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Showing codes 1780616110 — 1386676807
1780616110 -
CENLA CASE MANAGEMENT, LLC
Other Name
:
Mailing Address
:
5808 HIGHWAY 28 EAST
PINEVILLE
LA
71360
Phone
: 318-484-9247;
Fax
: 318-484-9600;
Practice Location Address
:
5808 HIGHWAY 28 EAST
,
, PINEVILLE
, LA
, 71360
Practice Phone
: 318-484-9247;
Practice Fax
: 318-484-9600
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1598797920 -
MRS.
MRS.
PATRICIA
ANN
GRENZENBACH
ARNP
Other Name
:
Mailing Address
:
7295 6TH ST
VERO BEACH
FL
32968-9692
Phone
: 772-778-5612;
Fax
: 772-778-5612;
Practice Location Address
:
7295 6TH ST
,
, VERO BEACH
, FL
, 32968-9692
Practice Phone
: 772-778-5612;
Practice Fax
: 772-778-5612
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1316979743 -
ANILKUMAR
S
POTDAR
M.D
Other Name
:
Mailing Address
:
150 DEBRA RD
CHATTANOOGA
TN
37411-5616
Phone
: ;
Fax
: ;
Practice Location Address
:
150 DEBRA RD
,
, CHATTANOOGA
, TN
, 37411-5616
Practice Phone
: 423-893-6500;
Practice Fax
:
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1225060650 -
HAWAII FAMILY MEDICAL CENTERS INC
Other Name
:
Mailing Address
:
SEVEN WATERFRONT PLAZA
500 ALA MOANA BLVD., SUITE 300
HONOLULU
HI
96813
Phone
: 808-537-5512;
Fax
: 808-533-1482;
Practice Location Address
:
SEVEN WATERFRONT PLAZA
, 500 ALA MOANA BLVD., SUITE 300
, HONOLULU
, HI
, 96813
Practice Phone
: 808-537-5512;
Practice Fax
: 808-533-1482
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1134151566 -
JEANETTE
A
BOOHENE
MD
Other Name
:
Mailing Address
:
40 S MAIN ST STE 1300
MEMPHIS
TN
38103-5513
Phone
: 866-949-0108;
Fax
: ;
Practice Location Address
:
15333 N PIMA RD STE 305
,
, SCOTTSDALE
, AZ
, 85260-2717
Practice Phone
: 866-949-0108;
Practice Fax
:
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1043242472 -
FLORIDA NEUROLOGIC ASSOCIATES PA
Other Name
:
Mailing Address
:
21150 BISCAYNE BLVD
SUITE 201
AVENTURA
FL
33180-1226
Phone
: 305-936-9393;
Fax
: 305-936-9650;
Practice Location Address
:
21150 BISCAYNE BLVD STE 201
,
, AVENTURA
, FL
, 33180-1231
Practice Phone
: 305-936-9393;
Practice Fax
: 305-936-9650
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1861424293 -
DR.
DR.
YOUNG
HEE
KANG
MD
Other Name
:
Mailing Address
:
107 S ELMS ST
WELSH
LA
70591-4211
Phone
: 337-734-4730;
Fax
: 337-734-4730;
Practice Location Address
:
107 S ELMS ST
,
, WELSH
, LA
, 70591-4211
Practice Phone
: 337-734-4730;
Practice Fax
: 337-734-4730
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1770515108 -
MS.
MS.
THAO
NGO
MD
Other Name
:
Mailing Address
:
217 OVINGTON AVENUE
BROOKLYN
NY
11209
Phone
: 718-238-0098;
Fax
: 718-836-6849;
Practice Location Address
:
217 OVINGTON AVENUE
,
, BROOKLYN
, NY
, 11209
Practice Phone
: 718-238-0098;
Practice Fax
: 718-836-6849
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1689606014 -
DR.
DR.
LOREN
A
RAYMOND
DMD
Other Name
:
Mailing Address
:
4322 CLEVELAND MASSILLON RD
NORTON
OH
44203-5718
Phone
: 330-825-4549;
Fax
: 330-825-7360;
Practice Location Address
:
4322 CLEVELAND MASSILLON RD
,
, NORTON
, OH
, 44203-5718
Practice Phone
: 330-825-4549;
Practice Fax
: 330-825-7360
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1497787824 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1053343491 -
TRACY
LEE
VAN ZALINGEN
CNP
Other Name
:
TRACY
LEE
GANTNER
Mailing Address
:
400 E 3RD ST
DULUTH
MN
55805-1951
Phone
: 218-786-8364;
Fax
: ;
Practice Location Address
:
400 E 3RD ST
,
, DULUTH
, MN
, 55805-1951
Practice Phone
: 218-786-8364;
Practice Fax
:
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1962434308 -
EILEEN
DEMARCO
M.D.
Other Name
:
Mailing Address
:
622 W 168TH ST
NEW YORK
NY
10032-3720
Phone
: 212-305-4098;
Fax
: ;
Practice Location Address
:
161 FORT WASHINGTON AVE
,
, NEW YORK
, NY
, 10032-3729
Practice Phone
: 212-305-1517;
Practice Fax
:
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1295767630 -
HENRY FORD MAPLEGROVE CENTER
Other Name
:
Mailing Address
:
6773 W MAPLE RD
WEST BLOOMFIELD
MI
48322-3013
Phone
: 248-661-6100;
Fax
: 248-661-7347;
Practice Location Address
:
6773 W MAPLE RD
,
, WEST BLOOMFIELD
, MI
, 48322-3013
Practice Phone
: 248-661-6100;
Practice Fax
: 248-661-7347
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1720010168 -
PRO-REHAB SERVICES, P.C.
Other Name
:
Mailing Address
:
6400 W COLLEGE DR
SUITE 800
PALOS HEIGHTS
IL
60463-1785
Phone
: 708-489-6777;
Fax
: 708-489-6303;
Practice Location Address
:
6400 W COLLEGE DR
, SUITE 800
, PALOS HEIGHTS
, IL
, 60463-1785
Practice Phone
: 708-489-6777;
Practice Fax
: 708-489-6303
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1639101074 -
MRS.
MRS.
MICHELE
A WATSON
PAGE
ARNP
Other Name
:
Mailing Address
:
PO BOX 918025
ORLANDO
FL
32891-8025
Phone
: ;
Fax
: ;
Practice Location Address
:
6500 W NEWBERRY RD
,
, GAINESVILLE
, FL
, 32605-4309
Practice Phone
: 352-333-5880;
Practice Fax
: 352-333-5888
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1265464549 -
DR.
DR.
ELIZABETH
L.
CHMELIK
MD
Other Name
:
ELIZABETH
LYNN
CHMELIK
Mailing Address
:
1660 S STAPLES ST
STE 150
CORPUS CHRISTI
TX
78404-3173
Phone
: 361-800-8155;
Fax
: 361-882-2590;
Practice Location Address
:
1660 S STAPLES ST
, STE 150
, CORPUS CHRISTI
, TX
, 78404-3173
Practice Phone
: 361-800-8155;
Practice Fax
: 361-882-2590
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1174555452 -
FONTENOT HEALTHCARE, INC
Other Name
:
Mailing Address
:
504 JACK MILLER ROAD, STE. 1
VILLE PLATTE
LA
70586
Phone
: 337-363-4499;
Fax
: 337-363-4990;
Practice Location Address
:
504 JACK MILLER ROAD, STE. 1
,
, VILLE PLATTE
, LA
, 70586
Practice Phone
: 337-363-4499;
Practice Fax
: 337-363-4990
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1083646368 -
PATRICIA
A
CROSS
MD
Other Name
:
Mailing Address
:
PO BOX 415348
BOSTON
MA
02241-5348
Phone
: 800-225-8885;
Fax
: 583-334-1977;
Practice Location Address
:
60 HOSPITAL RD
,
, LEOMINSTER
, MA
, 01453-2205
Practice Phone
: 978-466-2682;
Practice Fax
:
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1891727178 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1700818085 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1619909991 -
SYED
MAHMOOD
HASAN
M.D.
Other Name
:
Mailing Address
:
6626 E 75TH STREET
SUITE 500
INDIANAPOLIS
IN
46250-2890
Phone
: 317-621-7561;
Fax
: 317-355-6096;
Practice Location Address
:
7165 CLEARVISTA WAY
,
, INDIANAPOLIS
, IN
, 46256-4621
Practice Phone
: 317-621-5100;
Practice Fax
: 317-621-7896
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1528090800 -
KAREN
E.
LEITZEL
M.D.
Other Name
:
Mailing Address
:
1040 SIERRA DR
SUITE 400
GREENWOOD
IN
46143-7241
Phone
: 317-528-4284;
Fax
: 317-865-8355;
Practice Location Address
:
1201 S MAIN ST
, ATTN: ER DEPT
, CROWN POINT
, IN
, 46307-8481
Practice Phone
: 219-757-3218;
Practice Fax
: 219-757-6882
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1437181716 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1346272622 -
DR.
DR.
STEVEN
JAKOBSEN
D.C.
Other Name
:
Mailing Address
:
3466 MT DIABLO BLVD STE C203
LAFAYETTE
CA
94549-3982
Phone
: 925-283-8140;
Fax
: 925-283-8224;
Practice Location Address
:
3466 MT DIABLO BLVD STE C203
,
, LAFAYETTE
, CA
, 94549-3982
Practice Phone
: 925-283-8140;
Practice Fax
: 925-283-8224
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1255363537 -
DR.
DR.
GEORGE
B
INGE
MD
Other Name
:
Mailing Address
:
3 MOBILE INFIRMARY CIR
SUITE 213
MOBILE
AL
36607-3520
Phone
: 251-438-4200;
Fax
: 251-438-4211;
Practice Location Address
:
3 MOBILE INFIRMARY CIR
, SUITE 213
, MOBILE
, AL
, 36607-3520
Practice Phone
: 251-438-4200;
Practice Fax
: 251-438-4211
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1164454443 -
MRS.
MRS.
LAURALEE
SCOTT
C-FNP
Other Name
:
Mailing Address
:
500 FOOTHILL BLVD
SALT LAKE CITY
UT
84148-0001
Phone
: 801-582-1565;
Fax
: ;
Practice Location Address
:
500 FOOTHILL BLVD
,
, SALT LAKE CITY
, UT
, 84148-0001
Practice Phone
: 801-582-1565;
Practice Fax
:
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1073545356 -
MATTHEW
FOLEY
MD
Other Name
:
Mailing Address
:
200 GROTON RD
RADIOLOGY DEPARTMENT
AYER
MA
01432-1168
Phone
: 978-784-9270;
Fax
: ;
Practice Location Address
:
200 GROTON RD
, RADIOLOGY DEPARTMENT
, AYER
, MA
, 01432-1168
Practice Phone
: 978-784-9270;
Practice Fax
:
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1982636262 -
DR.
DR.
JOHN
SUSUMU
MCCALL
M.D.
Other Name
:
Mailing Address
:
PO BOX 661360
ARCADIA
CA
91066-1360
Phone
: 626-447-0296;
Fax
: 626-447-6057;
Practice Location Address
:
1300 W 7TH ST
,
, SAN PEDRO
, CA
, 90732-3505
Practice Phone
: 310-514-5350;
Practice Fax
: 310-514-5421
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1790717072 -
MARGARET
DELL
C.P.N.P., M.S.N.
Other Name
:
Mailing Address
:
1 PERKINS SQ
AKRON
OH
44308-1063
Phone
: 330-543-8050;
Fax
: 330-543-8054;
Practice Location Address
:
1 PERKINS SQ
,
, AKRON
, OH
, 44308-1063
Practice Phone
: 330-543-8050;
Practice Fax
: 330-543-8054
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1609808989 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518999895 -
MICHAEL
DAVID
MCKENZIE
M.D.
Other Name
:
Mailing Address
:
218 N MAIN ST
NATICK
MA
01760-1139
Phone
: 508-647-4955;
Fax
: 508-647-4956;
Practice Location Address
:
218 N MAIN ST
,
, NATICK
, MA
, 01760-1139
Practice Phone
: 508-647-4955;
Practice Fax
: 508-647-4956
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1427080704 -
ROBERT
GROSS
MD MSCE
Other Name
:
Mailing Address
:
3400 SPRUCE ST
PHILADELPHIA
PA
19104-4206
Phone
: ;
Fax
: ;
Practice Location Address
:
3400 SPRUCE ST
,
, PHILADELPHIA
, PA
, 19104
Practice Phone
: 215-662-6932;
Practice Fax
: 215-662-7899
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1336171610 -
JANICE
K
HILLMAN
MD
Other Name
:
Mailing Address
:
250 KING OF PRUSSIA RD
SUITE 2C PENN MED AT RADNOR
RADNOR
PA
19087
Phone
: ;
Fax
: ;
Practice Location Address
:
250 KING OF PRUSSIA RD
, STE 2C PENN MEDICINE AT RADNOR
, RADNOR
, PA
, 19087
Practice Phone
: 610-902-2450;
Practice Fax
:
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1245262526 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1154353431 -
PATRICK
HAMPTON
LILLARD
CRNA
Other Name
:
Mailing Address
:
200 1ST ST SW
ROCHESTER
MN
55905-1510
Phone
: 715-838-5222;
Fax
: ;
Practice Location Address
:
1222 E WOODLAND AVE
,
, BARRON
, WI
, 54812-1765
Practice Phone
: 715-838-5222;
Practice Fax
:
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1063444347 -
CAROLINA FAMILY PRACTICE
Other Name
:
Mailing Address
:
PO BOX 5731
COLUMBIA
SC
29250-5731
Phone
: 803-256-2500;
Fax
: 803-758-1726;
Practice Location Address
:
1410 BLANDING ST STE 102
,
, COLUMBIA
, SC
, 29201
Practice Phone
: 803-256-2500;
Practice Fax
: 803-777-2027
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1972535250 -
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC
Other Name
:
Mailing Address
:
3502 W NORTHSIDE DR
JACKSON
MS
39213-4454
Phone
: 601-362-5321;
Fax
: 601-364-2600;
Practice Location Address
:
3502 W NORTHSIDE DR
,
, JACKSON
, MS
, 39213-4454
Practice Phone
: 601-362-5321;
Practice Fax
: 601-364-2600
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1881626166 -
DR.
DR.
CHAD
DAVID
HEATH
D.D.S.
Other Name
:
Mailing Address
:
615 BURKARTH RD STE A
WARRENSBURG
MO
64093-1487
Phone
: 660-747-6206;
Fax
: 660-747-2615;
Practice Location Address
:
1301 SHAMROCK CT
,
, WARRENSBURG
, MO
, 64093-2490
Practice Phone
: 660-747-6206;
Practice Fax
: 660-747-2615
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1699707976 -
DR.
DR.
KAREN
FORD
D.C.
Other Name
:
Mailing Address
:
3466 MT DIABLO BLVD STE C203
LAFAYETTE
CA
94549-3982
Phone
: 925-283-8140;
Fax
: 925-283-8224;
Practice Location Address
:
3466 MT DIABLO BLVD STE C203
,
, LAFAYETTE
, CA
, 94549-3982
Practice Phone
: 925-283-8140;
Practice Fax
: 925-283-8224
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1508898883 -
DR.
DR.
JEFFREY
W.
WOOD
DC FIACA
Other Name
:
Mailing Address
:
426 N A ST
ARKANSAS CITY
KS
67005-2208
Phone
: 620-442-8900;
Fax
: 620-442-8927;
Practice Location Address
:
426 N A ST
,
, ARKANSAS CITY
, KS
, 67005-2208
Practice Phone
: 620-442-8900;
Practice Fax
: 620-442-8927
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1417989799 -
JANET
MARIE
PENA
O.D.
Other Name
:
Mailing Address
:
4517 GRAND LAKE DR
CORPUS CHRISTI
TX
78413-5268
Phone
: 361-658-8436;
Fax
: ;
Practice Location Address
:
1253 US HIGHWAY 181
,
, PORTLAND
, TX
, 78374-1721
Practice Phone
: 361-643-1516;
Practice Fax
: 361-643-7479
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1326070608 -
DR.
DR.
KAISA
MCDONNALL
COPPOLA
D.C.
Other Name
:
Mailing Address
:
30270 RANCHO VIEJO RD
SUITE G
SAN JUAN CAPISTRANO
CA
92675-1556
Phone
: 949-545-6116;
Fax
: 949-545-6117;
Practice Location Address
:
30270 RANCHO VIEJO RD
, SUITE G
, SAN JUAN CAPISTRANO
, CA
, 92675-1556
Practice Phone
: 949-545-6116;
Practice Fax
: 949-545-6117
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1417989922 -
LONGS DRUG STORES CALIFORNIA LLC
Other Name
:
Mailing Address
:
1 CVS DR
BOX 1075
WOONSOCKET
RI
02895-6146
Phone
: 401-765-1500;
Fax
: 401-770-7108;
Practice Location Address
:
102 N SAN GABRIEL BLVD
,
, SAN GABRIEL
, CA
, 91775-2427
Practice Phone
: 626-237-2054;
Practice Fax
: 626-237-2058
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1326070830 -
DR.
DR.
GILBERT
YOUDEEM
DC
Other Name
:
Mailing Address
:
9919 WALKER ST
CYPRESS
CA
90630-3827
Phone
: 714-527-7463;
Fax
: 714-527-8962;
Practice Location Address
:
9919 WALKER ST
,
, CYPRESS
, CA
, 90630-3827
Practice Phone
: 714-527-7463;
Practice Fax
: 714-527-8962
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1235161746 -
AMERICA'S BEST CONTACTS & EYEGLASSES
Other Name
:
Mailing Address
:
296 GRAYSON HWY
LAWRENCEVILLE
GA
30046-5737
Phone
: 770-822-3600;
Fax
: ;
Practice Location Address
:
4351 16TH ST
,
, MOLINE
, IL
, 61265-7009
Practice Phone
: 309-797-5900;
Practice Fax
:
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1144252651 -
MS.
MS.
DINA
M
TRAFICANTE
MPT
Other Name
:
Mailing Address
:
602 VONDERBURG DR
SUITE 201
BRANDON
FL
33511-5900
Phone
: 863-617-9400;
Fax
: ;
Practice Location Address
:
602 VONDERBURG DR
, SUITE 201
, BRANDON
, FL
, 33511-5900
Practice Phone
: 863-617-9400;
Practice Fax
:
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1053343566 -
SHARON
A.
STRONG
MD
Other Name
:
Mailing Address
:
2295 FOOTHILL DR
SALT LAKE CITY
UT
84109-4000
Phone
: 801-486-3021;
Fax
: 801-485-6339;
Practice Location Address
:
2295 FOOTHILL DR
,
, SALT LAKE CITY
, UT
, 84109-4000
Practice Phone
: 801-486-3021;
Practice Fax
: 801-485-6339
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1962434472 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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: ;
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:
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1871525386 -
DR.
DR.
SIXTO
GUIANG
III
M.D.
Other Name
:
Mailing Address
:
UNIVERSITY OF MINNESOTA PHYSICIANS
420 DELAWARE STREET SE, MMC 39
MINNEAPOLIS
MN
55455
Phone
: 612-626-0644;
Fax
: 612-624-8176;
Practice Location Address
:
UNIVERSITY OF MINNESOTA PHYSICIANS
, 516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
, MINNEAPOLIS
, MN
, 55455
Practice Phone
: 612-626-0644;
Practice Fax
:
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1780616292 -
MR.
MR.
ROCCO
PAUL
BAGALA
LICSW
Other Name
:
Mailing Address
:
1660 S COLUMBIAN WAY
VAPSHCS, SOCIAL WORK (S111-SW)
SEATTLE
WA
98108-1532
Phone
: 206-764-2531;
Fax
: 206-764-2514;
Practice Location Address
:
1660 S COLUMBIAN WAY
, VAPSHCS, SOCIAL WORK (S111-SW)
, SEATTLE
, WA
, 98108-1532
Practice Phone
: 206-764-2531;
Practice Fax
: 206-764-2514
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1598797003 -
JERRY ELLEN OWENSBY, M.D., P.C.
Other Name
:
Mailing Address
:
6242 E ARBOR AVE
SUITE 111
MESA
AZ
85206-1309
Phone
: 480-610-8183;
Fax
: 480-610-8566;
Practice Location Address
:
6242 E ARBOR AVE
, SUITE 111
, MESA
, AZ
, 85206-1309
Practice Phone
: 480-610-8183;
Practice Fax
: 480-610-8566
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1407888910 -
BRIAN
CHI-MING
FONG
MD
Other Name
:
Mailing Address
:
PO BOX 3360
PORTLAND
OR
97208-3360
Phone
: 866-747-2455;
Fax
: ;
Practice Location Address
:
4310 COLBY AVE
, SUITE 203
, EVERETT
, WA
, 98203-2338
Practice Phone
: 425-252-8102;
Practice Fax
: 425-339-0835
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1316979826 -
MRS.
MRS.
LULA
OWENS
HOSKINS
FNP
Other Name
:
Mailing Address
:
800 OHIO AVENUE
CLARKSDALE
MS
38614-7200
Phone
: 662-624-4292;
Fax
: 662-624-4354;
Practice Location Address
:
800 OHIO AVE
,
, CLARKSDALE
, MS
, 38614-7200
Practice Phone
: 662-624-4292;
Practice Fax
: 662-624-4354
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1225060734 -
CASCADE EMERGENCY PHYSICIANS INC.
Other Name
:
Mailing Address
:
PO BOX 920140
DALLAS
TX
75392-0140
Phone
: 877-346-2211;
Fax
: ;
Practice Location Address
:
202 N DIVISION ST
,
, AUBURN
, WA
, 98001-4939
Practice Phone
: 253-833-7711;
Practice Fax
:
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1134151640 -
RICHARD
S
SKOBLAR
MD
Other Name
:
Mailing Address
:
PO BOX 931286
CLEVELAND
OH
44193-1494
Phone
: 888-719-9012;
Fax
: ;
Practice Location Address
:
400 WABASH AVE
,
, AKRON
, OH
, 44307-2433
Practice Phone
: 330-384-6000;
Practice Fax
: 330-493-7123
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1043242555 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
9400 ROSECRANS AVE
,
, BELLFLOWER
, CA
, 90706-2246
Practice Phone
: 562-461-3000;
Practice Fax
:
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1952333460 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
441 N LAKEVIEW AVE
,
, ANAHEIM
, CA
, 92807-3028
Practice Phone
: 714-279-4000;
Practice Fax
:
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1861424376 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
3733 SAN DIMAS ST
,
, BAKERSFIELD
, CA
, 93301-1407
Practice Phone
: 800-353-5400;
Practice Fax
:
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1770515280 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
1011 BALDWIN PARK BLVD
,
, BALDWIN PARK
, CA
, 91706-5806
Practice Phone
: 626-851-1011;
Practice Fax
:
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1689606196 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
9961 SIERRA AVE
,
, FONTANA
, CA
, 92335-6720
Practice Phone
: 909-427-3910;
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:
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1598797011 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
25825 VERMONT AVE
,
, HARBOR CITY
, CA
, 90710-3518
Practice Phone
: 310-325-5111;
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:
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1407888928 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
13652 CANTARA ST
,
, PANORAMA CITY
, CA
, 91402-5423
Practice Phone
: 818-375-2000;
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:
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1316979834 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
10800 MAGNOLIA AVE
,
, RIVERSIDE
, CA
, 92505-3043
Practice Phone
: 866-984-7483;
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:
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1225060742 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
4647 ZION AVE
,
, SAN DIEGO
, CA
, 92120-2507
Practice Phone
: 619-528-5000;
Practice Fax
:
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1134151657 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
4760 W SUNSET BLVD
,
, LOS ANGELES
, CA
, 90027-6063
Practice Phone
: 323-783-4011;
Practice Fax
:
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1043242563 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
6041 CADILLAC AVE
,
, LOS ANGELES
, CA
, 90034-1702
Practice Phone
: 323-857-2000;
Practice Fax
:
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1952333478 -
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Other Name
:
Mailing Address
:
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA
CA
91188-0001
Phone
: 626-405-7914;
Fax
: 626-405-4600;
Practice Location Address
:
5601 DE SOTO AVE
,
, WOODLAND HILLS
, CA
, 91367-6701
Practice Phone
: 818-719-2000;
Practice Fax
:
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1861424384 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1770515298 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1689606105 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1497787915 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1306878822 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1215969738 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1124050646 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1033141551 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1942232467 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1851323372 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1760414288 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1679505192 -
DONNA
JEAN
MARINELLI
NP
Other Name
:
Mailing Address
:
PO BOX 19305
CHARLOTTE
NC
28219-9305
Phone
: ;
Fax
: ;
Practice Location Address
:
4815 JOHNSTON OEHLER RD
, STE 200
, CHARLOTTE
, NC
, 28269-1065
Practice Phone
: 704-801-7410;
Practice Fax
:
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1588696009 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1396777819 -
MS.
MS.
NANCY
EGELHOFER
RD, LDN, CDE, CDOE
Other Name
:
Mailing Address
:
75 WESLEYAN AVE
WARWICK
RI
02886-5109
Phone
: 401-769-4100;
Fax
: 401-767-1663;
Practice Location Address
:
115 CASS AVE
, LANDMARK MEDICAL CENTER
, WOONSOCKET
, RI
, 02895-4705
Practice Phone
: 401-769-4100;
Practice Fax
: 401-767-1663
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1205868726 -
AMY
LYNN
CUMMISKEY
PA-C
Other Name
:
AMY
LYNN
WALLER
Mailing Address
:
615 E PRINCETON ST
SUITE 540
ORLANDO
FL
32803-1456
Phone
: 407-236-0006;
Fax
: 407-236-0007;
Practice Location Address
:
615 E PRINCETON ST
, SUITE 540
, ORLANDO
, FL
, 32803-1456
Practice Phone
: 407-236-0006;
Practice Fax
: 407-236-0007
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1114959632 -
ALLEGHENY HEALTHCARE NETWORK LLC
Other Name
:
Mailing Address
:
1699 WASHINGTON RD
STE 307
PITTSBURGH
PA
15228-1629
Phone
: 412-831-3744;
Fax
: 412-831-5663;
Practice Location Address
:
3109 FAIRWAY DR
,
, ALTOONA
, PA
, 16602-4475
Practice Phone
: 814-944-5835;
Practice Fax
:
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1023040540 -
MR.
MR.
ROBERT
VOORHEES
JR.
Other Name
:
Mailing Address
:
210 JUPITER LAKES BLVD
SUITE 5101
JUPITER
FL
33458-7191
Phone
: 561-741-1876;
Fax
: 888-721-1997;
Practice Location Address
:
210 JUPITER LAKES BLVD
, SUITE 5101
, JUPITER
, FL
, 33458-7191
Practice Phone
: 561-741-1876;
Practice Fax
: 888-721-1997
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1932131455 -
PEAK PHYSICAL THERAPY & SPORTS MEDICINE OF WYLIE
Other Name
:
Mailing Address
:
611 W BROWN ST STE 101
WYLIE
TX
75098-5816
Phone
: 972-442-5287;
Fax
: 972-442-3181;
Practice Location Address
:
611 W BROWN ST STE 101
,
, WYLIE
, TX
, 75098-5816
Practice Phone
: 972-442-5287;
Practice Fax
: 972-442-3181
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1841222361 -
JOEL
BERNARDO
CABALLES
M.D.
Other Name
:
Mailing Address
:
79 01 BROADWAY
ROOM A1-9
ELMHURST
NY
11373-1329
Phone
: 718-334-4952;
Fax
: 718-334-4815;
Practice Location Address
:
7901 BROADWAY
, ROOM A1-9
, ELMHURST
, NY
, 11373-1329
Practice Phone
: 718-334-4952;
Practice Fax
: 718-334-4815
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1750313276 -
AMERICA'S BEST CONTACTS & EYEGLASSES
Other Name
:
Mailing Address
:
296 GRAYSON HWY
LAWRENCEVILLE
GA
30046-5737
Phone
: 770-822-3600;
Fax
: ;
Practice Location Address
:
319 Q EAST BATTLEFIELD
, BATTLEFIELD PLAZA
, SPRINGFIELD
, MO
, 65807
Practice Phone
: 417-889-0500;
Practice Fax
:
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1669404182 -
DR.
DR.
LARRY
J
QUATE
M.D.
Other Name
:
Mailing Address
:
3000 NEW BERN AVE
RALEIGH
NC
27610-1231
Phone
: 919-350-8000;
Fax
: ;
Practice Location Address
:
3000 NEW BERN AVE
,
, RALEIGH
, NC
, 27610-1231
Practice Phone
: 919-350-8000;
Practice Fax
:
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1578595096 -
DR.
DR.
THOMAS
LANGWORTHY
LUZIER
M.D.
Other Name
:
Mailing Address
:
201 S LLOYD ST STE W110
ABERDEEN
SD
57401-4512
Phone
: 605-225-0025;
Fax
: ;
Practice Location Address
:
201 S LLOYD ST STE W110
,
, ABERDEEN
, SD
, 57401-4512
Practice Phone
: 605-225-0025;
Practice Fax
: 605-225-2259
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1487686903 -
RANDALL
WINSTON
WARING
M.D.
Other Name
:
Mailing Address
:
10470 OLD PLACERVILLE RD
SUITE 100
SACRAMENTO
CA
95827-2539
Phone
: 855-771-0335;
Fax
: ;
Practice Location Address
:
121 RALEY BLVD
,
, CHICO
, CA
, 95928-8347
Practice Phone
: 530-230-2000;
Practice Fax
: 530-898-8142
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1295767713 -
MR.
MR.
JEREMY
RICHARD
DIGIA
LMHC
Other Name
:
Mailing Address
:
850 N HARRISON ST
WARSAW
IN
46580-3163
Phone
: 574-267-7169;
Fax
: 574-269-3995;
Practice Location Address
:
850 N HARRISON ST
,
, WARSAW
, IN
, 46580-3163
Practice Phone
: 574-267-7169;
Practice Fax
: 574-269-3995
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1104858620 -
DR.
DR.
GRAHAM
R.
HURVITZ
M.D.
Other Name
:
Mailing Address
:
2936 DE LA VINA ST
FIRST FLOOR
SANTA BARBARA
CA
93105-3354
Phone
: 805-963-2729;
Fax
: 805-963-3818;
Practice Location Address
:
2936 DE LA VINA ST
, FIRST FLOOR
, SANTA BARBARA
, CA
, 93105-3354
Practice Phone
: 805-963-2729;
Practice Fax
: 805-963-3818
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1013949536 -
TOWNSHIP OF NEW JASPER
Other Name
:
Mailing Address
:
PO BOX 392907
PITTSBURGH
PA
15251-9907
Phone
: 800-962-1484;
Fax
: 513-772-4464;
Practice Location Address
:
3121 JASPER RD
,
, XENIA
, OH
, 45385-8412
Practice Phone
: 800-962-1484;
Practice Fax
: 513-772-4464
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1922030444 -
HERITAGE HEALTH CENTER INC
Other Name
:
Mailing Address
:
20696 BOND RD NE
SUITE 110
POULSBO
WA
98370
Phone
: 360-697-5500;
Fax
: 360-697-5522;
Practice Location Address
:
20696 BOND RD NE
, SUITE 110
, POULSBO
, WA
, 98370
Practice Phone
: 360-697-5500;
Practice Fax
: 360-697-5522
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1831121359 -
SHIRA
DORON
M.D.
Other Name
:
Mailing Address
:
750 WASHINGTON ST
BOSTON
MA
02111-1526
Phone
: 617-636-5000;
Fax
: ;
Practice Location Address
:
750 WASHINGTON ST
,
, BOSTON
, MA
, 02111-1526
Practice Phone
: 617-636-5000;
Practice Fax
:
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1740212265 -
RDG HEALTHCARE CORPORATION
Other Name
:
Mailing Address
:
25 RAILROAD SQ
SUITE 302
HAVERHILL
MA
01832-5721
Phone
: ;
Fax
: ;
Practice Location Address
:
59 MIDDLESEX AVE
,
, READING
, MA
, 01867-2533
Practice Phone
: 781-944-4410;
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:
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1659303170 -
DR.
DR.
THEODORE
G
GANIATS
M.D.
Other Name
:
Mailing Address
:
9500 GILMAN DR
MAIL CODE 0628
LA JOLLA
CA
92093-5004
Phone
: 858-534-6058;
Fax
: 858-534-7517;
Practice Location Address
:
200 W ARBOR DR
,
, SAN DIEGO
, CA
, 92103-9001
Practice Phone
: 858-534-6058;
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:
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1568494086 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1477585990 -
DR.
DR.
DEBORAH
LESLIE
KOS
PSY.D.
Other Name
:
Mailing Address
:
4810 HARDWARE DR NE STE 1
ALBUQUERQUE
NM
87109-2013
Phone
: 505-289-1392;
Fax
: 855-929-4848;
Practice Location Address
:
4810 HARDWARE DR NE
,
, ALBUQUERQUE
, NM
, 87109-2013
Practice Phone
: 505-273-4610;
Practice Fax
: 505-255-4717
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1386676807 -
AMERICA'S BEST CONTACTS & EYEGLASSES
Other Name
:
Mailing Address
:
296 GRAYSON HWY
LAWRENCEVILLE
GA
30046-5737
Phone
: 700-822-3600;
Fax
: ;
Practice Location Address
:
2639 E 32ND ST
,
, JOPLIN
, MO
, 64804-4320
Practice Phone
: 417-659-9494;
Practice Fax
:
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