
IN
46244-0730
Phone
: 317-274-7879;
Fax
: 317-278-9918;
Practice Location Address
:
550 UNIVERSITY BLVD
, UH 2440
, INDIANAPOLIS
, IN
, 46202-5149
Practice Phone
: 317-274-1661;
Practice Fax
: 317-278-9918
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1699703181 -
KATHLEEN
COOK
CRNA
Other Name
:
Mailing Address
:
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
97239-3011
Phone
: ;
Fax
: ;
Practice Location Address
:
3181 SW SAM JACKSON PARK RD
,
, PORTLAND
, OR
, 97239-3011
Practice Phone
: 503-494-0924;
Practice Fax
:
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1508894098 -
TIMOTHY
J
SCHAEFER
M.D.
Other Name
:
Mailing Address
:
530 NE GLEN OAK AVE
PEORIA
IL
61637-0001
Phone
: 309-655-2000;
Fax
: 309-655-7869;
Practice Location Address
:
530 NE GLEN OAK AVE
,
, PEORIA
, IL
, 61637-0001
Practice Phone
: 309-655-2553;
Practice Fax
: 309-655-2602
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1417985904 -
DOROTHY
MOCK
PA
Other Name
:
Mailing Address
:
PO BOX 6010
HAUPPAUGE
NY
11788-9010
Phone
: 631-232-4000;
Fax
: ;
Practice Location Address
:
1000 MONTAUK HWY
,
, WEST ISLIP
, NY
, 11795-4927
Practice Phone
: 631-376-3000;
Practice Fax
:
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1326076811 -
DR.
DR.
JAMES
PAUL
RUPP
M.D.
Other Name
:
Mailing Address
:
21444 CARMEAN WAY
GEORGETOWN
DE
19947
Phone
: 302-855-2020;
Fax
: 302-855-2025;
Practice Location Address
:
21444 CARMEAN WAY
,
, GEORGETOWN
, DE
, 19947
Practice Phone
: 302-855-2020;
Practice Fax
: 302-855-2025
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1235167727 -
DR.
DR.
DANIEL
EDMOND
MYERS
D.D.S
Other Name
:
Mailing Address
:
3113 FLEUR DE LIS DR
MEQUON
WI
53092-2302
Phone
: ;
Fax
: ;
Practice Location Address
:
347 PARK AVE
,
, PEWAUKEE
, WI
, 53072-3413
Practice Phone
: 262-691-1000;
Practice Fax
:
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1144258633 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1053349548 -
DR.
DR.
ROBERT
A
HODGE
PHARMD
Other Name
:
Mailing Address
:
112 BOONEWOOD PRIVATE DR
PINEY FLATS
TN
37686-3611
Phone
: 423-335-6047;
Fax
: ;
Practice Location Address
:
112 BOONEWOOD PRIVATE DR
,
, PINEY FLATS
, TN
, 37686-3611
Practice Phone
: 423-335-6047;
Practice Fax
:
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1962430454 -
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Mailing Address
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Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1871521369 -
DR.
DR.
MARK
JOHN
DIAMOND
D.D.S.
Other Name
:
Mailing Address
:
500 ENTERPRISE DR
SCARBOROUGH
ME
04074-7646
Phone
: 207-883-4285;
Fax
: 207-883-9891;
Practice Location Address
:
500 ENTERPRISE DR
,
, SCARBOROUGH
, ME
, 04074-7646
Practice Phone
: 207-883-4285;
Practice Fax
: 207-883-9891
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1780612275 -
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Other Name
:
Mailing Address
:
PO BOX 17366
AUSTIN
TX
78760-7366
Phone
: 512-978-9000;
Fax
: 512-978-9001;
Practice Location Address
:
2529 S 1ST ST
,
, AUSTIN
, TX
, 78704-5466
Practice Phone
: 512-978-9500;
Practice Fax
: 512-978-9558
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1194753681 -
DR.
DR.
FELICIA
A
WAGMAN
M.D.
Other Name
:
Mailing Address
:
367 S. GULPH RD
ATTN: IPM CREDENTIALING
KING OF PRUSSIA
PA
19406-3121
Phone
: 941-782-2800;
Fax
: ;
Practice Location Address
:
8340 LAKEWOOD RANCH BLVD STE 210
,
, LAKEWOOD RANCH
, FL
, 34202
Practice Phone
: 941-782-2800;
Practice Fax
: 941-782-2513
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1003844598 -
MS.
MS.
JENNIFER
L
CUDZIL
PT
Other Name
:
Mailing Address
:
29 KOSCIUSZKO ST
MANCHESTER
NH
03101-1608
Phone
: 603-668-1106;
Fax
: 603-668-6533;
Practice Location Address
:
29 KOSCIUSZKO ST
,
, MANCHESTER
, NH
, 03101-1608
Practice Phone
: 603-668-1106;
Practice Fax
: 603-668-6533
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