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Showing codes 1720005523 — 1700803327
1720005523 -
GASTROENTEROLOGY ASSOCIATES OF NORTH TEXAS, LLP
Other Name
:
Mailing Address
:
900 W MAGNOLIA AVE STE 100
SUITE 100
FORT WORTH
TX
76104-8518
Phone
: 817-870-7300;
Fax
: 817-332-8372;
Practice Location Address
:
900 W MAGNOLIA AVE STE 100
,
, FORT WORTH
, TX
, 76104-8518
Practice Phone
: 817-870-7300;
Practice Fax
: 817-332-8372
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1639196439 -
JOSEPH
MICHAEL
CUMPELIK
PA
Other Name
:
Mailing Address
:
14601 HOPE CENTER LOOP
FORT MYERS
FL
33912-4707
Phone
: 239-334-7000;
Fax
: 239-334-7070;
Practice Location Address
:
14601 HOPE CENTER LOOP
,
, FORT MYERS
, FL
, 33912-4707
Practice Phone
: 239-334-7000;
Practice Fax
: 239-334-7070
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1548287345 -
ATHENA HOME HEALTH, LLC
Other Name
:
Mailing Address
:
135 SOUTH RD
FARMINGTON
CT
06032-2556
Phone
: 860-751-3620;
Fax
: 860-751-3590;
Practice Location Address
:
135 SOUTH RD
,
, FARMINGTON
, CT
, 06032-2556
Practice Phone
: 860-751-3620;
Practice Fax
: 203-470-7972
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1457378259 -
MR.
MR.
PAUL
W
SAGERS
PT
Other Name
:
Mailing Address
:
1055 N 500 W
ATTN: CREDENTIALING
PROVO
UT
84604-3305
Phone
: 801-354-8225;
Fax
: 801-418-0941;
Practice Location Address
:
1055 N 500 W STE 122
,
, PROVO
, UT
, 84604
Practice Phone
: 801-429-0610;
Practice Fax
: 801-429-0629
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1366469165 -
MRS.
MRS.
JULIE
ANN
LEGAULT
ATC
Other Name
:
Mailing Address
:
2010 REDBUD TRL
NILES
MI
49120-8604
Phone
: 269-697-0246;
Fax
: ;
Practice Location Address
:
3950 HOLLYWOOD RD
, SUITE 140
, SAINT JOSEPH
, MI
, 49085-9151
Practice Phone
: 269-556-7150;
Practice Fax
:
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1275550071 -
DR.
DR.
TARUN
JOLLY
MD
Other Name
:
Mailing Address
:
4520 WICHERS DR
SUITE 205
MARRERO
LA
70072-3135
Phone
: 504-754-2334;
Fax
: 504-324-2078;
Practice Location Address
:
231 W ESPLANADE AVE
, SUITE B
, KENNER
, LA
, 70065-2459
Practice Phone
: 504-754-2334;
Practice Fax
: 504-324-2078
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1184641987 -
DR.
DR.
JOHANNA
C
FUENTES-VALDES
M.D.
Other Name
:
JOHANNA
C
FUENTES-DAZA
Mailing Address
:
2748 WINDGUARD CIR STE 102
WESLEY CHAPEL
FL
33544-7364
Phone
: 813-461-4428;
Fax
: 813-291-7397;
Practice Location Address
:
2748 WINDGUARD CIR STE 102
,
, WESLEY CHAPEL
, FL
, 33544-7364
Practice Phone
: 813-461-4428;
Practice Fax
: 813-291-7397
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1992722797 -
DR.
DR.
SHRIDHAR
VENTRAPRAGADA
M.D.
Other Name
:
Mailing Address
:
2211 MAIN ST STE 1A
HIGHLAND
IN
46322-3514
Phone
: 219-836-9368;
Fax
: 219-836-9357;
Practice Location Address
:
2211 MAIN ST STE 1A
,
, HIGHLAND
, IN
, 46322-3514
Practice Phone
: 219-836-9368;
Practice Fax
: 219-836-9357
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1801813605 -
MARY
HAYMAN
MD
Other Name
:
Mailing Address
:
1701 SPRING ST
SUITE A.
JEFFERSONVILLE
IN
47130-2930
Phone
: 812-282-1367;
Fax
: 812-284-8377;
Practice Location Address
:
1701 SPRING ST
, SUITE A.
, JEFFERSONVILLE
, IN
, 47130-2930
Practice Phone
: 812-282-1367;
Practice Fax
: 812-284-8377
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1710904511 -
INNA
D'EMPAIRE
MD
Other Name
:
Mailing Address
:
1010 N KANSAS
SUITE #3049
WICHITA
KS
67214-3199
Phone
: 316-293-2647;
Fax
: 316-293-1863;
Practice Location Address
:
1001 N MINNEAPOLIS
,
, WICHITA
, KS
, 67214-3124
Practice Phone
: 316-293-2647;
Practice Fax
: 316-293-1863
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1629095427 -
DR.
DR.
HENRY
LIZEN
LIAW
M.D.
Other Name
:
Mailing Address
:
6750 WEST LOOP S
SUITE 950
BELLAIRE
TX
77401-4103
Phone
: 713-838-0800;
Fax
: 713-838-0887;
Practice Location Address
:
6720 BERTNER ST
,
, HOUSTON
, TX
, 77030-2604
Practice Phone
: 832-355-2121;
Practice Fax
:
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1295752327 -
WAL-MART STORES TEXAS LLC
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: 479-277-1238;
Fax
: 479-277-4331;
Practice Location Address
:
25108 MARKET PLACE DR
,
, KATY
, TX
, 77494-4430
Practice Phone
: 281-644-6412;
Practice Fax
:
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1467479667 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
61205 SOUTHGATE RD
,
, CAMBRIDGE
, OH
, 43725-8002
Practice Phone
: 740-439-5903;
Practice Fax
:
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1861419269 -
WALMART INC.
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: 479-204-1258;
Fax
: ;
Practice Location Address
:
400 BRYANT AVE
,
, BRYANT
, AR
, 72022-3813
Practice Phone
: 501-847-4615;
Practice Fax
: 501-847-7692
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1033136437 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
1505 COUNTY ROAD 220
,
, ORANGE PARK
, FL
, 32003-7926
Practice Phone
: 904-278-5988;
Practice Fax
:
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1376560599 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
28804 GRATIOT AVE
,
, ROSEVILLE
, MI
, 48066-4235
Practice Phone
: 586-777-9475;
Practice Fax
:
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1316964539 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962429365 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1881611150 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1033136163 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518984640 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1841217130 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1063439115 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1033136395 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
2250 LINCOLN AVE
,
, NEVADA
, MO
, 64772-4258
Practice Phone
: 417-667-3011;
Practice Fax
:
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1033136189 -
WAL-MART STORES EAST , LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
5900 PERKIOMEN AVE
,
, READING
, PA
, 19606-3635
Practice Phone
: 610-582-7288;
Practice Fax
:
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1073530499 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1629095823 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1972520211 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1710904065 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1699792960 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1922025063 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1154348449 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1518984822 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1255358867 -
CAROL
J
SAMS
CNP
Other Name
:
Mailing Address
:
730 SOM CENTER RD
SUITE 240
MAYFIELD VILLAGE
OH
44143-2350
Phone
: 440-720-3230;
Fax
: 216-201-7205;
Practice Location Address
:
730 SOM CENTER RD
, SUITE 240
, MAYFIELD VILLAGE
, OH
, 44143-2350
Practice Phone
: 440-720-3230;
Practice Fax
: 216-201-7205
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1164449773 -
JASON
HOEPPNER
P.T.
Other Name
:
Mailing Address
:
10809 RIVER OAKS DR
FORT WAYNE
IN
46845-8994
Phone
: ;
Fax
: ;
Practice Location Address
:
5050 N CLINTON ST
,
, FORT WAYNE
, IN
, 46825-5822
Practice Phone
: 260-471-6202;
Practice Fax
: 260-471-4272
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1982621595 -
DOMINGO
K
TAN
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-570-0173;
Practice Location Address
:
6100 HARRIS PARKWAY, SUITE 270
,
, FORT WORTH
, TX
, 76132-4132
Practice Phone
: 817-433-5658;
Practice Fax
: 817-570-0173
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1790702306 -
ELIZABETH
A TRACEY
WEAVER
WHNP
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-924-3222;
Practice Location Address
:
1250 8TH AVENUE
, SUITE 330
, FORT WORTH
, TX
, 76104
Practice Phone
: 817-923-5559;
Practice Fax
: 817-924-3222
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1609893213 -
JEFFREY
SCHWARTZ
M.D., FACEP
Other Name
:
Mailing Address
:
75 REMITT DRIVE
LOCKBOX 1940
CHICAGO
IL
60675-1940
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
10 HOSPITAL DR
,
, SAINT PETERS
, MO
, 63376-1659
Practice Phone
: 636-916-9000;
Practice Fax
:
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1518984129 -
CHARLENE
M
SEALE
FNP
Other Name
:
Mailing Address
:
1313 BROADMOOR ST
AMARILLO
TX
79106-5724
Phone
: 806-354-9052;
Fax
: ;
Practice Location Address
:
1500 COULTER ROAD
, SUITE 2
, AMARILLO
, TX
, 79106
Practice Phone
: 806-946-3563;
Practice Fax
:
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1427075035 -
DR.
DR.
MAHENDRA
SHAH
M.D.
Other Name
:
Mailing Address
:
PO BOX 91734
RICHMOND
VA
23291-1734
Phone
: 804-358-6100;
Fax
: 894-342-7619;
Practice Location Address
:
1250 E MARSHALL ST
,
, RICHMOND
, VA
, 23298-5051
Practice Phone
: 804-828-9111;
Practice Fax
: 894-828-0139
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1336166941 -
DR.
DR.
DAVID
C
BERTONCINI
MD
Other Name
:
Mailing Address
:
4440 NORTH PORTAGE AVENUE
SOUTH BEND
IN
46628-9570
Phone
: 574-204-6200;
Fax
: 574-288-1426;
Practice Location Address
:
4440 NORTH PORTAGE AVENUE
,
, SOUTH BEND
, IN
, 46628-9570
Practice Phone
: 574-204-6200;
Practice Fax
: 574-288-1426
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1245257856 -
DR.
DR.
SAVITA
P
COLLINS
MD
Other Name
:
Mailing Address
:
2012 S MAIN ST STE B
GOSHEN
IN
46526-5200
Phone
: 574-534-2025;
Fax
: 574-534-2542;
Practice Location Address
:
2012 S MAIN ST STE B
,
, GOSHEN
, IN
, 46526-5200
Practice Phone
: 574-534-2025;
Practice Fax
: 574-534-2542
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1154348761 -
MICHAEL
E
CANNON
MD
Other Name
:
MIGUEL
E
CANNON
Mailing Address
:
PO BOX 221240
KIRKWOOD
MO
63122-8240
Phone
: 314-325-8925;
Fax
: ;
Practice Location Address
:
16216 BAXTER RD STE 340
,
, CHESTERFIELD
, MO
, 63017-4778
Practice Phone
: 314-325-8925;
Practice Fax
:
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1063439677 -
BRUCE
J
WALZ
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
: 314-577-8815;
Practice Fax
: 314-268-5106
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1972520583 -
MS.
MS.
TRACY
LEE
NIXON-EVANS
M.S., OTR/L
Other Name
:
Mailing Address
:
344 LAKE RD
HERTFORD
NC
27944-8775
Phone
: 252-334-9800;
Fax
: 252-334-9919;
Practice Location Address
:
344 LAKE RD
,
, HERTFORD
, NC
, 27944-8775
Practice Phone
: 252-334-9800;
Practice Fax
: 252-334-9919
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1881611499 -
BPRS INC
Other Name
:
Mailing Address
:
201 6TH AVE
DAYTON
KY
41074-1575
Phone
: 859-491-1700;
Fax
: 859-491-7680;
Practice Location Address
:
201 6TH AVE
,
, DAYTON
, KY
, 41074
Practice Phone
: 859-491-1700;
Practice Fax
: 859-491-7680
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1699792200 -
TIMOTHY
ALLEN
VILES
Other Name
:
Mailing Address
:
965 FOXRIDGE LN
CARYVILLE
TN
37714-3769
Phone
: 865-789-1799;
Fax
: ;
Practice Location Address
:
1261 S TAMIAMI TRL
,
, SARASOTA
, FL
, 34239-2219
Practice Phone
: 941-917-1250;
Practice Fax
:
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1508883117 -
PEGGY
J
MAASJO
NP
Other Name
:
Mailing Address
:
1245 WASHINGTON AVE
DETROIT LAKES
MN
56501-3905
Phone
: 218-846-2000;
Fax
: 218-846-2114;
Practice Location Address
:
1245 WASHINGTON AVE
,
, DETROIT LAKES
, MN
, 56501-3905
Practice Phone
: 218-846-2000;
Practice Fax
: 218-846-2114
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1417974023 -
MALETIRA
G
MACHAYYA
MD
Other Name
:
Mailing Address
:
520 CHAUTAUQUA BLVD
VALLEY CITY
ND
58072-3145
Phone
: 701-845-6000;
Fax
: 701-845-6150;
Practice Location Address
:
520 CHAUTAUQUA BLVD
,
, VALLEY CITY
, ND
, 58072-3145
Practice Phone
: 701-845-6000;
Practice Fax
: 701-845-6150
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1326065939 -
MITCHELL
J
MAGID
DMD
Other Name
:
Mailing Address
:
1612 GRAVES MILL RD
LYNCHBURG
VA
24502-4329
Phone
: 701-388-8554;
Fax
: 701-356-0739;
Practice Location Address
:
1612 GRAVES MILL RD
,
, LYNCHBURG
, VA
, 24502-4329
Practice Phone
: 434-316-7111;
Practice Fax
: 434-316-7114
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1235156845 -
CONNIE
A
MAGURA
MD
Other Name
:
Mailing Address
:
1720 UNIVERSITY DR S
FARGO
ND
58103-4940
Phone
: 701-280-4140;
Fax
: 701-280-4923;
Practice Location Address
:
1720 UNIVERSITY DR S
,
, FARGO
, ND
, 58103-4940
Practice Phone
: 701-280-4140;
Practice Fax
: 701-280-4923
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1144247750 -
ADIT
S
MAHALE
MD
Other Name
:
Mailing Address
:
PO BOX 37938
CHARLOTTE
NC
28237-7938
Phone
: 704-731-6949;
Fax
: 704-971-0035;
Practice Location Address
:
3158 FREEDOM DR STE 3101
,
, CHARLOTTE
, NC
, 28208-0014
Practice Phone
: 704-348-2992;
Practice Fax
: 704-791-0035
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1053338665 -
DR.
DR.
CYNTHIA
JACKSON
PH.D.
Other Name
:
Mailing Address
:
593 EDDY ST
DEPARTMENT OF PATHOLOGY APC 12
PROVIDENCE
RI
02903-4923
Phone
: 401-444-4370;
Fax
: 401-444-8514;
Practice Location Address
:
593 EDDY ST
, DEPARTMENT OF PATHOLOGY APC 12
, PROVIDENCE
, RI
, 02903-4923
Practice Phone
: 401-444-4370;
Practice Fax
: 401-444-8514
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1962429571 -
FAZILATH
FATIMA
MD
Other Name
:
Mailing Address
:
17360 BROOKHURST ST
ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY
CA
92708-3720
Phone
: ;
Fax
: ;
Practice Location Address
:
17360 BROOKHURST ST
,
, FOUNTAIN VALLEY
, CA
, 92708-3720
Practice Phone
: 657-241-3592;
Practice Fax
:
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1871510487 -
MS.
MS.
ERICA
LATRISE
JAMES
PT
Other Name
:
Mailing Address
:
253 UPPER RIVERDALE RD SW STE A
RIVERDALE
GA
30274-4945
Phone
: 770-685-6220;
Fax
: ;
Practice Location Address
:
253 UPPER RIVERDALE RD SW STE A
,
, RIVERDALE
, GA
, 30274-4945
Practice Phone
: 770-685-6220;
Practice Fax
:
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1780601393 -
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
Other Name
:
Mailing Address
:
PO BOX 751461
CHARLOTTE
NC
28275-1461
Phone
: 843-792-6200;
Fax
: ;
Practice Location Address
:
171 ASHLEY AVE
,
, CHARLESTON
, SC
, 29425-8908
Practice Phone
: 843-792-1414;
Practice Fax
:
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1598782104 -
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:
Mailing Address
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Phone
: ;
Fax
: ;
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:
,
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,
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: ;
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:
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1407873011 -
STANTON
A
BAILEY
M.D.
Other Name
:
Mailing Address
:
PO BOX 405473
ATLANTA
GA
30384-5473
Phone
: ;
Fax
: ;
Practice Location Address
:
970 MEDICAL DR STE 202
,
, BRIGHAM CITY
, UT
, 84302-3286
Practice Phone
: 435-695-2273;
Practice Fax
: 435-695-2278
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1316964927 -
CHRISTOPHER
SEAN
MCNEIL
D.C.
Other Name
:
Mailing Address
:
48866 HAYES RD
MACOMB
MI
48044-1954
Phone
: 586-566-2273;
Fax
: 586-566-2272;
Practice Location Address
:
48866 HAYES RD
,
, MACOMB
, MI
, 48044-1954
Practice Phone
: 586-566-2273;
Practice Fax
: 586-566-2272
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1225055833 -
KATHLEEN
MARIE
PAWLANTA
F.N.P.
Other Name
:
KATHLEEN
MARIE
DONNELLY
Mailing Address
:
829 N CENTER AVE
SUITE 298
GAYLORD
MI
49735-1595
Phone
: 989-731-7708;
Fax
: 989-731-7929;
Practice Location Address
:
829 N CENTER AVE
, SUITE 210
, GAYLORD
, MI
, 49735-1595
Practice Phone
: 989-731-7860;
Practice Fax
: 989-731-7954
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1134146749 -
SARAH
JANE
GROSS
MSW, LICSW
Other Name
:
SARAH
JANE
MCKENDALL
Mailing Address
:
1900 SILVER LAKE RD
SUITE 110 NYSTROM & ASSOCIATES, LTD.
NEW BRIGHTON
MN
55112
Phone
: 651-628-9566;
Fax
: 651-628-0411;
Practice Location Address
:
1900 SILVER LAKE RD #110
,
, NEW BRIGHTON
, MN
, 55112
Practice Phone
: 651-628-9566;
Practice Fax
: 651-628-0411
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1043237654 -
DR.
DR.
JAMES
VAUGHN
D.D.S.
Other Name
:
JAMES
VAUGHN
Mailing Address
:
1526 W GLENDALE AVE STE 104
PHOENIX
AZ
85021-8576
Phone
: ;
Fax
: ;
Practice Location Address
:
1526 W GLENDALE AVE STE 104
,
, PHOENIX
, AZ
, 85021-8576
Practice Phone
: 602-864-7754;
Practice Fax
: 602-864-7755
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1952328569 -
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:
Mailing Address
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Phone
: ;
Fax
: ;
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:
,
,
,
,
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: ;
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:
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1861419475 -
MEGA CARE AMBULANCE , INC
Other Name
:
Mailing Address
:
PO BOX 740192
HOUSTON
TX
77274-0192
Phone
: 832-573-6633;
Fax
: 713-890-6098;
Practice Location Address
:
6820 LARKWOOD DR
,
, HOUSTON
, TX
, 77074-3520
Practice Phone
: 832-573-6633;
Practice Fax
: 713-890-6098
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1770500381 -
DR.
DR.
WENDY
AYLESWORTH
HASKELL
MSW PHD LICSW
Other Name
:
Mailing Address
:
45A CHARLESBANK ROAD
NEWTON
MA
02458
Phone
: 617-965-0652;
Fax
: ;
Practice Location Address
:
1180 BEACON STREET
, SUITE 7D
, BROOKLINE
, MA
, 02446
Practice Phone
: 617-527-9931;
Practice Fax
:
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1689691297 -
BEACON MEDICAL GROUP, INC.
Other Name
:
Mailing Address
:
710 N NILES AVE
SOUTH BEND
IN
46617-1924
Phone
: 574-647-1610;
Fax
: 574-237-6069;
Practice Location Address
:
2120 RIETH BLVD STE C
,
, GOSHEN
, IN
, 46526-5858
Practice Phone
: 574-875-6911;
Practice Fax
: 574-875-1057
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1497772008 -
GENESIS HEALTH SYSTEM
Other Name
:
Mailing Address
:
PO BOX 765
EAST MOLINE
IL
61244-0765
Phone
: 563-355-9200;
Fax
: 563-355-3419;
Practice Location Address
:
4017 DEVILS GLEN RD
,
, BETTENDORF
, IA
, 52722-7221
Practice Phone
: 563-421-3700;
Practice Fax
: 563-421-3710
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1306863915 -
BEACON MEDICAL GROUP, INC.
Other Name
:
Mailing Address
:
710 N NILES AVE
SOUTH BEND
IN
46617-1924
Phone
: 574-647-1610;
Fax
: 574-237-6069;
Practice Location Address
:
2120 RIETH BLVD STE A
,
, GOSHEN
, IN
, 46526-5858
Practice Phone
: 574-875-5126;
Practice Fax
: 574-875-1874
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1215954821 -
GEORGE
JAY
ZIMMERMANN
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-335-9251;
Practice Location Address
:
1000 9TH AVENUE
,
, FORT WORTH
, TX
, 76104-3906
Practice Phone
: 817-336-7171;
Practice Fax
: 817-335-9251
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1124045737 -
CHRISTOPHER
J
BORGEN
OD
Other Name
:
Mailing Address
:
1720 HWY 59 SE
SUITE 1 BOX 505
THIEF RIVER FALLS
MN
56701
Phone
: 218-681-3300;
Fax
: 218-681-6733;
Practice Location Address
:
1720 HWY 59 SE
, SUITE 1 BOX 505
, THIEF RIVER FALLS
, MN
, 56701
Practice Phone
: 218-681-3300;
Practice Fax
: 218-681-6733
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1033136643 -
JOY
ANNE
ROTHSCHILD
NP
Other Name
:
Mailing Address
:
1130 NW 22ND AVE
SUITE 520
PORTLAND
OR
97210-2976
Phone
: 503-274-4800;
Fax
: 503-274-4917;
Practice Location Address
:
1130 NW 22ND AVE
, SUITE 520
, PORTLAND
, OR
, 97210-2976
Practice Phone
: 503-274-4800;
Practice Fax
: 503-274-4917
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1942227558 -
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
Other Name
:
Mailing Address
:
PO BOX 751461
CHARLOTTE
NC
28275-1461
Phone
: 843-792-6200;
Fax
: ;
Practice Location Address
:
171 ASHLEY AVE
,
, CHARLESTON
, SC
, 29425-8908
Practice Phone
: 843-792-1414;
Practice Fax
:
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1851318463 -
DAVID
L
CULVER
MD
Other Name
:
Mailing Address
:
PO BOX 3456
BARTLESVILLE
OK
74006-3456
Phone
: 918-333-4100;
Fax
: 918-333-4106;
Practice Location Address
:
3500 E FRANK PHILLIPS BLVD
,
, BARTLESVILLE
, OK
, 74006-2411
Practice Phone
: 918-331-1555;
Practice Fax
: 918-331-1695
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1760409379 -
CATHERINE
CHILES
M.D.
Other Name
:
Mailing Address
:
103 ARMORY ST
HAMDEN
CT
06517-4005
Phone
: ;
Fax
: ;
Practice Location Address
:
950 CAMPBELL AVE
, VACHS 116A
, WEST HAVEN
, CT
, 06516-2770
Practice Phone
: 203-932-5711;
Practice Fax
: 203-937-3886
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1679590285 -
KAREN
S
UNDERHILL
ANP-C
Other Name
:
Mailing Address
:
3621 S STATE ST
700 KMS PLACE
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
1200 EARHART RD
,
, ANN ARBOR
, MI
, 48105-2768
Practice Phone
: 734-769-0177;
Practice Fax
:
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1588681191 -
DR.
DR.
MARKO
V
BODOR
MD
Other Name
:
Mailing Address
:
3010 BEARD RD
NAPA
CA
94558-3442
Phone
: 707-255-8825;
Fax
: 707-252-9325;
Practice Location Address
:
3421 VILLA LN
, SUITE 2B
, NAPA
, CA
, 94558-6402
Practice Phone
: 707-255-5454;
Practice Fax
: 707-255-5411
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1396762902 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1205853819 -
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:
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:
Phone
: ;
Fax
: ;
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:
,
,
,
,
Practice Phone
: ;
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:
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1114944725 -
DR.
DR.
REBECCAH
A
SCHWARTZ
PHD
Other Name
:
Mailing Address
:
123 HODENCAMP RD
SUITE 106
THOUSAND OAKS
CA
91360-5896
Phone
: 805-341-2383;
Fax
: 805-523-2240;
Practice Location Address
:
123 HODENCAMP RD
, SUITE 106
, THOUSAND OAKS
, CA
, 91360-5896
Practice Phone
: 805-341-2383;
Practice Fax
: 805-523-2240
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1023035631 -
VERA
CLEMENT
ECK
M.F.T.
Other Name
:
Mailing Address
:
1452 26TH ST
SUITE 102
SANTA MONICA
CA
90404-3084
Phone
: 310-493-1553;
Fax
: ;
Practice Location Address
:
1452 26TH ST
, SUITE 102
, SANTA MONICA
, CA
, 90404-3084
Practice Phone
: 310-493-1553;
Practice Fax
:
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1932126547 -
MARYKATE
STEAVENS
PHD, MFT
Other Name
:
Mailing Address
:
1291 LA COLINA DR
TUSTIN
CA
92780-2822
Phone
: 714-330-6533;
Fax
: ;
Practice Location Address
:
19742 MACARTHUR BLVD
, ,STE. 145
, IRVINE
, CA
, 92612-2432
Practice Phone
: 949-250-1248;
Practice Fax
:
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1841217452 -
DR.
DR.
BARBRA
PAYNE
PSY.D.
Other Name
:
Mailing Address
:
9300 WILSHIRE BLVD
SUITE 306
BEVERLY HILLS
CA
90212-3213
Phone
: ;
Fax
: ;
Practice Location Address
:
9300 WILSHIRE BLVD
, SUITE 306
, BEVERLY HILLS
, CA
, 90212-3213
Practice Phone
: 323-496-6488;
Practice Fax
:
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1750308367 -
MS.
MS.
DEEANN
NOECKER
LPC
Other Name
:
Mailing Address
:
41 POMPEY CREEK RD
BANNER
WY
82832-9720
Phone
: 307-683-2565;
Fax
: 307-683-3415;
Practice Location Address
:
41 POMPEY CREEK RD
,
, BANNER
, WY
, 82832-9720
Practice Phone
: 307-683-2565;
Practice Fax
: 307-683-3415
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1548287162 -
DR.
DR.
DOUGLAS
DUANE
JONES
MD
Other Name
:
Mailing Address
:
PO BOX 840853
DALLAS
TX
75284-0853
Phone
: 972-233-1999;
Fax
: 972-233-3666;
Practice Location Address
:
12222 MERIT DR STE 600
,
, DALLAS
, TX
, 75251-3294
Practice Phone
: 972-715-5000;
Practice Fax
: 972-715-9976
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1457378077 -
GAIL
CARTER
LCSW
Other Name
:
Mailing Address
:
214 COLLEGE PARK PLZ
JOHNSTOWN
PA
15904-2833
Phone
: 814-262-0025;
Fax
: 814-266-8745;
Practice Location Address
:
214 COLLEGE PARK PLZ
,
, JOHNSTOWN
, PA
, 15904-2833
Practice Phone
: 814-262-0025;
Practice Fax
: 814-266-8745
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1366469983 -
DR.
DR.
KEN
JIN
MD
Other Name
:
Mailing Address
:
3495 CREEKVIEW DR
HAMBURG
NY
14075-3645
Phone
: 716-649-8076;
Fax
: ;
Practice Location Address
:
3495 BAILEY AVE
,
, BUFFALO
, NY
, 14215-1129
Practice Phone
: 716-862-8774;
Practice Fax
:
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1275550899 -
BEACON MEDICAL GROUP, INC.
Other Name
:
Mailing Address
:
3245 HEALTH DR STE 100
GRANGER
IN
46530-1380
Phone
: 574-647-2129;
Fax
: ;
Practice Location Address
:
5314 LINCOLNWAY E
,
, MISHAWAKA
, IN
, 46544-4249
Practice Phone
: 574-584-2812;
Practice Fax
: 574-584-2813
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1184641706 -
BEACON MEDICAL GROUP, INC.
Other Name
:
Mailing Address
:
710 N NILES AVE
SOUTH BEND
IN
46617-1924
Phone
: 574-647-1610;
Fax
: 574-237-6069;
Practice Location Address
:
207 N ELKHART ST
,
, WAKARUSA
, IN
, 46573-9729
Practice Phone
: 574-862-2165;
Practice Fax
: 574-862-4112
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1992722516 -
HOWARD
L
SHAFFER
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-570-0174;
Practice Location Address
:
6100 HARRIS PKWY
, STE 350
, FORT WORTH
, TX
, 76132-4134
Practice Phone
: 817-433-5350;
Practice Fax
: 817-570-0174
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1801813423 -
DR.
DR.
GEORGE
MYLIN
PARSONS
DO
Other Name
:
GEORGE
MYLIN
PARSONS
Mailing Address
:
PO BOX 13973
HAN EMERGENCY PHYSICIANS
PHILADELPHIA
PA
19101
Phone
: 800-666-2455;
Fax
: 610-617-6280;
Practice Location Address
:
ONE MEDICAL CENTER BOULEVARD
, CROZER CHESTER MEDICAL CENTER
, UPLAND
, PA
, 19013
Practice Phone
: 215-447-2000;
Practice Fax
: 610-617-6280
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1710904339 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1629095245 -
LEE
A
WYNNE
WHNP
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-923-0087;
Practice Location Address
:
1250 8TH AVENUE
, SUITE 430
, FORT WORTH
, TX
, 76104-2158
Practice Phone
: 817-923-0023;
Practice Fax
: 817-923-0087
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1538186150 -
ANDREW
A
VORIES
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-920-0389;
Practice Location Address
:
923 PENNSYLVANIA AVE
, SUITE 200
, FORT WORTH
, TX
, 76104-2254
Practice Phone
: 817-920-0484;
Practice Fax
: 817-920-0389
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1447277066 -
CHARLES
E
WEBBER
JR.
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-378-3699;
Practice Location Address
:
800 W MAGNOLIA AVE
, SUITE A
, FORT WORTH
, TX
, 76104-4611
Practice Phone
: 817-882-1193;
Practice Fax
: 817-870-1602
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1356368971 -
DR.
DR.
ELAINE
DENNIS
M.D.
Other Name
:
PIERRO
CHRISTIE
Mailing Address
:
17 CASINO DR
FARMINGDALE
NJ
07727-3701
Phone
: 732-938-3580;
Fax
: ;
Practice Location Address
:
4013 ROUTE 9 N
,
, HOWELL
, NJ
, 07731-4021
Practice Phone
: 732-905-5255;
Practice Fax
: 732-905-5266
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1265459887 -
TAHIR
S
ALI
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-346-6009;
Practice Location Address
:
5801 OAKBEND TRL
, SUITE 260
, FORT WORTH
, TX
, 76132-3923
Practice Phone
: 817-346-6000;
Practice Fax
: 817-346-6009
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1174540793 -
ERICKA
ANDRUSIAK
LAWLER
MD
Other Name
:
ERICKA
ANN
ANDRUSIAK
Mailing Address
:
2301 STEINDLER WAY STE B
NORTH LIBERTY
IA
52317-7907
Phone
: 319-338-3606;
Fax
: 319-338-0522;
Practice Location Address
:
2301 STEINDLER WAY STE B
,
, NORTH LIBERTY
, IA
, 52317-7907
Practice Phone
: 319-338-3606;
Practice Fax
: 319-338-0522
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1083631600 -
SACHIN
SHAH
MD
Other Name
:
Mailing Address
:
PO BOX 100174
COLUMBIA
SC
29202-3174
Phone
: 864-512-4530;
Fax
: 864-512-4540;
Practice Location Address
:
100 HEALTHY WAY STE 1120
,
, ANDERSON
, SC
, 29621-7915
Practice Phone
: 864-512-4530;
Practice Fax
: 864-512-4540
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1891712410 -
THOMAS
J
WHITE
MD
Other Name
:
Mailing Address
:
PO BOX 3755
OMAHA
NE
68103-0755
Phone
: 402-354-2100;
Fax
: 402-354-2155;
Practice Location Address
:
8111 DODGE ST STE 220
,
, OMAHA
, NE
, 68114-4117
Practice Phone
: 402-354-1320;
Practice Fax
: 402-354-5965
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1700803327 -
DEANNA
M
ARMSTRONG
MD
Other Name
:
Mailing Address
:
PO BOX 3755
OMAHA
NE
68103-0755
Phone
: 402-354-2100;
Fax
: 402-354-2155;
Practice Location Address
:
717 N 190TH PLZ STE 2200
,
, ELKHORN
, NE
, 68022
Practice Phone
: 402-815-2300;
Practice Fax
: 402-815-1045
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