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Showing codes 1326065996 — 1124046685
1326065996 -
DR.
DR.
JAMES
D
FERRARI
M.D.
Other Name
:
Mailing Address
:
8101 E LOWRY BLVD
SUITE 230
DENVER
CO
80230-7196
Phone
: 303-344-9090;
Fax
: 303-344-1922;
Practice Location Address
:
8101 E LOWRY BLVD
, SUITE 230
, DENVER
, CO
, 80230-7196
Practice Phone
: 303-344-9090;
Practice Fax
: 303-344-1922
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1235156803 -
CAROLYN
A
SHULER
APN, CS
Other Name
:
Mailing Address
:
212 MEADOW LN
KINGSPORT
TN
37663-2542
Phone
: 423-857-5571;
Fax
: 423-857-5237;
Practice Location Address
:
2300 PAVILION DR
,
, KINGSPORT
, TN
, 37660-4622
Practice Phone
: 423-857-5571;
Practice Fax
: 423-857-5237
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1144247719 -
ASA IMAGING OF INDIANA LLC
Other Name
:
Mailing Address
:
3570 N BRIARWOOD LN
MUNCIE
IN
47304-5211
Phone
: 765-741-8843;
Fax
: 765-741-8853;
Practice Location Address
:
6000 KILGORE AVE
,
, MUNCIE
, IN
, 47304
Practice Phone
: 765-741-8843;
Practice Fax
: 765-741-8853
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1053338624 -
DR.
DR.
STEVEN
C
ROSE
M.D.
Other Name
:
Mailing Address
:
200 W ARBOR DR
MAIL CODE 8756
SAN DIEGO
CA
92103-9001
Phone
: 619-543-6607;
Fax
: 619-543-3781;
Practice Location Address
:
200 W ARBOR DR
, MAIL CODE 8756
, SAN DIEGO
, CA
, 92103-9001
Practice Phone
: 619-543-6607;
Practice Fax
: 619-543-3781
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1962429530 -
DR.
DR.
RITA
J
WATKINS
MD
Other Name
:
Mailing Address
:
1955 DIXIE HIGHWAY
SUITE D
FT. WRIGHT
KY
41011
Phone
: 859-341-5757;
Fax
: 859-331-4757;
Practice Location Address
:
1955 DIXIE HIGHWAY
, SUITE D
, FT. WRIGHT
, KY
, 41011
Practice Phone
: 859-341-5757;
Practice Fax
: 859-331-4757
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1871510446 -
STEFAN
ALEXANDROV
IANCHULEV
MD
Other Name
:
Mailing Address
:
800 WASHINGTON ST
TUFTS MEDICAL CENTER
BOSTON
MA
02111-1552
Phone
: 617-636-6044;
Fax
: ;
Practice Location Address
:
25 HOSPITAL CENTER BLVD
,
, HILTON HEAD ISLAND
, SC
, 29926-2793
Practice Phone
: 843-681-6122;
Practice Fax
:
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1780601351 -
KATHERINE
LISONI
MD
Other Name
:
Mailing Address
:
2401 VALLEY DR
VALPARAISO
IN
46383-2520
Phone
: 219-413-5100;
Fax
: 219-465-9502;
Practice Location Address
:
420 W 4TH ST
,
, MISHAWAKA
, IN
, 46544-1948
Practice Phone
: 574-307-7673;
Practice Fax
: 574-307-7692
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1699792275 -
DR.
DR.
JEFFREY
GERARD
TAVARES
MD
Other Name
:
Mailing Address
:
109 PROSPECT PARK WEST
BROOKLYN
NY
11215-3711
Phone
: 718-499-5791;
Fax
: 718-499-5791;
Practice Location Address
:
109 PROSPECT PARK WEST
,
, BROOKLYN
, NY
, 11215-3711
Practice Phone
: 718-499-5791;
Practice Fax
: 718-499-5791
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1508883182 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1417974098 -
MARK
C
OVESON
M.D.
Other Name
:
Mailing Address
:
48 W 1500 N
PO BOX 120
NEPHI
UT
84648-8900
Phone
: 435-623-3200;
Fax
: 435-623-3265;
Practice Location Address
:
48 W 1500 N
,
, NEPHI
, UT
, 84648-8900
Practice Phone
: 435-623-3200;
Practice Fax
: 435-623-3265
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1326065905 -
MS.
MS.
LINDA
P
WEISBURGER
CRNP
Other Name
:
Mailing Address
:
711 WHITE SWAN DR
ARNOLD
MD
21012
Phone
: 410-974-1906;
Fax
: 410-974-1906;
Practice Location Address
:
2001 N WARWICK AVE
,
, BALTIMORE
, MD
, 21216
Practice Phone
: 410-396-0849;
Practice Fax
: 410-545-3614
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1235156811 -
DOUGLAS
EDWARD
MERKEL
MD
Other Name
:
Mailing Address
:
2650 RIDGE AVE
KELLOGG CANCER CENTER
EVANSTON
IL
60201-1718
Phone
: 847-570-2112;
Fax
: 847-570-1041;
Practice Location Address
:
2650 RIDGE AVE
, KELLOGG CANCER CENTER
, EVANSTON
, IL
, 60201
Practice Phone
: 847-570-2112;
Practice Fax
: 847-570-1041
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1144247727 -
MRS.
MRS.
MAIRLYN
LOUISE
MCDONALD
-
Other Name
:
MAIRLYN
THOMSON
Mailing Address
:
2401 W MAIN ST
MARION
IL
62959-1188
Phone
: 618-997-5311;
Fax
: 618-998-5668;
Practice Location Address
:
2401 W MAIN ST
,
, MARION
, IL
, 62959-1188
Practice Phone
: 618-997-5311;
Practice Fax
: 618-998-5668
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1053338632 -
HENRY
J
SCHNITZLER
JR.
MD
Other Name
:
Mailing Address
:
4425 N PORT WASHINGTON RD
ATTN: CLINIC CREDENTIALING
GLENDALE
WI
53212-1082
Phone
: 262-243-9600;
Fax
: ;
Practice Location Address
:
12800 N PORT WASHINGTON RD
,
, MEQUON
, WI
, 53097-2415
Practice Phone
: 262-243-9600;
Practice Fax
:
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1962429548 -
MS.
MS.
SANDRA
LOU
PERINE
MA,LPC
Other Name
:
Mailing Address
:
RR 3 BOX 207B
GRAFTON
WV
26354-9536
Phone
: 304-265-1437;
Fax
: ;
Practice Location Address
:
907 BRUNSWICK CT
,
, MORGANTOWN
, WV
, 26508-4807
Practice Phone
: 304-292-3575;
Practice Fax
:
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1871510453 -
LACY
J
REHE
CRNA
Other Name
:
Mailing Address
:
319 ERIN DR
SUITE B
KNOXVILLE
TN
37919-6202
Phone
: 865-588-0880;
Fax
: 865-584-3111;
Practice Location Address
:
1924 ALCOA HWY
, BOX U109
, KNOXVILLE
, TN
, 37920-1511
Practice Phone
: 865-544-9220;
Practice Fax
:
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1780601369 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1598782179 -
CARI
WELLS
M.S.
Other Name
:
CARA
WELLS
Mailing Address
:
300 N GRAHAM ST
SUITE 100
PORTLAND
OR
97227-1683
Phone
: 503-413-1122;
Fax
: 503-413-4238;
Practice Location Address
:
300 N GRAHAM ST
, SUITE 100
, PORTLAND
, OR
, 97227-1683
Practice Phone
: 503-413-1122;
Practice Fax
: 503-413-4238
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1407873086 -
MS.
MS.
ELIZABETH
HARRISON
CONYERS
PAC
Other Name
:
ELIZABETH
C
WOOD
Mailing Address
:
116 ILEX LN
AIKEN
SC
29803-8227
Phone
: 903-245-5353;
Fax
: ;
Practice Location Address
:
111 MIRACLE DR
,
, AIKEN
, SC
, 29801-6351
Practice Phone
: 803-641-7850;
Practice Fax
:
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1316964992 -
DR.
DR.
JARROD
MATTHEW
SHAPIRO
DPM
Other Name
:
Mailing Address
:
795 E SECOND ST
SUITE 5
POMONA
CA
91766-2007
Phone
: 909-706-3877;
Fax
: 909-706-3942;
Practice Location Address
:
795 E SECOND ST
, SUITE 7
, POMONA
, CA
, 91766-2007
Practice Phone
: 909-706-3877;
Practice Fax
: 909-706-3942
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1225055809 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1134146715 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1043237621 -
ANESTHESIA ASSOCIATES OF KENT COUNTY, LLC
Other Name
:
Mailing Address
:
PO BOX 419099
BOSTON
MA
02241-9099
Phone
: 401-738-1516;
Fax
: 401-738-8837;
Practice Location Address
:
455 TOLL GATE RD
,
, WARWICK
, RI
, 02886-2759
Practice Phone
: 401-738-1516;
Practice Fax
: 401-738-8837
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1952328536 -
MS.
MS.
SHEILA
MCDANIEL
SEVIDAL
LCSW-C
Other Name
:
Mailing Address
:
334 SMALL CT
BALTIMORE
MD
21228-1936
Phone
: 410-788-0350;
Fax
: 410-788-2049;
Practice Location Address
:
720C MAIDEN CHOICE LN
,
, BALTIMORE
, MD
, 21228-5940
Practice Phone
: 410-744-1116;
Practice Fax
: 410-788-2049
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1861419442 -
ANESTAHEALTH, P.A.
Other Name
:
Mailing Address
:
111 CONTINENTAL DR
SUITE 412
NEWARK
DE
19713-4306
Phone
: 302-709-4497;
Fax
: 302-733-0854;
Practice Location Address
:
111 CONTINENTAL DR
, SUITE 412
, NEWARK
, DE
, 19713-4306
Practice Phone
: 302-709-4497;
Practice Fax
: 302-733-0854
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1770500357 -
KIMBERLY
ANN
DALEY
DPM
Other Name
:
Mailing Address
:
555 LAKEHURST RD
TOMS RIVER
NJ
08755-8044
Phone
: 732-341-3355;
Fax
: 732-341-3364;
Practice Location Address
:
555 LAKEHURST RD
,
, TOMS RIVER
, NJ
, 08755-8044
Practice Phone
: 732-341-3355;
Practice Fax
: 732-341-3364
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1689691263 -
COLLEEN
K.
MILLER
M.F.T.
Other Name
:
Mailing Address
:
11026 MONOGRAM AVE
GRANADA HILLS
CA
91344-5216
Phone
: 818-363-6310;
Fax
: 818-366-3256;
Practice Location Address
:
15300 VENTURA BLVD
, STE. 205
, SHERMAN OAKS
, CA
, 91403-3103
Practice Phone
: 818-363-6310;
Practice Fax
: 818-366-3256
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1497772073 -
MARC
ANDREW
COLON
M.D.
Other Name
:
Mailing Address
:
1512 W KIRBY PL
SHREVEPORT
LA
71103-3822
Phone
: 318-626-0287;
Fax
: 318-813-2447;
Practice Location Address
:
1541 KINGS HWY
,
, SHREVEPORT
, LA
, 71103-4228
Practice Phone
: 318-626-0000;
Practice Fax
:
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1306863980 -
ROBYN
DAVIS
Other Name
:
Mailing Address
:
110 W 97TH ST
NEW YORK
NY
10025-6450
Phone
: 212-316-7923;
Fax
: 212-316-7945;
Practice Location Address
:
110 W 97TH ST
,
, NEW YORK
, NY
, 10025-6450
Practice Phone
: 212-316-7923;
Practice Fax
: 212-316-7945
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1215954896 -
TIMOTHY
S.
PHILLIPS
MD
Other Name
:
Mailing Address
:
1000 N OAK AVE
MARSHFIELD
WI
54449-5703
Phone
: 715-387-5511;
Fax
: ;
Practice Location Address
:
9601 TOWNLINE RD
,
, MINOCQUA
, WI
, 54548-9099
Practice Phone
: 715-358-1000;
Practice Fax
:
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1124045703 -
JOHN
B
SELHORST
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3660 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8738;
Practice Fax
: 314-268-5101
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1033136619 -
LUTHER
J
WILLMORE
MD
Other Name
:
Mailing Address
:
1008 SOUTH SPRING
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
1225 S GRAND BLVD
,
, SAINT LOUIS
, MO
, 63104-1016
Practice Phone
: 314-977-6082;
Practice Fax
: 314-977-6086
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1942227525 -
DR.
DR.
BENJAMIN
ROBERT
TIMSON
PHD, ATC, LAT
Other Name
:
Mailing Address
:
TEXAS CHRISTIAN UNIVERSITY 2800 UNIVERSITY DRIVE
FORT WORTH
TX
76129-0001
Phone
: 817-257-6737;
Fax
: ;
Practice Location Address
:
TEXAS CHRISTIAN UNIVERSITY 2800 UNIVERSITY DRIVE
,
, FORT WORTH
, TX
, 76129
Practice Phone
: 817-257-6737;
Practice Fax
:
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1851318430 -
ADVANCED MEDICAL TRANSPORT SYSTEMS, LLC
Other Name
:
Mailing Address
:
1 S 2ND ST
2ND FL
POTTSVILLE
PA
17901
Phone
: 570-952-2390;
Fax
: ;
Practice Location Address
:
700 N 1ST ST
,
, LEHIGHTON
, PA
, 18235-1002
Practice Phone
: 610-377-9027;
Practice Fax
:
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1760409346 -
SHELLEY
LENORE
RAY
CNM
Other Name
:
SHELLEY
BURKE
Mailing Address
:
900 TOWNE LAKE PKWY
STE 404
WOODSTOCK
GA
30189-1602
Phone
: 770-926-9229;
Fax
: 678-415-2164;
Practice Location Address
:
900 TOWNE LAKE PKWY
, STE 404
, WOODSTOCK
, GA
, 30189-1602
Practice Phone
: 770-926-9229;
Practice Fax
: 678-415-2164
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1679590251 -
ROBERT
H
CHOPLIN
MD
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
1701 N SENATE BLVD
, ROOM 1204A
, INDIANAPOLIS
, IN
, 46202-1239
Practice Phone
: 317-962-5740;
Practice Fax
:
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1588681167 -
JERRY
RAND
SMITH
MD
Other Name
:
Mailing Address
:
PO BOX 6549
NEW ORLEANS
LA
70174
Phone
: 504-433-9720;
Fax
: 504-433-9721;
Practice Location Address
:
3439 KABEL DRIVE
, STE 8
, NEW ORLEANS
, LA
, 70131
Practice Phone
: 504-433-9720;
Practice Fax
: 504-433-9721
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1396762977 -
PATRICIA
A
DEVINE
LCSW
Other Name
:
Mailing Address
:
900 N 7TH ST
WEST MEMPHIS
AR
72301-2001
Phone
: 870-735-3842;
Fax
: 870-394-4872;
Practice Location Address
:
900 N 7TH ST
,
, WEST MEMPHIS
, AR
, 72301-2001
Practice Phone
: 870-735-3842;
Practice Fax
: 870-394-4872
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1205853884 -
DAVID
MATTHEW
MAAHS
MD, PHD
Other Name
:
Mailing Address
:
300 PASTEUR DR
STANFORD
CA
94305-2200
Phone
: 650-723-4000;
Fax
: ;
Practice Location Address
:
300 PASTEUR DR
,
, STANFORD
, CA
, 94305-2200
Practice Phone
: 650-723-4000;
Practice Fax
:
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1114944790 -
MICHAEL
W.
MANGELSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: 385-282-2000;
Fax
: 385-282-2001;
Practice Location Address
:
389 S 900 E
,
, SALT LAKE CITY
, UT
, 84102
Practice Phone
: 385-282-2000;
Practice Fax
: 385-282-2001
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1023035607 -
MR.
MR.
RICHARD
G
WEISS
OPTICIAN/TECHNICIAN
Other Name
:
Mailing Address
:
145 E MAIN ST
EPHRATA
PA
17522-2720
Phone
: ;
Fax
: ;
Practice Location Address
:
2915 E PROSPECT RD
,
, YORK
, PA
, 17402-9501
Practice Phone
: 717-755-1993;
Practice Fax
: 717-751-0898
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1932126513 -
KIMBERLY
A
CHAMBERS
M.D.
Other Name
:
Mailing Address
:
PO BOX 301173
DALLAS
TX
75303-1173
Phone
: 713-500-3500;
Fax
: 713-704-6851;
Practice Location Address
:
6411 FANNIN ST
,
, HOUSTON
, TX
, 77030-1501
Practice Phone
: 713-704-4000;
Practice Fax
:
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1841217429 -
JAN
LEENETTE
HOOD
M.D.
Other Name
:
Mailing Address
:
1501 KINGS HWY
DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT
LA
71103-4228
Phone
: 318-675-8032;
Fax
: 318-675-8775;
Practice Location Address
:
1501 KINGS HWY
, DEPARTMENT OF FAMILY MEDICINE
, SHREVEPORT
, LA
, 71103-4228
Practice Phone
: 318-675-8032;
Practice Fax
: 318-675-8775
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1750308334 -
JULIE
SCHAFER
LCSW
Other Name
:
Mailing Address
:
2707 BROWNS LANE
JONESBORO
AR
72401
Phone
: 870-972-4939;
Fax
: 870-972-4911;
Practice Location Address
:
2707 BROWNS LN
,
, JONESBORO
, AR
, 72401
Practice Phone
: 870-972-4939;
Practice Fax
:
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1669499240 -
MRS.
MRS.
ERIN
E
DENTON
LCSW, LADAC, EMDR
Other Name
:
ERIN
DENTON
Mailing Address
:
2909 KING ST STE A
JONESBORO
AR
72401-5326
Phone
: 870-351-9860;
Fax
: 870-382-3025;
Practice Location Address
:
2909 KING ST JONESBORO
, SUITE A
, JONESBORO
, AR
, 72401-7870
Practice Phone
: 870-933-6886;
Practice Fax
: 870-933-9395
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1578580155 -
DR.
DR.
LEONORA
K.
ZOLA
PH.D.
Other Name
:
Mailing Address
:
4 MOON HILL RD
LEXINGTON
MA
02421-6113
Phone
: 781-862-8495;
Fax
: ;
Practice Location Address
:
4 MOON HILL RD
,
, LEXINGTON
, MA
, 02421-6113
Practice Phone
: 781-862-8495;
Practice Fax
:
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1487671061 -
HILARY
K
KLEIN
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST. LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
1221 S GRAND
,
, ST. LOUIS
, MO
, 63104
Practice Phone
: 314-577-8720;
Practice Fax
: 314-268-5494
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1295752871 -
ALYSON
M
DONDORFER
PT
Other Name
:
Mailing Address
:
8836 TYLER BLVD
MENTOR
OH
44060-4361
Phone
: 440-255-9553;
Fax
: ;
Practice Location Address
:
8836 TYLER BLVD
,
, MENTOR
, OH
, 44060-4361
Practice Phone
: 440-255-9553;
Practice Fax
: 440-255-9563
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1104843788 -
SEEMA
S
LIMAYE
MD
Other Name
:
Mailing Address
:
5841 S MARYLAND AVE
DEPARTMENT OF MEDICINE, (MC6098)
CHICAGO
IL
60637-1447
Phone
: 773-702-6459;
Fax
: 773-702-3538;
Practice Location Address
:
5841 S MARYLAND AVE
, DEPARTMENT OF MEDICINE, (MC6098)
, CHICAGO
, IL
, 60637-1447
Practice Phone
: 773-702-6459;
Practice Fax
: 773-702-3538
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1013934694 -
COMPRESSION HEALTH CARE INC
Other Name
:
Mailing Address
:
8185 CALLE CONCORDIA
SUITE 2
PONCE
PR
00717-1571
Phone
: 787-840-0981;
Fax
: 787-840-8367;
Practice Location Address
:
8185 CALLE CONCORDIA
, SUITE 2
, PONCE
, PR
, 00717-1571
Practice Phone
: 787-840-0981;
Practice Fax
: 787-840-8367
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1922025501 -
D NARLA MD PC
Other Name
:
Mailing Address
:
44850 MOUND RD
STERLING HEIGHTS
MI
48314
Phone
: 586-731-7000;
Fax
: 586-731-8610;
Practice Location Address
:
44850 MOUND RD
,
, STERLING HEIGHTS
, MI
, 48314
Practice Phone
: 586-731-7000;
Practice Fax
: 586-731-8610
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1831116417 -
MR.
MR.
DONALD
E
BRAMAN
JR.
R.N.
Other Name
:
Mailing Address
:
9 PARSONS ST
EASTHAMPTON
MA
01027-1527
Phone
: 413-527-3011;
Fax
: ;
Practice Location Address
:
421 N MAIN ST
,
, LEEDS
, MA
, 01053-9764
Practice Phone
: 413-584-4040;
Practice Fax
: 413-582-3177
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1740207323 -
LAURA
DIANE
KERBIN
M.D.
Other Name
:
Mailing Address
:
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS
VA
23601-1318
Phone
: 757-594-4006;
Fax
: ;
Practice Location Address
:
10085 WILLIAM F BERNART CIRCLE
,
, NASSAWADOX
, VA
, 23413
Practice Phone
: 757-414-8355;
Practice Fax
: 757-414-8016
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1659398238 -
DR.
DR.
JOHANNA
YOUNER
DPM
Other Name
:
Mailing Address
:
40 PARK AVENUE
SUITE 5
NEW YORK
NY
10016-3456
Phone
: 212-683-7757;
Fax
: 212-889-6150;
Practice Location Address
:
40 PARK AVENUE
, SUITE 5
, NEW YORK
, NY
, 10016-3456
Practice Phone
: 212-683-7757;
Practice Fax
: 212-889-6150
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1568489144 -
KEVIN
FRANCIS
KENNEDY
DDS
Other Name
:
Mailing Address
:
7110 W 127TH ST
SUITE 210
PALOS HEIGHTS
IL
60463-1560
Phone
: 708-448-7150;
Fax
: 708-448-6355;
Practice Location Address
:
7110 W 127TH ST
,
, PALOS HEIGHTS
, IL
, 60463-1560
Practice Phone
: 708-448-7150;
Practice Fax
: 708-448-6355
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1477570059 -
ARCHWAY STATION INC
Other Name
:
Mailing Address
:
45 QUEEN ST
CUMBERLAND
MD
21502
Phone
: 301-777-1700;
Fax
: 301-724-1209;
Practice Location Address
:
45 QUEEN ST.
,
, CUMBERLAND
, MD
, 21502
Practice Phone
: 301-777-1700;
Practice Fax
: 301-724-1209
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1386661965 -
MOHAMMED
A
HAQUE
MD
Other Name
:
Mailing Address
:
PO BOX 99335
FORT WORTH
TX
76199-0335
Phone
: ;
Fax
: ;
Practice Location Address
:
855 MONTGOMERY ST
,
, FORT WORTH
, TX
, 76107-2553
Practice Phone
: 817-920-7400;
Practice Fax
:
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1194742775 -
ERLINDA
T
UY - CONCEPCION
M.D.
Other Name
:
ERLINDA
UY
CONCEPCION
Mailing Address
:
299 W FOOTHILL BLVD
STE 212
UPLAND
CA
91786-3804
Phone
: 909-949-8866;
Fax
: 909-385-0379;
Practice Location Address
:
536 E FOOTHILL BLVD STE B
,
, UPLAND
, CA
, 91786-3988
Practice Phone
: 909-981-5882;
Practice Fax
: 909-946-0833
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1003833682 -
DR.
DR.
SUNG
KOO
YUN
MD
Other Name
:
Mailing Address
:
464 HUDSON TER STE 203
2ND FLOOR
ENGLEWOOD CLIFFS
NJ
07632-2917
Phone
: 201-567-7725;
Fax
: 201-567-5255;
Practice Location Address
:
464 HUDSON TER STE 203
, 2ND FLOOR
, ENGLEWOOD CLIFFS
, NJ
, 07632-2917
Practice Phone
: 201-567-7725;
Practice Fax
: 201-567-5255
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1912924598 -
DR.
DR.
LEWIS
JM
MOTT
M.D.
Other Name
:
Mailing Address
:
18128 WOOD DUCK ST
WOODLAND
CA
95695-6033
Phone
: 530-666-7473;
Fax
: ;
Practice Location Address
:
18128 WOOD DUCK ST
,
, WOODLAND
, CA
, 95695-6033
Practice Phone
: 530-666-7473;
Practice Fax
: 530-666-7473
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1821015405 -
JASON
PATRICK
GRISSOM
MPT
Other Name
:
Mailing Address
:
107 W 29TH ST
STE 100
LOVELAND
CO
80538-2797
Phone
: 970-663-6142;
Fax
: 970-635-3087;
Practice Location Address
:
3500 JOHN F KENNEDY PKWY STE 120
,
, FORT COLLINS
, CO
, 80525-2635
Practice Phone
: 970-663-6142;
Practice Fax
: 970-635-3087
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1730106311 -
DR.
DR.
GARY
J
MAIER
M.D.
Other Name
:
Mailing Address
:
301 TROY DR
MADISON
WI
53704-1521
Phone
: 608-301-1303;
Fax
: 608-301-1390;
Practice Location Address
:
301 TROY DR
,
, MADISON
, WI
, 53704-1521
Practice Phone
: 608-301-1303;
Practice Fax
: 608-301-1390
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1649297227 -
SUZANNE
M
WILKERSON
MD
Other Name
:
SUZANNE
M
PUCCINELLI
Mailing Address
:
4425 N PORT WASHINGTON RD
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE
WI
53212-1082
Phone
: 414-270-4932;
Fax
: ;
Practice Location Address
:
2320 N LAKE DR
, ROOM 3603
, MILWAUKEE
, WI
, 53211-4507
Practice Phone
: 414-270-4932;
Practice Fax
:
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1558388132 -
MR.
MR.
ANDY
J
BROWN
MS, CTRS
Other Name
:
Mailing Address
:
7901 KIMLOUGH DR
INDIANAPOLIS
IN
46240-2622
Phone
: 317-988-2760;
Fax
: 317-988-3312;
Practice Location Address
:
1481 W 10TH ST
,
, INDIANAPOLIS
, IN
, 46202-2803
Practice Phone
: 317-988-2760;
Practice Fax
: 317-988-3312
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1467479048 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1376560953 -
MARY
JO
FITZ-GERALD
M.D.
Other Name
:
Mailing Address
:
1501 KINGS HWY
DEPARTMENT OF PSYCHIATRY
SHREVEPORT
LA
71103-4228
Phone
: 318-813-2445;
Fax
: 318-813-2447;
Practice Location Address
:
1501 KINGS HWY
, DEPARTMENT OF PSYCHIATRY
, SHREVEPORT
, LA
, 71103-4228
Practice Phone
: 318-813-2445;
Practice Fax
: 318-813-2447
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1285651869 -
JOHANNES
JUDE
BUITEWEG
M.D.
Other Name
:
Mailing Address
:
11995 SINGLETREE LN
STE 500
EDEN PRAIRIE
MN
55344-5347
Phone
: 952-595-1301;
Fax
: 612-294-4903;
Practice Location Address
:
4480 ARCADA DR
,
, ALMA
, MI
, 48801-9593
Practice Phone
: 952-595-1100;
Practice Fax
: 612-294-4903
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1093732679 -
MRS.
MRS.
VIRGINIA
A
SMITH
MS, LPC
Other Name
:
VIRGINIA
A
LECLAIR
Mailing Address
:
520 58TH ST STE 200
KENOSHA
WI
53140
Phone
: 262-748-6048;
Fax
: 262-753-1922;
Practice Location Address
:
520 58TH ST. STE 200
,
, KENOSHA
, WI
, 53140
Practice Phone
: 262-748-6048;
Practice Fax
:
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1902823586 -
LUIS
A
VARGAS
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-294-7425;
Practice Location Address
:
6601 DAN DANCIGER RD STE 200
,
, FORT WORTH
, TX
, 76133-4953
Practice Phone
: 817-945-1020;
Practice Fax
: 817-945-1072
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1811914492 -
JANET
L
HENDERSON
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-284-1973;
Practice Location Address
:
3700 RUFE SNOW DRIVE
,
, FORT WORTH
, TX
, 76180-8848
Practice Phone
: 817-284-1152;
Practice Fax
: 817-284-1973
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1720005309 -
DOUGLAS
M
JEFFERS
DO
Other Name
:
Mailing Address
:
3691 RUTGER ST
PROVIDER ENROLLMENT
SAINT LOUIS
MO
63110-2515
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3635 VISTA AVE
,
, SAINT LOUIS
, MO
, 63110-2539
Practice Phone
: 314-577-8750;
Practice Fax
: 314-268-5102
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1639196215 -
JASON
LEE
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3635 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8750;
Practice Fax
: 314-268-5102
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1548287121 -
ALAN
E
SKOLNICK
M.D.
Other Name
:
Mailing Address
:
PO BOX 200149
ANCHORAGE
AK
99520-0149
Phone
: 907-561-3211;
Fax
: 907-562-7547;
Practice Location Address
:
3841 PIPER STREET
, SUITE T100
, ANCHORAGE
, AK
, 99508
Practice Phone
: 907-561-3211;
Practice Fax
: 907-562-7547
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1457378036 -
REGENTS OF THE UNIVERSITY OF MICHIGAN
Other Name
:
Mailing Address
:
3621 S STATE ST
PROVIDER ENROLLMENT
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
8001 CHALLIS RD
,
, BRIGHTON
, MI
, 48116
Practice Phone
: 810-227-9510;
Practice Fax
:
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1366469942 -
SUSAN
MARIE
SMILE
MD
Other Name
:
Mailing Address
:
144 STONY POINT ROAD
SANTA ROSA
CA
95401
Phone
: 707-521-4500;
Fax
: 707-544-4626;
Practice Location Address
:
144 STONY POINT ROAD
,
, SANTA ROSA
, CA
, 95401
Practice Phone
: 707-521-4500;
Practice Fax
: 707-544-4626
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1275550857 -
MS.
MS.
BARBARA
BROWN
Other Name
:
Mailing Address
:
226 RANDOLPH AVE
CAPE CHARLES
VA
23310-3206
Phone
: ;
Fax
: ;
Practice Location Address
:
10150 ROGERS DRIVE
,
, NASSAWADOX
, VA
, 23310
Practice Phone
: 757-442-3310;
Practice Fax
:
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1184641763 -
JOSEPH
P
CAPEZIO
M.D.
Other Name
:
Mailing Address
:
1875 DEMPSTER ST
SUITE 245
PARK RIDGE
IL
60068-1186
Phone
: 847-692-9234;
Fax
: 847-692-5267;
Practice Location Address
:
1875 DEMPSTER ST
, SUITE 245
, PARK RIDGE
, IL
, 60068-1186
Practice Phone
: 847-692-9234;
Practice Fax
: 847-692-5267
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1992722573 -
ROBERT
P
HARDIE
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-284-1973;
Practice Location Address
:
3700 RUFE SNOW DRIVE
,
, FORT WORTH
, TX
, 76180-8848
Practice Phone
: 817-284-1152;
Practice Fax
: 817-284-1973
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1801813480 -
DR.
DR.
ROBERT
E
HOGAN
III
MD
Other Name
:
Mailing Address
:
PO BOX 7412011
CHICAGO
IL
60674-2011
Phone
: 314-362-1408;
Fax
: 314-362-0296;
Practice Location Address
:
4921 PARKVIEW PL
, DIV NEUROLOGY EPILEPSY, STE 6C
, SAINT LOUIS
, MO
, 63110-1032
Practice Phone
: 314-362-1408;
Practice Fax
: 314-362-0296
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1710904396 -
JOHN
MARK
BAYOUTH
MD
Other Name
:
Mailing Address
:
4662 SANTA COVA CT
FORT WORTH
TX
76126-1939
Phone
: 817-371-0920;
Fax
: 949-703-7250;
Practice Location Address
:
2600 ALEMEDA ST STE 202
,
, FORT WORTH
, TX
, 76108-4042
Practice Phone
: 817-922-9229;
Practice Fax
: 949-703-7250
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1629095203 -
JENNIFER
L
LUDWIG
MD
Other Name
:
Mailing Address
:
611 E DOUGLAS RD
STE 407
MISHAWAKA
IN
46545-1464
Phone
: 574-335-6500;
Fax
: 574-335-0772;
Practice Location Address
:
611 E DOUGLAS RD
, STE 407
, MISHAWAKA
, IN
, 46545-1464
Practice Phone
: 574-335-6500;
Practice Fax
: 574-335-0772
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1538186119 -
DR.
DR.
ANTHONY
EMILIO
ADDESA
M.D.
Other Name
:
Mailing Address
:
783 SOMERVILLE AVE
SOMERVILLE
MA
02143-3541
Phone
: ;
Fax
: ;
Practice Location Address
:
783 SOMERVILLE AVE
,
, SOMERVILLE
, MA
, 02143-3541
Practice Phone
: 617-764-5264;
Practice Fax
:
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1447277025 -
YUVONNE
MARTIN
Other Name
:
Mailing Address
:
17521 NW 42ND AVE
OPA LOCKA
FL
33055-3767
Phone
: ;
Fax
: ;
Practice Location Address
:
2500 NW 22ND AVE
,
, MIAMI
, FL
, 33142-8429
Practice Phone
: 786-466-3000;
Practice Fax
: 305-638-6856
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1356368930 -
DR.
DR.
DAHLIA
TOVA
CARR
MD
Other Name
:
Mailing Address
:
150 N ROBERTSON BLVD
STE 224
BEVERLY HILLS
CA
90211-2142
Phone
: 310-659-5905;
Fax
: 310-659-1209;
Practice Location Address
:
150 N ROBERTSON BLVD
, STE 224
, BEVERLY HILLS
, CA
, 90211-2142
Practice Phone
: 310-659-5905;
Practice Fax
: 310-659-1209
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1265459846 -
ISLANDIA MRI ASSOCIATES PC
Other Name
:
Mailing Address
:
200 CORPORATE PLZ
EXPRESS DRIVE SOUTH
ISLANDIA
NY
11749-1552
Phone
: 631-234-2828;
Fax
: ;
Practice Location Address
:
200 CORPORATE PLZ
, EXPRESS DRIVE SOUTH
, ISLANDIA
, NY
, 11749-1552
Practice Phone
: 631-234-2828;
Practice Fax
:
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1174540751 -
DAVID
S
DIMARCO
MD
Other Name
:
Mailing Address
:
2400 HARTMAN LN
SPRINGFIELD
OR
97477-1118
Phone
: 541-334-3350;
Fax
: 541-284-5198;
Practice Location Address
:
2400 HARTMAN LN
,
, SPRINGFIELD
, OR
, 97477-1118
Practice Phone
: 541-334-3350;
Practice Fax
: 541-284-5198
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1083631667 -
PULASKI COUNTY SCHOOLS
Other Name
:
Mailing Address
:
202 N WASHINGTON AVE
PULASKI
VA
24301-5022
Phone
: ;
Fax
: ;
Practice Location Address
:
202 N WASHINGTON AVE
,
, PULASKI
, VA
, 24301-5022
Practice Phone
: 540-643-0200;
Practice Fax
:
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1891712477 -
CONNIE
SUE
DIMARCO
MD
Other Name
:
Mailing Address
:
2400 HARTMAN LN
SPRINGFIELD
OR
97477-1118
Phone
: 541-334-3350;
Fax
: 541-284-5198;
Practice Location Address
:
2400 HARTMAN LN
,
, SPRINGFIELD
, OR
, 97477-1118
Practice Phone
: 541-334-3350;
Practice Fax
: 541-284-5198
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1700803384 -
MR.
MR.
PETER
BACKE
P.T.
Other Name
:
Mailing Address
:
3655A OLD COURT RD
STE 16
PIKESVILLE
MD
21208-3959
Phone
: 410-484-5500;
Fax
: 410-486-3220;
Practice Location Address
:
3655A OLD COURT RD
, STE 16
, PIKESVILLE
, MD
, 21208-3959
Practice Phone
: 410-484-5500;
Practice Fax
: 410-486-3220
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1619994290 -
DR.
DR.
DAVID
S
ADELSTEIN
D.O.
Other Name
:
Mailing Address
:
13 SAWYER ST
WAREHAM
MA
02571-2003
Phone
: 508-295-5289;
Fax
: 508-291-0579;
Practice Location Address
:
13 SAWYER ST
,
, WAREHAM
, MA
, 02571-2003
Practice Phone
: 508-295-5197;
Practice Fax
: 508-291-0579
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1134147697 -
MR.
MR.
MARK
A
TURNER
MPT
Other Name
:
MARK
A
TURNER
Mailing Address
:
11201 S EASTERN AVE
STE 220
HENDERSON
NV
89052-6201
Phone
: 702-614-0324;
Fax
: 702-341-0324;
Practice Location Address
:
7455 W WASHINGTON AVE
, STE 215
, LAS VEGAS
, NV
, 89128-4337
Practice Phone
: 702-307-0938;
Practice Fax
: 702-307-0946
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1043238504 -
CARLOS
CARTAYA
M.D.
Other Name
:
Mailing Address
:
9420 LAZY LN STE E3
TAMPA
FL
33614-1587
Phone
: 813-743-7879;
Fax
: 813-926-5358;
Practice Location Address
:
9420 LAZY LN
, SUITE E-3
, TAMPA
, FL
, 33614-1593
Practice Phone
: 813-743-7879;
Practice Fax
: 813-926-5358
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1952329419 -
NORTH BROWARD HOSPITAL DISTRICT
Other Name
:
Mailing Address
:
1700 NW 49TH ST STE 125
FORT LAUDERDALE
FL
33309-3763
Phone
: ;
Fax
: ;
Practice Location Address
:
50 E SAMPLE RD
, SUITE 302
, POMPANO BEACH
, FL
, 33064-3552
Practice Phone
: 954-421-9050;
Practice Fax
: 954-421-8712
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1861410326 -
DR.
DR.
KEITH
M
RICH
MD
Other Name
:
Mailing Address
:
PO BOX 60352
SAINT LOUIS
MO
63160-0352
Phone
: 314-362-3577;
Fax
: 314-362-2107;
Practice Location Address
:
4921 PARKVIEW PL
, DIV NEUROLOGICAL SURGERY, STE 6B/6C
, SAINT LOUIS
, MO
, 63110-1032
Practice Phone
: 314-362-3577;
Practice Fax
: 314-362-2107
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1770501231 -
DR.
DR.
KEITH
E
ISENBERG
MD
Other Name
:
Mailing Address
:
1831 CHESTNUT ST
M/S: MOM904-S350
SAINT LOUIS
MO
63103-2225
Phone
: 314-923-8647;
Fax
: 314-923-4857;
Practice Location Address
:
1831 CHESTNUT ST
, M/S: MOM904-S350
, SAINT LOUIS
, MO
, 63103-2225
Practice Phone
: 314-923-8647;
Practice Fax
: 314-923-4857
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1689692147 -
MR.
MR.
MICHAEL
R
TAYLOR
PA
Other Name
:
Mailing Address
:
660 S EUCLID AVE
C B 8131
SAINT LOUIS
MO
63110-1010
Phone
: 314-362-7200;
Fax
: 314-747-4189;
Practice Location Address
:
510 S KINGSHIGHWAY BLVD
,
, SAINT LOUIS
, MO
, 63110-1016
Practice Phone
: 314-362-7200;
Practice Fax
: 314-747-4189
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1497773956 -
DR.
DR.
CATHERINE
K
IFUNE
MD
Other Name
:
Mailing Address
:
PO BOX 7412011
CHICAGO
IL
60674-2011
Phone
: 800-862-9980;
Fax
: 314-362-1185;
Practice Location Address
:
1 BARNES JEWISH HOSPITAL PLZ
, DEPT ANESTHESIOLOGY
, SAINT LOUIS
, MO
, 63110-1003
Practice Phone
: 800-862-9980;
Practice Fax
: 314-362-1185
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1306864863 -
ROCKY MOUNTAIN THERAPY SERVICES
Other Name
:
Mailing Address
:
PO BOX 540640
NORTH SALT LAKE
UT
84054-0640
Phone
: 801-987-8700;
Fax
: 801-987-8701;
Practice Location Address
:
3540 S 4000 W STE 340
,
, WEST VALLEY CITY
, UT
, 84120-3287
Practice Phone
: 801-417-5017;
Practice Fax
: 801-417-5016
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1215955778 -
ERIN
E
PAYNE
MD
Other Name
:
ERIN
E
BOSHER
Mailing Address
:
3621 S STATE ST
700 KMS PLACE
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
1500 EAST MEDICAL CENTER DR
, 1H247 UNIVERSITY HOSPITAL
, ANN ARBOR
, MI
, 48109-5048
Practice Phone
: 734-936-4280;
Practice Fax
:
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1124046685 -
DR.
DR.
PHILIP
MICHAEL
ROBITAILLE
DDS
Other Name
:
Mailing Address
:
191 SLADES FERRY AVE
SOMERSET
MA
02726-1201
Phone
: 508-674-0551;
Fax
: 239-236-2100;
Practice Location Address
:
191 SLADES FERRY AVE
,
, SOMERSET
, MA
, 02726-1201
Practice Phone
: 508-674-0551;
Practice Fax
: 239-236-2100
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