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Showing codes 1710920111 — 1902849318
1710920111 -
DEREK
A
OTT
M.D.
Other Name
:
Mailing Address
:
8306 WILSHIRE BLVD
#501
BEVERLY HILLS
CA
90211-2382
Phone
: 310-613-2414;
Fax
: 805-494-8379;
Practice Location Address
:
10850 WILSHIRE BLVD
, SUITE 200
, LOS ANGELES
, CA
, 90024
Practice Phone
: 310-470-2033;
Practice Fax
: 310-394-3769
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1629011028 -
CHERYL
L
GREEN
Other Name
:
Mailing Address
:
3045 MARIETTA AVE
LANCASTER
PA
17601
Phone
: 717-898-2900;
Fax
: ;
Practice Location Address
:
3045 MARIETTA AVE
,
, LANCASTER
, PA
, 17601
Practice Phone
: 717-898-2900;
Practice Fax
:
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1538102934 -
DR.
DR.
CHARLES
KEITH
CONNOR
M.D.
Other Name
:
Mailing Address
:
PO BOX 911230
DALLAS
TX
75391-1230
Phone
: 972-997-8000;
Fax
: 972-437-9605;
Practice Location Address
:
3705 W 15TH ST
,
, PLANO
, TX
, 75075-7753
Practice Phone
: 972-867-3577;
Practice Fax
: 972-985-9433
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1447293840 -
DR.
DR.
JERRY
DEAN
FAIN
M.D.
Other Name
:
Mailing Address
:
PO BOX 911230
DALLAS
TX
75391-1230
Phone
: 972-997-8000;
Fax
: 972-234-0813;
Practice Location Address
:
901 W 38TH ST
, SUITE 200
, AUSTIN
, TX
, 78705-1165
Practice Phone
: 512-419-9733;
Practice Fax
: 512-451-3709
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1356384754 -
SCOTT
DOUGLAS MCCOSKEY
MILLER
MD
Other Name
:
Mailing Address
:
613 E BLOOMINGTON ST
SUITE 100
IOWA CITY
IA
52245-2601
Phone
: 319-339-3917;
Fax
: 319-358-2794;
Practice Location Address
:
613 E BLOOMINGTON ST
, SUITE 100
, IOWA CITY
, IA
, 52245-2601
Practice Phone
: 319-339-3917;
Practice Fax
: 319-358-2794
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1265475669 -
TIMOTHY
MYNES
DO
Other Name
:
Mailing Address
:
21054A TIMBERLAKE RD
LYNCHBURG
VA
24502-7327
Phone
: 740-357-7355;
Fax
: ;
Practice Location Address
:
21054A TIMBERLAKE RD
,
, LYNCHBURG
, VA
, 24502-7327
Practice Phone
: 740-357-7355;
Practice Fax
:
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1174566574 -
DR.
DR.
L
JOSEPH
PARKER
M.D.
Other Name
:
Mailing Address
:
820 S MAIN ST
HOPE
AR
71801-6523
Phone
: 870-777-8733;
Fax
: 870-495-2181;
Practice Location Address
:
502 E 24TH ST
,
, TEXARKANA
, AR
, 71854-3646
Practice Phone
: 870-826-7500;
Practice Fax
: 870-826-7500
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1083657480 -
TRACY
A.
PENN
P.A.-C
Other Name
:
TRACY
ANN
CRAWFORD
Mailing Address
:
P.O. BOX 989
604 EAKER ST. FRONTERA HEALTHCARE NETWORK, INC.
EDEN
TX
76837
Phone
: 325-869-5500;
Fax
: 325-869-5692;
Practice Location Address
:
2010 NINE ROAD
, REHAB. CENTER FRONTERA HEALTHCARE NETWORK, INC.
, BRADY
, TX
, 76825
Practice Phone
: 325-597-0102;
Practice Fax
: 325-597-2939
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1891738290 -
BRIAN
ENGDAHL
PHD
Other Name
:
Mailing Address
:
1 VETERANS DR
VA MEDICAL CENTER
MINNEAPOLIS
MN
55417-2309
Phone
: 612-725-2073;
Fax
: 612-727-5964;
Practice Location Address
:
1 VETERANS DR
, VA MEDICAL CENTER
, MINNEAPOLIS
, MN
, 55417-2309
Practice Phone
: 612-725-2073;
Practice Fax
: 612-727-5964
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1700829108 -
MARCO
BUSTAMANTE
MD
Other Name
:
Mailing Address
:
2523 31ST AVE
LONG ISLAND CITY
NY
11106-3665
Phone
: 718-777-2733;
Fax
: ;
Practice Location Address
:
2510 30TH AVE
,
, LONG ISLAND CITY
, NY
, 11102-2448
Practice Phone
: 718-267-4245;
Practice Fax
:
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1619910015 -
MR.
MR.
DAVID
LOWELL
RUMBERG
Other Name
:
Mailing Address
:
252 RURAL ACRES DR
BECKLEY
WV
25801-3503
Phone
: 304-255-6800;
Fax
: ;
Practice Location Address
:
252 RURAL ACRES DR
,
, BECKLEY
, WV
, 25801-3503
Practice Phone
: 304-255-6800;
Practice Fax
:
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1528001922 -
DR.
DR.
STEVEN
PAUL
COGSWELL
M.D.
Other Name
:
Mailing Address
:
4405 S BALDWIN RD STE D
LAKE ORION
MI
48359-2164
Phone
: 248-519-2322;
Fax
: 248-494-7141;
Practice Location Address
:
4405 S BALDWIN RD STE D
,
, LAKE ORION
, MI
, 48359
Practice Phone
: 248-519-2322;
Practice Fax
: 248-494-7141
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1437192838 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1346283744 -
PALO ALTO VAMC
Other Name
:
SAN JOSE VA CLINIC
Mailing Address
:
PO BOX 94415
CLEVELAND
OH
44101-4415
Phone
: 702-341-3020;
Fax
: ;
Practice Location Address
:
5855 SILVER CREEK VALLEY RD
,
, SAN JOSE
, CA
, 95138-1059
Practice Phone
: 702-341-3020;
Practice Fax
:
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1255374658 -
JONATHAN
D
HOSTETTER
CRNP
Other Name
:
Mailing Address
:
6 W NEWPORT RD
LITITZ
PA
17543-7774
Phone
: 717-627-2108;
Fax
: ;
Practice Location Address
:
6 W NEWPORT RD
,
, LITITZ
, PA
, 17543-7774
Practice Phone
: 717-627-2108;
Practice Fax
:
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1164465563 -
DR.
DR.
DAVID
WESLEY
GEORGE
M.D.
Other Name
:
Mailing Address
:
PO BOX 911230
DALLAS
TX
75391-1230
Phone
: 972-997-8000;
Fax
: 972-234-0813;
Practice Location Address
:
3107 HIGHWAY 71 EAST
,
, BASTROP
, TX
, 78602
Practice Phone
: 512-308-9024;
Practice Fax
: 512-308-9074
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1073556478 -
MRS.
MRS.
BROOKE
BOWER
RUGGLES
DPT
Other Name
:
Mailing Address
:
3008 SOMERSET DR
CHARLOTTE
NC
28209-1436
Phone
: 704-258-4801;
Fax
: ;
Practice Location Address
:
3008 SOMERSET DR
,
, CHARLOTTE
, NC
, 28209-1436
Practice Phone
: 704-258-4801;
Practice Fax
:
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1982647384 -
CRAIG
ADAMS
M.D.
Other Name
:
Mailing Address
:
2000 DILLOWAY DR
MIDLAND
MI
48640-6770
Phone
: 989-631-2889;
Fax
: 989-488-4475;
Practice Location Address
:
4005 ORCHARD DR
,
, MIDLAND
, MI
, 48670-0001
Practice Phone
: 989-839-3100;
Practice Fax
: 989-839-1393
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1790728194 -
BERTINA
HANSEN
BOYD
L.C.S.W.-C.
Other Name
:
Mailing Address
:
3175 W WARD RD
200
DUNKIRK
MD
20754-3024
Phone
: 410-286-0664;
Fax
: 410-286-2834;
Practice Location Address
:
3175 W WARD RD
, 200
, DUNKIRK
, MD
, 20754-3024
Practice Phone
: 410-286-0664;
Practice Fax
: 410-286-2834
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1609819002 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518900919 -
BRENT
N
BARRANCO
M.D.
Other Name
:
Mailing Address
:
513 BROOKWOOD BLVD
SUITE 401
BIRMINGHAM
AL
35209-6862
Phone
: 205-870-0256;
Fax
: 205-870-7107;
Practice Location Address
:
513 BROOKWOOD BLVD
, SUITE 401
, BIRMINGHAM
, AL
, 35209-6862
Practice Phone
: 205-870-0256;
Practice Fax
: 205-870-7107
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1427091826 -
MR.
MR.
RONALD
WAYNE
SECOY
PA-C
Other Name
:
Mailing Address
:
2220 W IOWA AVE
CHICKASHA
OK
73018-2738
Phone
: 405-779-2721;
Fax
: 405-779-2310;
Practice Location Address
:
113 S RUSH STREET
,
, RUSH SPRINGS
, OK
, 73082-0277
Practice Phone
: 580-476-2527;
Practice Fax
: 580-476-3707
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1336182732 -
MRS.
MRS.
LINDA
R
BARNES
LCSW, ACSW
Other Name
:
Mailing Address
:
432 HABERSHAM ST
SAVANNAH
GA
31401-5032
Phone
: 912-236-3712;
Fax
: ;
Practice Location Address
:
432 HABERSHAM ST
,
, SAVANNAH
, GA
, 31401-5032
Practice Phone
: 912-236-3712;
Practice Fax
:
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1245273648 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1154364552 -
MARIAN MANOR
Other Name
:
BETHANY HOUSE
Mailing Address
:
72 CHURCH GRN
TAUNTON
MA
02780-3445
Phone
: 508-822-9200;
Fax
: ;
Practice Location Address
:
72 CHURCH GRN
,
, TAUNTON
, MA
, 02780-3445
Practice Phone
: 508-822-9200;
Practice Fax
:
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1063455467 -
DR.
DR.
LAURA
LEE
SADLER
AU.D
Other Name
:
LAURA
LEE
SOLTISZ
Mailing Address
:
7251 ENGLE RD
SUITE 110
MIDDLEBURG HTS
OH
44130
Phone
: 440-234-5515;
Fax
: 440-234-5540;
Practice Location Address
:
7251 ENGLE RD
, SUITE 110
, MIDDLEBURG HTS
, OH
, 44130
Practice Phone
: 440-234-5515;
Practice Fax
: 440-234-5540
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1972546372 -
MR.
MR.
DEREK
J
BABIN
MPT
Other Name
:
Mailing Address
:
4613 W MAIN ST
SUITE C
KALAMAZOO
MI
49006-2645
Phone
: 269-488-8360;
Fax
: 269-488-8359;
Practice Location Address
:
4613 W MAIN ST
, SUITE C
, KALAMAZOO
, MI
, 49006-2645
Practice Phone
: 269-488-8360;
Practice Fax
: 269-488-8359
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1881637288 -
JAMES
E
BYRKIT
M.D.
Other Name
:
Mailing Address
:
PO BOX 8100
SALEM
OR
97303-0900
Phone
: 503-399-2424;
Fax
: 503-375-7429;
Practice Location Address
:
2020 CAPITOL ST NE
,
, SALEM
, OR
, 97303-3244
Practice Phone
: 503-399-2424;
Practice Fax
: 503-375-7429
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1699718098 -
GONZALO
T
CHUA
MD
Other Name
:
Mailing Address
:
714 N SENATE AVE
STE EF100
INDIANAPOLIS
IN
46202-3763
Phone
: 317-715-6402;
Fax
: 317-715-6415;
Practice Location Address
:
1701 N SENATE BLVD
, ROOM 1204A
, INDIANAPOLIS
, IN
, 46202-1239
Practice Phone
: 317-962-6793;
Practice Fax
: 317-962-8281
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1508809906 -
PALMETTO ENDOCRINE ASSOCIATES, INC.
Other Name
:
PALMETTO ENDOCRINE ASSOCIATES, INC.
Mailing Address
:
1709 VILLAGE PARK DR
ORANGEBURG
SC
29118-2401
Phone
: 803-515-9744;
Fax
: 803-515-9733;
Practice Location Address
:
1709 VILLAGE PARK DR
,
, ORANGEBURG
, SC
, 29118-2401
Practice Phone
: 803-515-9744;
Practice Fax
: 803-515-9733
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1417990813 -
DAVID
G
DECOCK
MD
Other Name
:
Mailing Address
:
700 S PARK ST
DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON
WI
53715-1830
Phone
: 608-260-2900;
Fax
: ;
Practice Location Address
:
700 S PARK ST
, DEAN & ST. MARY'S OUTPATIENT CENTER
, MADISON
, WI
, 53715-1830
Practice Phone
: 608-260-2900;
Practice Fax
:
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1326081720 -
MS.
MS.
LORI
A
CHENEY
APN
Other Name
:
LORI
A
GRONQUIST
Mailing Address
:
500 N US HIGHWAY 89
NORTHERN ARIZONA VA HCS (NAVAHCS)
PRESCOTT
AZ
86313
Phone
: 928-445-4860;
Fax
: 928-680-0430;
Practice Location Address
:
500 N US HIGHWAY 89
, NORTHERN ARIZONA VA HCS (NAVAHCS)
, PRESCOTT
, AZ
, 86313
Practice Phone
: 928-445-4860;
Practice Fax
: 928-680-0430
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1235172636 -
DR.
DR.
MICHAEL
LIEBAU
O.D.
Other Name
:
Mailing Address
:
1306 OLD 63 S
STE B
COLUMBIA
MO
65201-8404
Phone
: 573-442-2020;
Fax
: 573-442-4502;
Practice Location Address
:
1306 OLD 63 S
, STE B
, COLUMBIA
, MO
, 65201-8404
Practice Phone
: 573-442-2020;
Practice Fax
: 573-442-4502
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1144263542 -
JULIANNE
O'MALLEY
Other Name
:
Mailing Address
:
301 OLD SAN FRANCISCO RD
SUNNYVALE
CA
94086-6386
Phone
: ;
Fax
: ;
Practice Location Address
:
301 OLD SAN FRANCISCO RD
,
, SUNNYVALE
, CA
, 94086-6386
Practice Phone
: 408-739-6000;
Practice Fax
:
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1053354456 -
DR.
DR.
MORTON
J.
COWAN
M.D.
Other Name
:
Mailing Address
:
505 PARNASSUS AVE
SAN FRANCISCO
CA
94143-1278
Phone
: ;
Fax
: ;
Practice Location Address
:
505 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2204
Practice Phone
: 415-476-2188;
Practice Fax
: 415-502-4867
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1962445361 -
CARL
RICHARD
BOYD
M.D.
Other Name
:
Mailing Address
:
4750 WATERS AVE
SUITE 103
SAVANNAH
GA
31404-6200
Phone
: 912-350-8712;
Fax
: 912-350-8753;
Practice Location Address
:
4750 WATERS AVE
, SUITE 103
, SAVANNAH
, GA
, 31404-6200
Practice Phone
: 912-350-8712;
Practice Fax
: 912-350-8753
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1871536276 -
MICHAEL
VALBUENA
MD
Other Name
:
Mailing Address
:
17727 E BURNSIDE ST
PORTLAND
OR
97233-4803
Phone
: 360-907-8691;
Fax
: ;
Practice Location Address
:
17727 E BURNSIDE ST
,
, PORTLAND
, OR
, 97233-4803
Practice Phone
: 503-215-9806;
Practice Fax
:
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1780627182 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1598708992 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1407899800 -
PETER
H
WILSON
M.D.
Other Name
:
Mailing Address
:
250 PLEASANT ST
CONCORD
NH
03301-7539
Phone
: 603-227-7000;
Fax
: ;
Practice Location Address
:
246 PLEASANT ST
, MEMORIAL BUILDING, SUITE 205
, CONCORD
, NH
, 03301-2548
Practice Phone
: 603-224-0584;
Practice Fax
: 603-225-5769
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1316980717 -
MRS.
MRS.
MARY
LYNN
SMITH
Other Name
:
Mailing Address
:
6401 GARBER RD
DAYTON
OH
45415-2014
Phone
: 937-898-0601;
Fax
: 937-898-0601;
Practice Location Address
:
6401 GARBER RD
,
, DAYTON
, OH
, 45415-2014
Practice Phone
: 937-898-0601;
Practice Fax
: 937-898-0601
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1225071624 -
ALEXANDER
VAN
ON
M.D.
Other Name
:
Mailing Address
:
2401 W BELVEDERE AVE
ATTN: CREDENTIALING
BALTIMORE
MD
21215-5216
Phone
: 410-601-5524;
Fax
: 410-601-8946;
Practice Location Address
:
2411 W BELVEDERE AVENUE, 6TH FLOOR
, MORTON MOWER, M.D., MOB
, BALTIMORE
, MD
, 21215
Practice Phone
: 410-601-8283;
Practice Fax
: 410-601-8273
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1134162530 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1043253446 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1952344350 -
CHRISTINA
E
COLLINS
MD
Other Name
:
CHRISTINA
ESPENKOTTER
Mailing Address
:
409 S 2ND ST STE 2F
HARRISBURG
PA
17104-1612
Phone
: ;
Fax
: ;
Practice Location Address
:
410 N KROCKS RD
,
, ALLENTOWN
, PA
, 18106-9283
Practice Phone
: 888-982-8594;
Practice Fax
:
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1861435265 -
JEANNE
KATHRYN
HICKS
DPT
Other Name
:
Mailing Address
:
37847 RUDALL AVE
PALMDALE
CA
93550-5555
Phone
: 661-305-2698;
Fax
: ;
Practice Location Address
:
26921 CROWN VALLEY PKWY
, SUITE #120
, MISSION VIEJO
, CA
, 92691-6501
Practice Phone
: 949-582-2555;
Practice Fax
:
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1770526170 -
JOAN
BURKS
PA-C
Other Name
:
Mailing Address
:
5473 COBURN CT
ATLANTA
GA
30338-3035
Phone
: 404-597-7359;
Fax
: 770-394-6748;
Practice Location Address
:
1100 JOHNSON FERRY RD NE STE 425
, CENTER POINTE I
, ATLANTA
, GA
, 30342-1745
Practice Phone
: 404-252-2666;
Practice Fax
: 404-252-0890
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1689617086 -
JAMA
S
SY
M.D.
Other Name
:
Mailing Address
:
2142 N COVE BLVD
TOLEDO
OH
43606-3895
Phone
: 419-291-2207;
Fax
: 419-479-6998;
Practice Location Address
:
2142 N COVE BLVD
,
, TOLEDO
, OH
, 43606-3895
Practice Phone
: 419-291-2207;
Practice Fax
: 419-479-6998
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1598708901 -
STEPHEN
BERNARD
ANDRACKI
MD
Other Name
:
Mailing Address
:
6355 S BUFFALO DR FL 3
LAS VEGAS
NV
89113-2133
Phone
: 702-216-3346;
Fax
: 702-671-6883;
Practice Location Address
:
1397 S LOOP RD
,
, PAHRUMP
, NV
, 89048-4729
Practice Phone
: 775-727-5500;
Practice Fax
: 775-727-5696
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1407899818 -
MICHAEL
MAGERA
M.D.
Other Name
:
Mailing Address
:
703 MAIN ST
ST. JOSEPH'S REGIONAL MEDICAL CENTER
PATERSON
NJ
07503-2621
Phone
: 973-754-2052;
Fax
: ;
Practice Location Address
:
1135 BROAD ST
, ST. JOSEPH'S FAMILY MEDICINE AT CLIFTON
, CLIFTON
, NJ
, 07013-3346
Practice Phone
: 973-754-4100;
Practice Fax
:
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1316980725 -
DR.
DR.
KAREN
ELIZABETH
BARR
MD
Other Name
:
Mailing Address
:
1200 J D ANDERSON DR
MORGANTOWN
WV
26505-3494
Phone
: 304-598-1330;
Fax
: 304-598-1609;
Practice Location Address
:
532 W PITTSBURGH ST
,
, GREENSBURG
, PA
, 15601-2239
Practice Phone
: 724-832-4000;
Practice Fax
:
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1225071632 -
JOSEPH
DONALD
BARTA
D.P.M.
Other Name
:
Mailing Address
:
5463 COMMERCIAL WAY
SPRING HILL
FL
34606-1110
Phone
: 352-596-3338;
Fax
: 352-597-3986;
Practice Location Address
:
5463 COMMERCIAL WAY
,
, SPRING HILL
, FL
, 34606-1110
Practice Phone
: 352-596-3338;
Practice Fax
: 352-597-3986
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1134162548 -
SUSAN
BARRETT
LEE
LCSW
Other Name
:
Mailing Address
:
5632 SE SCHOONER OAKS WAY
STUART
FL
34997-2524
Phone
: 772-223-0719;
Fax
: ;
Practice Location Address
:
5632 SE SCHOONER OAKS WAY
,
, STUART
, FL
, 34997-2524
Practice Phone
: 772-223-0719;
Practice Fax
:
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1043253453 -
MISHA
KELLY
RHODES
M.D.
Other Name
:
Mailing Address
:
PO BOX 402145
ATLANTA
GA
30384-2145
Phone
: 803-296-7303;
Fax
: 803-296-7330;
Practice Location Address
:
14 RICHLAND MEDICAL PARK DR
, STE 320
, COLUMBIA
, SC
, 29203-6877
Practice Phone
: 803-434-6771;
Practice Fax
: 803-434-3955
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1952344368 -
MR.
MR.
TED
PHILLIP
BROWN
L.C.S.W.
Other Name
:
Mailing Address
:
1701 AIRLEIGH CT
RICHMOND
VA
23235-4503
Phone
: 804-560-0226;
Fax
: ;
Practice Location Address
:
20 W BANK ST
, SUITE 5
, PETERSBURG
, VA
, 23803-3279
Practice Phone
: 804-863-1689;
Practice Fax
:
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1861435273 -
GORDON
P
BAKER
M.D.
Other Name
:
Mailing Address
:
14203 AMBAUM BLVD SW
BURIEN
WA
98166-1421
Phone
: 206-243-9004;
Fax
: 206-433-1038;
Practice Location Address
:
14203 AMBAUM BLVD SW
,
, BURIEN
, WA
, 98166-1421
Practice Phone
: 206-243-9004;
Practice Fax
: 206-433-1038
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1770526188 -
DR.
DR.
NATHAN
EARL
HILTON
M.D.
Other Name
:
Mailing Address
:
7401 METRO BLVD STE 210
EDINA
MN
55439-3086
Phone
: 952-920-4915;
Fax
: 952-915-6091;
Practice Location Address
:
215 IVY ST
,
, BRAINERD
, MN
, 56401-3000
Practice Phone
: 218-828-7585;
Practice Fax
: 218-828-7588
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1689617094 -
DR.
DR.
REESE
HUNTER
CLARK
M.D.
Other Name
:
Mailing Address
:
1301 CONCORD TER
SUNRISE
FL
33323-2843
Phone
: 800-243-3839;
Fax
: 954-838-9954;
Practice Location Address
:
1301 CONCORD TER
,
, SUNRISE
, FL
, 33323-2843
Practice Phone
: 800-243-3839;
Practice Fax
: 954-838-9954
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1497798805 -
DR.
DR.
BAEKHYO
SHIN
M.D.
Other Name
:
Mailing Address
:
PO BOX 64374
BALTIMORE
MD
21264-4374
Phone
: 410-328-6720;
Fax
: 410-328-1674;
Practice Location Address
:
110 S PACA ST
, SUITE 300 6TH FL
, BALTIMORE
, MD
, 21201-1642
Practice Phone
: 410-328-6720;
Practice Fax
: 410-328-1674
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1306889712 -
EDWARD
L
WARD
M.D.
Other Name
:
Mailing Address
:
701 HEWITT BLVD
FAIRVIEW RED WING MEDICAL CENTER
RED WING
MN
55066-2848
Phone
: 651-267-5000;
Fax
: ;
Practice Location Address
:
701 HEWITT BLVD
,
, RED WING
, MN
, 55066-2848
Practice Phone
: 651-267-5000;
Practice Fax
: 651-267-5930
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1215970629 -
KIMBERLY
M
AMODIO
PA
Other Name
:
KIMBERLY
M
HERZOG
Mailing Address
:
1000 E GENESEE ST
SUITE 205 & 206
SYRACUSE
NY
13210-1892
Phone
: 315-464-1600;
Fax
: 315-464-1601;
Practice Location Address
:
1000 E GENESEE ST
, SUITE 205 & 206
, SYRACUSE
, NY
, 13210-1892
Practice Phone
: 315-464-1600;
Practice Fax
: 315-464-1601
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1124061536 -
ANGELIQUE
SCHULDENFREI
CAMPEN
M.D.
Other Name
:
Mailing Address
:
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES
CA
90045-5631
Phone
: ;
Fax
: ;
Practice Location Address
:
501 S BUENA VISTA ST
,
, BURBANK
, CA
, 91505-4809
Practice Phone
: 818-843-5111;
Practice Fax
:
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1033152442 -
ROLAND
STUCKEY
MD
Other Name
:
Mailing Address
:
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE
IN
46804-7934
Phone
: 260-479-3516;
Fax
: ;
Practice Location Address
:
7333 W JEFFERSON BLVD
,
, FORT WAYNE
, IN
, 46804-6280
Practice Phone
: 260-458-3830;
Practice Fax
: 260-458-3831
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1942243357 -
VISHVESH
MEHTA
MD
Other Name
:
Mailing Address
:
660 WHITE PLAINS RD FL 4
TARRYTOWN
NY
10591-5139
Phone
: 914-984-2546;
Fax
: ;
Practice Location Address
:
485 ROUTE 1 S
, BLDG. B, SUITE 350
, ISELIN
, NJ
, 08830-3009
Practice Phone
: 732-549-3934;
Practice Fax
: 732-549-7250
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1851334262 -
DR.
DR.
DAVID
RIVERA
Other Name
:
Mailing Address
:
PO BOX 489
BAYAMON
PR
00960-0489
Phone
: 787-798-9522;
Fax
: ;
Practice Location Address
:
BAYAMON MEDICAL PLZ
, SUITE 104-A CARRETERA #2
, BAYAMON
, PR
, 00959-7200
Practice Phone
: 787-798-9522;
Practice Fax
: 787-798-9500
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1760425177 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1679516082 -
ROBERT
G
PAZULINEC
EDD
Other Name
:
Mailing Address
:
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE
RI
02915-5061
Phone
: 401-432-1167;
Fax
: 401-432-1500;
Practice Location Address
:
1011 VETERANS MEMORIAL PKWY
,
, EAST PROVIDENCE
, RI
, 02915-5061
Practice Phone
: 401-432-1167;
Practice Fax
: 401-432-1500
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1588607998 -
ERNEST
H
LEBER
MD
Other Name
:
Mailing Address
:
1601 CHERRY ST
SUITE 11511
PHILADELPHIA
PA
19102-1321
Phone
: 215-255-7822;
Fax
: 215-255-7825;
Practice Location Address
:
230 N BROAD ST
, DREXEL EMERGENCY MED HUH
, PHILADELPHIA
, PA
, 19102-1121
Practice Phone
: 215-762-7963;
Practice Fax
: 215-246-5793
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1396788709 -
DR.
DR.
HOLLY
A
GARDNER
MD
Other Name
:
HOLLY
A
HEINZ
Mailing Address
:
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
1701 N SENATE BLVD
, ER DEPT
, INDIANAPOLIS
, IN
, 46202-1239
Practice Phone
: 317-962-8880;
Practice Fax
: 317-962-7086
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1205879616 -
ANNE
SPRUANCE
NEUGENT
FNP
Other Name
:
Mailing Address
:
PO BOX 911230
DALLAS
TX
75391-1230
Phone
: 972-997-8000;
Fax
: 972-437-9605;
Practice Location Address
:
3410 WORTH ST
, SUITE 260
, DALLAS
, TX
, 75246-2003
Practice Phone
: 214-370-1074;
Practice Fax
: 214-370-1026
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1114960523 -
DANIEL
RICHARD
O'CONNOR
MD
Other Name
:
Mailing Address
:
9438 58TH AVE
UNIT G-3
ELMHURST
NY
11373-5149
Phone
: 718-393-3900;
Fax
: 718-393-3999;
Practice Location Address
:
9438 58TH AVE
, UNIT G-3
, ELMHURST
, NY
, 11373-5149
Practice Phone
: 718-393-3900;
Practice Fax
: 718-393-3999
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1023051430 -
JOSEPH
NABOZNY
MD
Other Name
:
Mailing Address
:
37 CLINIC RD
ELEANOR WIDENER DIXON MEMORIAL CLINIC
GOULDSBORO
ME
04607-4013
Phone
: 207-963-4066;
Fax
: 207-963-7723;
Practice Location Address
:
37 CLINIC RD
, ELEANOR WIDENER DIXON MEMORIAL CLINIC
, GOULDSBORO
, ME
, 04607-4013
Practice Phone
: 207-963-4066;
Practice Fax
: 207-963-7723
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1932142346 -
DR.
DR.
JAMES
JOSEPH
CIRBUS
MD
Other Name
:
Mailing Address
:
15 S MAIN ST
SUITE 300
JAMESTOWN
NY
14701-6626
Phone
: ;
Fax
: ;
Practice Location Address
:
15 S MAIN ST
, SUITE 110
, JAMESTOWN
, NY
, 14701-6626
Practice Phone
: 716-483-2320;
Practice Fax
:
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1841233251 -
MRS.
MRS.
ANNA
V
OSZTREICHER
CRN
Other Name
:
Mailing Address
:
2401 W BELVEDERE AVE
ATTN: CREDENTIALING
BALTIMORE
MD
21215-5216
Phone
: 410-601-5524;
Fax
: 410-601-8946;
Practice Location Address
:
2401 W BELVEDERE AVENUE
, BLAUSTEIN WOMEN'S HEALTH CENTER
, BALTIMORE
, MD
, 21215
Practice Phone
: 410-601-6018;
Practice Fax
: 410-601-9444
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1750324166 -
JAVIER
VASQUEZ
JR.
M.D.
Other Name
:
Mailing Address
:
621 N HALL ST STE 100
DALLAS
TX
75226-1305
Phone
: 148-219-6002;
Fax
: 214-823-5290;
Practice Location Address
:
621 N HALL ST STE 100
,
, DALLAS
, TX
, 75226-1305
Practice Phone
: 214-821-9600;
Practice Fax
: 214-823-5290
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1669415071 -
DR.
DR.
MARTIN
COOPER
M.D.
Other Name
:
Mailing Address
:
8536 W 3RD ST
STE 800
LOS ANGELES
CA
90048-4122
Phone
: 310-659-6628;
Fax
: 310-659-9712;
Practice Location Address
:
8436 W 3RD ST
, STE 800
, LOS ANGELES
, CA
, 90048-4100
Practice Phone
: 310-659-6628;
Practice Fax
: 310-659-9712
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1578506986 -
DR.
DR.
JOHN
R
DE COTIIS
D.C.
Other Name
:
Mailing Address
:
PO BOX 210
PITMAN
NJ
08071-0210
Phone
: 856-218-1330;
Fax
: 856-218-1332;
Practice Location Address
:
30 W HOLLY AVE
,
, PITMAN
, NJ
, 08071-1405
Practice Phone
: 856-218-1330;
Practice Fax
: 856-218-1332
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1487697892 -
DR.
DR.
MICKEY
JAMES
VIATOR
M.D.
Other Name
:
Mailing Address
:
3715 ROYLENE CT
DICKINSON
TX
77539-6412
Phone
: 281-337-3784;
Fax
: ;
Practice Location Address
:
6411 FANNIN ST
,
, HOUSTON
, TX
, 77030-1501
Practice Phone
: 713-500-7878;
Practice Fax
:
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1295778603 -
DR.
DR.
DENNIS
LEE
SLOPEY
DMD
Other Name
:
Mailing Address
:
20 MCALLISTER CHURCH RD
CARLISLE
PA
17013-9379
Phone
: 717-789-3571;
Fax
: ;
Practice Location Address
:
450 GIBNER RD
, SUITE 2 DENTAL CLINIC
, CARLISLE BARRACKS
, PA
, 17013-5003
Practice Phone
: 717-245-4542;
Practice Fax
:
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1104869510 -
JOHN
MURRAY
M.D.
Other Name
:
Mailing Address
:
PO BOX 44008
PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3660;
Fax
: ;
Practice Location Address
:
4555 EMERSON ST
, SUITE 230
, JACKSONVILLE
, FL
, 32207-4966
Practice Phone
: 904-633-0130;
Practice Fax
: 904-633-0131
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1013950427 -
DR.
DR.
MICHAEL
STRACHER
MD
Other Name
:
Mailing Address
:
17660 UNION TPKE STE 100
FRESH MEADOWS
NY
11366-1531
Phone
: 718-947-4263;
Fax
: ;
Practice Location Address
:
17660 UNION TPKE STE 100
,
, FRESH MEADOWS
, NY
, 11366-1531
Practice Phone
: 718-947-4263;
Practice Fax
:
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1922041334 -
JACQUES
A
DE LA BRETONNE
M.D.
Other Name
:
Mailing Address
:
PO BOX 14530
BATON ROUGE
LA
70898-4530
Phone
: 225-769-6700;
Fax
: ;
Practice Location Address
:
5422 DIJON DR
,
, BATON ROUGE
, LA
, 70808-4315
Practice Phone
: 225-769-9337;
Practice Fax
:
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1831132240 -
STEPHEN
HOLMES
MD
Other Name
:
Mailing Address
:
PO BOX 9007
SPRINGFIELD
MO
65808-9007
Phone
: ;
Fax
: ;
Practice Location Address
:
1001 E PRIMROSE ST
,
, SPRINGFIELD
, MO
, 65807-5155
Practice Phone
: 417-875-3000;
Practice Fax
: 417-875-3096
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1740223155 -
MICHAEL
P
RECHT
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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1659314060 -
DR.
DR.
ROBERT
RAGGI
MD
Other Name
:
Mailing Address
:
22841 HARROW WOOD CT
BOCA RATON
FL
33433-1152
Phone
: 973-727-1076;
Fax
: ;
Practice Location Address
:
22841 HARROW WOOD CT
,
, BOCA RATON
, FL
, 33433-1152
Practice Phone
: 973-727-1076;
Practice Fax
:
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1568405975 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1477596880 -
CHRISTOPHER
L
NELSON
PAC
Other Name
:
Mailing Address
:
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON
ME
04243-7291
Phone
: 207-777-8941;
Fax
: 207-777-8800;
Practice Location Address
:
360 BROADWAY
,
, BANGOR
, ME
, 04401-3979
Practice Phone
: 207-907-1770;
Practice Fax
: 207-907-3675
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1386687796 -
DR.
DR.
JEFFREY
CRAIG
GREENBERG
PH.D.
Other Name
:
Mailing Address
:
340 E NORTHFIELD RD
SUITE 1E
LIVINGSTON
NJ
07039-4892
Phone
: 973-533-9049;
Fax
: 973-994-4737;
Practice Location Address
:
340 E NORTHFIELD RD
, SUITE 1E
, LIVINGSTON
, NJ
, 07039-4892
Practice Phone
: 973-533-9049;
Practice Fax
: 973-994-4737
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1194768507 -
MRS.
MRS.
JENNIFER
DIANE
JENKINS
APN
Other Name
:
Mailing Address
:
910 ADCOCK DR
HEBER SPRINGS
AR
72543-9674
Phone
: 501-362-0500;
Fax
: 501-362-0501;
Practice Location Address
:
910 ADCOCK DR
,
, HEBER SPRINGS
, AR
, 72543-9674
Practice Phone
: 501-362-0500;
Practice Fax
: 501-362-0501
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1003859414 -
DR.
DR.
RAVI
I
KUMAR
M.D.,
Other Name
:
Mailing Address
:
1101 N. CHERRY TREET
TULARE
CA
93274-0000
Phone
: 559-686-9097;
Fax
: 559-686-4750;
Practice Location Address
:
1101 N CHERRY ST
,
, TULARE
, CA
, 93274-2231
Practice Phone
: 559-686-9097;
Practice Fax
: 559-686-4750
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1912940321 -
MS.
MS.
JENNIFER
M.
RUNNER
MSW, LISW-S
Other Name
:
Mailing Address
:
2500 METROHEALTH DR
CLEVELAND
OH
44109-1900
Phone
: ;
Fax
: ;
Practice Location Address
:
2500 METROHEALTH DR
,
, CLEVELAND
, OH
, 44109-1900
Practice Phone
: 216-778-7800;
Practice Fax
:
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1821031238 -
SUZETTE
M
FREEMAN
MCD, CCC-SLP
Other Name
:
Mailing Address
:
420 PAT RD
LEXINGTON
SC
29073-8435
Phone
: 803-767-5153;
Fax
: 803-955-3633;
Practice Location Address
:
420 PAT RD
,
, LEXINGTON
, SC
, 29073-8435
Practice Phone
: 803-767-5153;
Practice Fax
: 803-955-3633
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1730122144 -
DR.
DR.
LARRY
LEON
PACE
D.D.S., M.S.
Other Name
:
Mailing Address
:
4231 SIGMA RD
SUITE 100
DALLAS
TX
75244-4423
Phone
: 972-233-5447;
Fax
: 972-702-8887;
Practice Location Address
:
4231 SIGMA RD
, SUITE 100
, DALLAS
, TX
, 75244-4423
Practice Phone
: 972-233-5447;
Practice Fax
: 972-702-8887
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1649213059 -
DR.
DR.
JOHANNA
APPEL
D.C.
Other Name
:
Mailing Address
:
3019 POLK AVE
SAN DIEGO
CA
92104-2609
Phone
: 619-280-9020;
Fax
: 619-280-9070;
Practice Location Address
:
3019 POLK AVE
,
, SAN DIEGO
, CA
, 92104-2609
Practice Phone
: 619-280-9020;
Practice Fax
: 619-280-9070
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1558304964 -
CRYSTAL
WALKER
MSSA, LISW-S
Other Name
:
Mailing Address
:
3518 W 25TH ST
CLEVELAND
OH
44109-1951
Phone
: 216-741-2241;
Fax
: 216-741-2632;
Practice Location Address
:
3518 W 25TH ST
,
, CLEVELAND
, OH
, 44109-1951
Practice Phone
: 216-741-2241;
Practice Fax
: 216-741-2632
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1467495879 -
DR.
DR.
DAVID
RUSSELL
PUGH
DDS
Other Name
:
Mailing Address
:
405 SOUTH ST
SUITE E
REDDING
CA
96001-2101
Phone
: 530-246-0801;
Fax
: ;
Practice Location Address
:
405 SOUTH ST
, SUITE E
, REDDING
, CA
, 96001-2101
Practice Phone
: 530-246-0801;
Practice Fax
:
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1376586784 -
ALLEN
MICHAEL
WOOD
ATC
Other Name
:
Mailing Address
:
13585 SW TARLETON CT
PORTLAND
OR
97224-1678
Phone
: ;
Fax
: ;
Practice Location Address
:
13585 SW TARLETON CT
,
, PORTLAND
, OR
, 97224-1678
Practice Phone
: 503-524-9666;
Practice Fax
:
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1285677690 -
RAY
PHILLIP
CARROLL
JR.
PA-C
Other Name
:
Mailing Address
:
1754 CASON TRL
MURFREESBORO
TN
37128-5032
Phone
: ;
Fax
: ;
Practice Location Address
:
4321 CAROTHERS PKWY
,
, FRANKLIN
, TN
, 37067-5909
Practice Phone
: 615-435-5000;
Practice Fax
:
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1093758401 -
LAURA
GEIGER
NP
Other Name
:
Mailing Address
:
2801 SW 149TH AVE STE 100
MIRAMAR
FL
33027-4166
Phone
: 866-849-0692;
Fax
: 844-897-4623;
Practice Location Address
:
2801 SW 149TH AVE STE 100
,
, MIRAMAR
, FL
, 33027-4166
Practice Phone
: 866-849-0692;
Practice Fax
:
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1902849318 -
MR.
MR.
MARC
ALLAN
LINDLEY
CRNA
Other Name
:
Mailing Address
:
PO BOX 10005
FLORENCE
AL
35631-2005
Phone
: 256-768-9191;
Fax
: 256-768-9775;
Practice Location Address
:
205 MARENGO ST
,
, FLORENCE
, AL
, 35630-6033
Practice Phone
: 256-768-9191;
Practice Fax
: 256-768-9775
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