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Showing codes 1841295987 — 1215932272
1841295987 -
FAITH
P
WAGNER
NP
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
2500 STATE RD
,
, LA CROSSE
, WI
, 54601-5098
Practice Phone
: 608-775-5858;
Practice Fax
:
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1750386892 -
MR.
MR.
DOUGLAS
DELON
COX
PT
Other Name
:
Mailing Address
:
PO BOX 1460
ABERDEEN
SD
57402-1460
Phone
: 605-753-0430;
Fax
: 605-753-2663;
Practice Location Address
:
701 8TH AVE NW
,
, ABERDEEN
, SD
, 57401-1865
Practice Phone
: 605-226-2663;
Practice Fax
: 605-225-0351
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1669477709 -
DR.
DR.
KAYE
KIP
OWEN
MD
Other Name
:
KAYE
KIP
OWEN
Mailing Address
:
PO BOX 4624
MCALLEN
TX
78502-4624
Phone
: 956-362-6683;
Fax
: 956-362-6809;
Practice Location Address
:
5540 RAPHAEL DR
,
, EDINBURG
, TX
, 78539-1407
Practice Phone
: 956-362-6683;
Practice Fax
: 956-362-6809
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1578568614 -
DR.
DR.
MICHAEL
DENNIS
KIFUNE
MD
Other Name
:
Mailing Address
:
PO BOX 939
ANGELS CAMP
CA
95222-0939
Phone
: 209-754-6240;
Fax
: 866-894-1902;
Practice Location Address
:
1333 HIGHWAY 49
,
, SAN ANDREAS
, CA
, 95249-9618
Practice Phone
: 209-755-1400;
Practice Fax
: 209-755-1430
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1487659520 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1295730331 -
GREGORY
HORNER
M.D.
Other Name
:
Mailing Address
:
4626 WILLOW RD
SUITE 200
PLEASANTON
CA
94588-8517
Phone
: 925-463-0470;
Fax
: 925-463-0473;
Practice Location Address
:
4626 WILLOW RD
, SUITE 200
, PLEASANTON
, CA
, 94588-8517
Practice Phone
: 925-463-0470;
Practice Fax
: 925-463-0473
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1104821248 -
DR.
DR.
RAYMOND
W
NOWACZYK
MD
Other Name
:
Mailing Address
:
353 FAIRMONT BLVD
ATTEN MEDIAL STAFF SERVICES
RAPID CITY
SD
57701-6000
Phone
: ;
Fax
: ;
Practice Location Address
:
353 FAIRMONT BLVD
,
, RAPID CITY
, SD
, 57701
Practice Phone
: 605-719-1000;
Practice Fax
:
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1013912153 -
ALIDA
ANNE
DEJONG
NP
Other Name
:
ALIDA
ANNE
KIMMELMAN
Mailing Address
:
1045 JAMES ST
SYRACUSE
NY
13203-2730
Phone
: 315-472-4471;
Fax
: 315-472-1759;
Practice Location Address
:
1045 JAMES ST
,
, SYRACUSE
, NY
, 13203-2730
Practice Phone
: 315-472-4471;
Practice Fax
: 315-472-1759
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1922003060 -
DR.
DR.
FERNANDO
C
DE LEON
M.D.
Other Name
:
Mailing Address
:
920 ELKRIDGE LANDING RD
STE 310
LINTHICUM
MD
21090-2917
Phone
: 443-462-5010;
Fax
: 410-684-2031;
Practice Location Address
:
10710 CHARTER DRIVE
, STE 310
, COLUMBIA
, MD
, 21044-3260
Practice Phone
: 410-997-5944;
Practice Fax
: 410-997-1720
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1831194976 -
DR.
DR.
MOON
S
CHOI - CHUNG
MD
Other Name
:
Mailing Address
:
74 EASTGATE DR
SYLVA
NC
28779-5171
Phone
: 828-586-7448;
Fax
: 828-586-5507;
Practice Location Address
:
74 EASTGATE DR
,
, SYLVA
, NC
, 28779-5171
Practice Phone
: 828-586-7448;
Practice Fax
: 828-586-5507
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1740285881 -
WILLIAM
A
BRIDGFORTH
M.D.
Other Name
:
Mailing Address
:
301 MED TECH PKWY
STE. 180
JOHNSON CITY
TN
37604-2364
Phone
: 423-794-5540;
Fax
: 423-926-3187;
Practice Location Address
:
301 MED TECH PKWY
, STE. 180
, JOHNSON CITY
, TN
, 37604-2364
Practice Phone
: 423-794-5540;
Practice Fax
: 423-926-3187
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1659376796 -
ANYA
C.
BAUMAN
MD
Other Name
:
Mailing Address
:
424 WARDS CORNER RD STE 200
LOVELAND
OH
45140-6966
Phone
: 513-707-4041;
Fax
: 513-576-1020;
Practice Location Address
:
631 E STATE ST
,
, GEORGETOWN
, OH
, 45121-1437
Practice Phone
: 937-378-6387;
Practice Fax
: 937-378-4253
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1568467603 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1477558518 -
CHARLES
B
PEEPLES
MD
Other Name
:
Mailing Address
:
158 WYCKOFF RD
EATONTOWN
NJ
07724-1840
Phone
: 732-544-9500;
Fax
: 732-544-0132;
Practice Location Address
:
158 WYCKOFF RD
,
, EATONTOWN
, NJ
, 07724-1840
Practice Phone
: 732-544-9500;
Practice Fax
: 732-544-0132
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1386649424 -
DR.
DR.
MARIA
D
PEREZ
MD
Other Name
:
Mailing Address
:
1701 AUGUSTINE CUT OFF
BUILDING 1, SUITE 12
WILMINGTON
DE
19803-4415
Phone
: 302-571-0730;
Fax
: 302-571-0357;
Practice Location Address
:
1701 AUGUSTINE CUT OFF
, BUILDING 1, SUITE 12
, WILMINGTON
, DE
, 19803-4415
Practice Phone
: 302-571-0730;
Practice Fax
: 302-571-0357
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1194720235 -
DR.
DR.
JOHN
JOSEPH
WILDING
D.O.
Other Name
:
Mailing Address
:
721 PLUM RIDGE TRL
SIDNEY
OH
45365-1857
Phone
: 937-498-0788;
Fax
: ;
Practice Location Address
:
915 MICHIGAN ST
,
, SIDNEY
, OH
, 45365-2401
Practice Phone
: 937-492-8040;
Practice Fax
: 937-492-7447
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1003811142 -
MS.
MS.
CHRISTINA
B
LENCHERT
M.P.T.
Other Name
:
Mailing Address
:
1113 LAURELWOOD DR
MC LEAN
VA
22102-1518
Phone
: 301-839-1600;
Fax
: 301-567-1207;
Practice Location Address
:
6144 OXON HILL RD
,
, OXON HILL
, MD
, 20745-3107
Practice Phone
: 301-839-1600;
Practice Fax
: 301-567-1207
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1093710162 -
GREGOR
K
EMMERT
JR.
MD
Other Name
:
Mailing Address
:
3500 EXECUTIVE PKWY
TOLEDO
OH
43606-1319
Phone
: 419-531-8558;
Fax
: 419-578-5939;
Practice Location Address
:
3500 EXECUTIVE PKWY
,
, TOLEDO
, OH
, 43606-1319
Practice Phone
: 419-531-8558;
Practice Fax
: 419-578-5939
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1902801079 -
SUZANNE
WAGNER
MD
Other Name
:
Mailing Address
:
1046 E WENDOVER AVE
GREENSBORO
NC
27405-6712
Phone
: 336-272-1050;
Fax
: 336-272-1110;
Practice Location Address
:
1046 E WENDOVER AVE
,
, GREENSBORO
, NC
, 27405-6712
Practice Phone
: 336-272-1050;
Practice Fax
: 336-272-1110
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1811992985 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1720083892 -
MATTHEW
G
MASIELLO
MD
Other Name
:
Mailing Address
:
PO BOX 415348
BOSTON
MA
02241-5348
Phone
: 800-225-8885;
Fax
: 508-334-1977;
Practice Location Address
:
60 HOSPITAL RD
,
, LEOMINSTER
, MA
, 01453-2205
Practice Phone
: 978-466-2257;
Practice Fax
: 978-466-2291
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1639174709 -
DR.
DR.
ROBERTO
GONZALES
POSADA
M.D.
Other Name
:
Mailing Address
:
1181 ORANGE AVE
WINTER PARK
FL
32789-4907
Phone
: 407-647-1331;
Fax
: 407-571-2757;
Practice Location Address
:
1181 ORANGE AVE
,
, WINTER PARK
, FL
, 32789-4907
Practice Phone
: 407-647-1331;
Practice Fax
: 407-571-2757
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1548265614 -
DR.
DR.
JAMES
FRANKLIN
OUTLAW
DDS1
Other Name
:
Mailing Address
:
2550 ALOMA AVE
WINTER PARK
FL
32792-3402
Phone
: 407-671-6506;
Fax
: 407-671-0782;
Practice Location Address
:
2550 ALOMA AVE
,
, WINTER PARK
, FL
, 32792-3402
Practice Phone
: 407-671-6506;
Practice Fax
: 407-671-0782
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1568467652 -
DERMATOLOGY ASSOCIATES OF LEBANON, LTD
Other Name
:
Mailing Address
:
845 NORMAN DRIVE
LEBANON
PA
17042
Phone
: 717-273-8091;
Fax
: 707-273-9081;
Practice Location Address
:
845 NORMAN DRIVE
,
, LEBANON
, PA
, 17042
Practice Phone
: 717-273-8091;
Practice Fax
: 707-273-9081
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1477558567 -
DR.
DR.
SCOTT
M.
STAFFEL
DDS
Other Name
:
Mailing Address
:
3001 BROWN TRL
SUITE 103
BEDFORD
TX
76021-3204
Phone
: 817-503-9300;
Fax
: ;
Practice Location Address
:
3001 BROWN TRL
, SUITE 103
, BEDFORD
, TX
, 76021-3204
Practice Phone
: 817-503-9300;
Practice Fax
:
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1386649473 -
DR.
DR.
ROBERT
VICTOR
DOYLE
D.O.
Other Name
:
Mailing Address
:
1707 COLE BLVD
STE 100
GOLDEN
CO
80401-3220
Phone
: 303-716-8013;
Fax
: 303-716-3549;
Practice Location Address
:
7550 W YALE AVE
, BLDG B - #100
, DENVER
, CO
, 80227-3465
Practice Phone
: 303-935-4689;
Practice Fax
: 303-935-3829
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1194720284 -
GREGORY
J
CERILLI
MD
Other Name
:
Mailing Address
:
PO BOX 0446
24 FRANK LLOYD WRIGHT DR. LOBBY J
ANN ARBOR
MI
48106
Phone
: 419-291-5150;
Fax
: 419-479-6173;
Practice Location Address
:
5301 E. HURON RIVER DR.
,
, YPSILANTI
, MI
, 48197
Practice Phone
: 734-712-7017;
Practice Fax
: 734-712-2844
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1003811191 -
HENRY
AGUSTIN
LOPEZ
O.D.
Other Name
:
Mailing Address
:
380 D. W. HWY
MERRIMACK
NH
03054-4169
Phone
: 603-424-6500;
Fax
: 603-423-9894;
Practice Location Address
:
5 COLISEUM AVE
,
, NASHUA
, NH
, 03063-3292
Practice Phone
: 603-882-9800;
Practice Fax
: 603-882-0556
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1912902008 -
FARMACIA NUEVA
Other Name
:
Mailing Address
:
CALLE DE DIEGO 62-E
MAYAGUEZ
PR
00680
Phone
: 787-832-5620;
Fax
: 787-265-0085;
Practice Location Address
:
62-E DE DIEGO
,
, MAYAGUEZ
, PR
, 00680
Practice Phone
: 787-832-5620;
Practice Fax
: 787-265-0085
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1821093915 -
FERDINAND
KARL
ENGELHART
III
O.D.
Other Name
:
Mailing Address
:
5 COLISEUM AVE
NASHUA
NH
03063-3206
Phone
: 603-882-9800;
Fax
: 603-882-0556;
Practice Location Address
:
5 COLISEUM AVE
,
, NASHUA
, NH
, 03063-3206
Practice Phone
: 603-882-9800;
Practice Fax
: 603-882-0556
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1730184821 -
EDUARDO
WOLFFE
MD
Other Name
:
Mailing Address
:
PO BOX 742712
ATLANTA
GA
30374-2712
Phone
: 877-866-7123;
Fax
: ;
Practice Location Address
:
3601 SW 160TH AVE
, SUITE 250
, MIRAMAR
, FL
, 33027-6308
Practice Phone
: 877-866-7123;
Practice Fax
:
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1649275736 -
JOSE L MADARA JR M D PA
Other Name
:
Mailing Address
:
102 HOTEL ST
BOONEVILLE
MS
38829-3303
Phone
: 662-728-7711;
Fax
: 662-728-7713;
Practice Location Address
:
102 HOTEL ST
,
, BOONEVILLE
, MS
, 38829-3303
Practice Phone
: 662-728-7711;
Practice Fax
: 662-728-7713
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1558366641 -
DR.
DR.
DOUGLAS
P
LEWIS
MD
Other Name
:
Mailing Address
:
PO BOX 1897
WICHITA
KS
67201-1897
Phone
: 316-268-8131;
Fax
: 316-291-4788;
Practice Location Address
:
1121 S CLIFTON AVE
,
, WICHITA
, KS
, 67218-2912
Practice Phone
: 316-689-5500;
Practice Fax
: 316-691-6719
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1467457556 -
KATHERINE
ABRAHAM
EVANS
NP
Other Name
:
Mailing Address
:
1713 COUNCIL BLUFF DR NE
ATLANTA
GA
30345-4139
Phone
: 404-327-7688;
Fax
: ;
Practice Location Address
:
1713 COUNCIL BLUFF DR NE
,
, ATLANTA
, GA
, 30345-4139
Practice Phone
: 404-327-7688;
Practice Fax
:
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1376548461 -
TAZEWELL FAMILY PHYSICANS, PC
Other Name
:
Mailing Address
:
PO BOX 645
TAZEWELL
VA
24651-0645
Phone
: 276-988-2526;
Fax
: 276-988-0956;
Practice Location Address
:
123 BEN BOLT AVE
,
, TAZEWELL
, VA
, 24651-9700
Practice Phone
: 276-988-2526;
Practice Fax
: 276-988-0956
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1285639377 -
RENNY
RAVINDER-SINGH
UPPAL
M.D.
Other Name
:
Mailing Address
:
555 N ARLINGTON AVE
RENO
NV
89503-4723
Phone
: 775-786-3040;
Fax
: 775-786-1887;
Practice Location Address
:
555 N ARLINGTON AVE
,
, RENO
, NV
, 89503-4723
Practice Phone
: 775-786-3040;
Practice Fax
: 775-788-5216
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1093710188 -
DR.
DR.
STEPHEN
PETERS
PSYD
Other Name
:
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: 801-357-1200;
Fax
: ;
Practice Location Address
:
1157 N 300 W
,
, PROVO
, UT
, 84604-6124
Practice Phone
: 801-357-1200;
Practice Fax
:
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1902801095 -
WILLIAM
D
VARNELL
JR.
MD
Other Name
:
Mailing Address
:
2000A SOUTHBRIDGE PKWY
STE 300
BIRMINGHAM
AL
35209-7718
Phone
: 205-871-4274;
Fax
: 205-871-4301;
Practice Location Address
:
50 MEDICAL PARK DR E
,
, BIRMINGHAM
, AL
, 35235-3401
Practice Phone
: 205-838-3435;
Practice Fax
:
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1811992902 -
MARK
J
DRABINSKI
M.D.
Other Name
:
Mailing Address
:
687 CAMPBELL AVE
WEST HAVEN
CT
06516-3774
Phone
: 203-932-6481;
Fax
: 203-889-4953;
Practice Location Address
:
687 CAMPBELL AVE
,
, WEST HAVEN
, CT
, 06516-3774
Practice Phone
: 203-932-6481;
Practice Fax
: 203-889-4953
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1720083819 -
PHILIP
LEE
SUTHERLAND
O.D.
Other Name
:
Mailing Address
:
5 COLISEUM AVE
NASHUA
NH
03063-3292
Phone
: 603-882-9800;
Fax
: 603-882-0556;
Practice Location Address
:
5 COLISEUM AVE
,
, NASHUA
, NH
, 03063-3292
Practice Phone
: 603-882-9800;
Practice Fax
: 603-882-0556
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1639174725 -
MIRIAM
T
SCHTEINGART
MD
Other Name
:
Mailing Address
:
PO BOX 5649
SAGINAW
MI
48603-0649
Phone
: 989-797-2400;
Fax
: 989-249-1035;
Practice Location Address
:
5161 CARDINAL PARK DRIVE
,
, SAGINAW
, MI
, 48604-9435
Practice Phone
: 989-797-2400;
Practice Fax
: 989-249-1035
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1548265630 -
DR.
DR.
JASON
M
DONAHUE
OD
Other Name
:
Mailing Address
:
PO BOX 5649
SAGINAW
MI
48603-0649
Phone
: 989-797-2400;
Fax
: 989-249-1035;
Practice Location Address
:
5161 CARDINAL PARK DRIVE
,
, SAGINAW
, MI
, 48604-9435
Practice Phone
: 989-797-2400;
Practice Fax
: 989-249-1035
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1457356545 -
RHONDA
M
GUY
DO
Other Name
:
RHONDA
UNDERWOOD
GUY
Mailing Address
:
230 GEORGE ST STE 2
BECKLEY
WV
25801-2620
Phone
: 304-255-2878;
Fax
: 304-255-1764;
Practice Location Address
:
230 GEORGE ST STE 2
,
, BECKLEY
, WV
, 25801-2620
Practice Phone
: 304-255-2878;
Practice Fax
: 304-255-1764
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1366447450 -
TIMOTHY
O
WORKMAN
DO
Other Name
:
Mailing Address
:
PO BOX 457
200 POCAHONTAS TRAIL
WHITE SULPHUR SPRINGS
WV
24986-0457
Phone
: 304-536-5030;
Fax
: 304-536-5031;
Practice Location Address
:
296 FAIR ST.
, TIMOTHY O. WORKMAN, MD
, LEWISBURG
, WV
, 24901-2632
Practice Phone
: 304-647-4747;
Practice Fax
: 304-647-4293
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1275538365 -
DR.
DR.
ALAN
C
SALLY
DPM
Other Name
:
Mailing Address
:
631A NATIONAL PIKE E
BROWNSVILLE
PA
15417-9603
Phone
: 724-785-8060;
Fax
: 724-785-6217;
Practice Location Address
:
631A NATIONAL PIKE E
,
, BROWNSVILLE
, PA
, 15417
Practice Phone
: 724-785-8060;
Practice Fax
: 724-785-6217
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1184629271 -
FREDRIC
JAY
GROSS
M.D.
Other Name
:
Mailing Address
:
PO BOX 1290
FOREST
VA
24551-1290
Phone
: 434-385-5600;
Fax
: ;
Practice Location Address
:
109 WIMBLEDON SQ
, STE E
, CHESAPEAKE
, VA
, 23320-4945
Practice Phone
: 757-547-9830;
Practice Fax
: 757-548-0721
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1992700082 -
DEBRA
A
COONEY
ARNP
Other Name
:
Mailing Address
:
865 LINCOLN RD
STE L10
BETTENDORF
IA
52722-4159
Phone
: 563-355-9191;
Fax
: 563-355-3419;
Practice Location Address
:
865 LINCOLN RD
, STE 100
, BETTENDORF
, IA
, 52722-4159
Practice Phone
: 563-355-1000;
Practice Fax
: 563-344-2975
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1336144427 -
LISA
FOX
COHEN
M.D.
Other Name
:
Mailing Address
:
PO BOX 4677
HOUSTON
TX
77210-4677
Phone
: ;
Fax
: ;
Practice Location Address
:
504 MEDICAL CENTER BLVD
,
, CONROE
, TX
, 77304
Practice Phone
: 713-481-3544;
Practice Fax
: 713-432-0221
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1245235332 -
DR.
DR.
TIM
HC
PAN
DO
Other Name
:
Mailing Address
:
PO BOX 5649
SAGINAW
MI
48603-0649
Phone
: 989-797-2400;
Fax
: 989-249-1035;
Practice Location Address
:
1601 MARQUETTE ST
, STE 1
, BAY CITY
, MI
, 48706-4196
Practice Phone
: 989-671-2550;
Practice Fax
: 989-671-2545
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1154326247 -
DR.
DR.
SUNDHAR
R
RAMASAMY
MD
Other Name
:
Mailing Address
:
PO BOX 5649
SAGINAW
MI
48603-0649
Phone
: 989-797-2400;
Fax
: 989-249-1035;
Practice Location Address
:
5161 CARDINAL PARK DRIVE
,
, SAGINAW
, MI
, 48604-9435
Practice Phone
: 989-797-2400;
Practice Fax
: 989-249-1035
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1063417152 -
DR.
DR.
PAUL
ALLEN
KURZ
MD
Other Name
:
Mailing Address
:
330 N CHESTNUT ST
RAVENNA
OH
44266-2287
Phone
: 503-901-1531;
Fax
: ;
Practice Location Address
:
330 N CHESTNUT ST
,
, RAVENNA
, OH
, 44266-2287
Practice Phone
: 503-901-1531;
Practice Fax
:
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1972508067 -
DR.
DR.
HEIDI
BAUER SKELLEY
OD
Other Name
:
Mailing Address
:
PO BOX 5649
SAGINAW
MI
48603-0649
Phone
: 989-797-2400;
Fax
: 989-249-1035;
Practice Location Address
:
5161 CARDINAL PARK DRIVE
,
, SAGINAW
, MI
, 48604-9435
Practice Phone
: 989-797-2400;
Practice Fax
: 989-249-1035
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1881699973 -
CLARE
D
WEIDMAN
MD
Other Name
:
Mailing Address
:
PO BOX 457
5 E ALVON ROAD, SUITE 7
WHITE SULPHUR SPRINGS
WV
24986-2373
Phone
: 304-536-5030;
Fax
: 304-536-5051;
Practice Location Address
:
JACKSON RIVER ORTHOPEDICS
, 1 ARH LANE, STE 102
, LOW MOOR
, VA
, 24457
Practice Phone
: 540-862-6777;
Practice Fax
: 540-863-9167
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1699770784 -
DR.
DR.
YAEL
DINAR-KUSHNIR
M.D.
Other Name
:
Mailing Address
:
25701 N LAKELAND BLVD STE 302
EUCLID
OH
44132-2452
Phone
: 440-461-2421;
Fax
: 216-417-2912;
Practice Location Address
:
26701 LAKELAND BLVD STE 302
,
, EUCLID
, OH
, 44132
Practice Phone
: 440-461-2421;
Practice Fax
: 216-417-2912
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1508861691 -
NAGULAPALLI
S
RAO
MD
Other Name
:
Mailing Address
:
1 ERIE CT
STE 7160
OAK PARK
IL
60302-2510
Phone
: 708-386-4487;
Fax
: 708-386-4459;
Practice Location Address
:
1 ERIE CT
, STE 7160
, OAK PARK
, IL
, 60302-2510
Practice Phone
: 708-386-4487;
Practice Fax
: 708-386-4459
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1417952508 -
ELIZABETH
KAY
BOLTON-HARRIS
ACNP
Other Name
:
ELIZABETH
KAY
BOLTON
Mailing Address
:
275 COLLIER RD NW
STE 300
ATLANTA
GA
30309-1709
Phone
: 404-355-9815;
Fax
: 404-350-0529;
Practice Location Address
:
275 COLLIER RD NW
, STE 300
, ATLANTA
, GA
, 30309-1709
Practice Phone
: 404-355-9815;
Practice Fax
: 404-350-0529
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1326043415 -
DENISE
GONZALES
MD
Other Name
:
Mailing Address
:
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
PMG HOSPITALISTS
, 1100 CENTRAL SE 4TH FLOOR
, ALBUQUERQUE
, NM
, 87106
Practice Phone
: 505-724-6124;
Practice Fax
: 505-724-6125
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1235134321 -
DR.
DR.
MICHAEL
S
GURNEY
M.D.
Other Name
:
Mailing Address
:
2726 FULTON DR NW
CANTON
OH
44718-3506
Phone
: 330-455-5011;
Fax
: 330-588-7127;
Practice Location Address
:
2726 FULTON DR NW
,
, CANTON
, OH
, 44718-3506
Practice Phone
: 330-455-5011;
Practice Fax
: 330-588-7127
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1144225236 -
RAE
BOYD
APRN
Other Name
:
Mailing Address
:
1400 E KINCAID ST
ATTN: CREDENTIALING
MOUNT VERNON
WA
98274-4127
Phone
: 360-428-2500;
Fax
: 360-428-6485;
Practice Location Address
:
1400 E KINCAID ST
,
, MOUNT VERNON
, WA
, 98274-4127
Practice Phone
: 360-428-6434;
Practice Fax
: 360-848-4233
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1053316141 -
DR.
DR.
JAMES
W
BERRY
D.D.S.
Other Name
:
Mailing Address
:
1605 N GARLAND AVE
STE A
GARLAND
TX
75040-9418
Phone
: 972-272-9563;
Fax
: 972-276-7279;
Practice Location Address
:
1605 N GARLAND AVE
, STE A
, GARLAND
, TX
, 75040-9418
Practice Phone
: 972-272-9563;
Practice Fax
: 972-276-7279
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1710982772 -
KIM
GOSNELL
NP
Other Name
:
Mailing Address
:
1 INDEPENDENCE PT STE 212
GREENVILLE
SC
29615-4536
Phone
: 864-797-6308;
Fax
: ;
Practice Location Address
:
107 OMNI DR STE A
,
, SENECA
, SC
, 29672-9448
Practice Phone
: 864-885-7886;
Practice Fax
: 864-885-7890
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1629073689 -
DR.
DR.
JOHN
Q
HIERLING
D.O.
Other Name
:
JOHN
Q
HIERLING
Mailing Address
:
1200 W MOHAVE RD
PARKER
AZ
85344-6349
Phone
: 928-669-7306;
Fax
: 928-669-7417;
Practice Location Address
:
1200 W MOHAVE RD
,
, PARKER
, AZ
, 85344-6349
Practice Phone
: 928-668-1833;
Practice Fax
: 928-684-7457
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1538164595 -
MARTA
GRYNIUK
MD
Other Name
:
Mailing Address
:
1450 COLUMBUS AVE
SUITE B 6-7-8
WASHINGTON COURT HOUSE
OH
43160-3701
Phone
: 740-333-3333;
Fax
: 740-333-5171;
Practice Location Address
:
1510 COLUMBUS AVE
, SUITE 230
, WASHINGTON COURT HOUSE
, OH
, 43160-1899
Practice Phone
: 740-333-3333;
Practice Fax
: 740-333-5171
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1447255401 -
DR.
DR.
STEPHEN
R
RINEHART
M.D.
Other Name
:
Mailing Address
:
PO BOX 645
TAZEWELL
VA
24651-0645
Phone
: 276-988-2526;
Fax
: 276-988-0956;
Practice Location Address
:
123 BEN BOLT AVE
,
, TAZEWELL
, VA
, 24651-9700
Practice Phone
: 276-988-2526;
Practice Fax
: 276-988-0956
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1356346316 -
WALTER
P
THERIOT
CRNA
Other Name
:
Mailing Address
:
PO BOX 1272
PINE BLUFF
AR
71613-1272
Phone
: 870-535-7457;
Fax
: 870-535-2522;
Practice Location Address
:
1801 W 40TH AVE
, STE 2B
, PINE BLUFF
, AR
, 71603-6957
Practice Phone
: 870-535-7457;
Practice Fax
: 870-535-2522
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1265437222 -
JOHN
E
HEARNSBERGER
M.D.
Other Name
:
Mailing Address
:
132 MEDICAL CIR STE 200
NASHVILLE
AR
71852-8608
Phone
: 870-845-8914;
Fax
: 870-845-8910;
Practice Location Address
:
132 MEDICAL CIR STE 200
,
, NASHVILLE
, AR
, 71852-8608
Practice Phone
: 870-845-8914;
Practice Fax
: 870-845-8910
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1174528137 -
DR.
DR.
JOSEPHINE
SAMSON
M.D.
Other Name
:
Mailing Address
:
14 E 69TH ST
NEW YORK
NY
10021-4964
Phone
: 212-396-9411;
Fax
: 212-396-0345;
Practice Location Address
:
14 E 69TH ST
,
, NEW YORK
, NY
, 10021-4964
Practice Phone
: 212-396-9411;
Practice Fax
: 212-396-0345
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1083619043 -
DR.
DR.
J.
BRYAN
ELLSWORTH
M.D.
Other Name
:
Mailing Address
:
736 S 900 E STE 108
ST GEORGE
UT
84790-7002
Phone
: 435-628-3606;
Fax
: 435-628-8404;
Practice Location Address
:
736 S 900 E STE 108
,
, ST GEORGE
, UT
, 84790
Practice Phone
: 435-628-3606;
Practice Fax
: 435-628-8404
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1891790853 -
DR.
DR.
DAVID
LAWRENCE
COOPER
O.D.
Other Name
:
Mailing Address
:
1000 E CLOUD ST
SALINA
KS
67401-6416
Phone
: 785-823-6391;
Fax
: 785-823-7188;
Practice Location Address
:
1000 E CLOUD ST
,
, SALINA
, KS
, 67401-6416
Practice Phone
: 785-823-6391;
Practice Fax
: 785-823-7188
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1700881760 -
DR.
DR.
RAMIE
A.
TRITT
MD
Other Name
:
Mailing Address
:
5555 PEACHTREE DUNWOODY RD
STE 125
ATLANTA
GA
30342-1703
Phone
: 404-255-2918;
Fax
: 404-255-3102;
Practice Location Address
:
5555 PEACHTREE DUNWOODY RD
, STE 125
, ATLANTA
, GA
, 30342-1703
Practice Phone
: 404-255-2918;
Practice Fax
: 404-255-3102
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1619972676 -
MARC
HUNLEY
RPT
Other Name
:
Mailing Address
:
625 N 144TH AVE STE 102
OMAHA
NE
68154-1935
Phone
: 402-934-8688;
Fax
: 402-934-8689;
Practice Location Address
:
625 N 144TH AVE STE 102
,
, OMAHA
, NE
, 68154-1935
Practice Phone
: 402-934-8688;
Practice Fax
: 402-934-8689
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1528063583 -
DR.
DR.
JEROME
G
STREIT
MD
Other Name
:
Mailing Address
:
PO BOX 659
WICHITA
KS
67201-0659
Phone
: 316-268-8131;
Fax
: 316-291-4788;
Practice Location Address
:
1152 S CLIFTON AVE
,
, WICHITA
, KS
, 67218-2913
Practice Phone
: 316-689-5121;
Practice Fax
: 316-689-5122
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1437154499 -
DR.
DR.
MARY
C
BLATT
OD
Other Name
:
Mailing Address
:
PO BOX 60352
SAINT LOUIS
MO
63160-0352
Phone
: 314-362-3937;
Fax
: 866-505-8818;
Practice Location Address
:
450 N NEW BALLAS RD
, DEPT OPHTHALMOLOGY, STE 260
, SAINT LOUIS
, MO
, 63141-6859
Practice Phone
: 314-362-3937;
Practice Fax
: 866-505-8818
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1346245305 -
DR.
DR.
JOSEPH
COSMO
CAMBIO
MD
Other Name
:
Mailing Address
:
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS
FORT MYERS
FL
33907-1412
Phone
: 239-931-7342;
Fax
: 239-931-7385;
Practice Location Address
:
207 QUAKER LN
,
, WEST WARWICK
, RI
, 02893-2283
Practice Phone
: 401-828-7110;
Practice Fax
: 401-827-6364
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1255336210 -
SUE
MCCLELLAND
LMFT
Other Name
:
Mailing Address
:
1111 W 9TH AVE
SPOKANE
WA
99204-3109
Phone
: 509-624-5931;
Fax
: ;
Practice Location Address
:
1016 N SUPERIOR ST
,
, SPOKANE
, WA
, 99202-2059
Practice Phone
: 509-483-6495;
Practice Fax
: 509-483-1541
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1164427126 -
MEDICINE LTD.
Other Name
:
Mailing Address
:
121 S WILKE RD
STE 605
ARLINGTON HEIGHTS
IL
60005-1529
Phone
: 847-253-0988;
Fax
: 847-253-4756;
Practice Location Address
:
121 S WILKE RD
, STE 605
, ARLINGTON HEIGHTS
, IL
, 60005-1529
Practice Phone
: 847-253-0988;
Practice Fax
: 847-253-4756
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1881699841 -
MR.
MR.
THOMAS
M
GOLDBACHER
OTR-L
Other Name
:
Mailing Address
:
132 GROVE ST
HADDONFIELD
NJ
08033-1224
Phone
: 856-795-9330;
Fax
: 856-854-7935;
Practice Location Address
:
132 GROVE ST
,
, HADDONFIELD
, NJ
, 08033-1224
Practice Phone
: 856-795-9330;
Practice Fax
: 856-854-7935
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1699770651 -
BRIAN
G
RICHARDS
MD
Other Name
:
Mailing Address
:
400 N JEFFERSON ST
LEWISBURG
WV
24901
Phone
: 304-645-3220;
Fax
: 304-645-4103;
Practice Location Address
:
400 N JEFFERSON ST
,
, LEWISBURG
, WV
, 24901
Practice Phone
: 304-645-3220;
Practice Fax
: 304-645-4103
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1508861568 -
DR.
DR.
MICHAEL
STEPHEN
RUDMAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 20
MIDDLETOWN
MD
21769-0020
Phone
: 301-371-9000;
Fax
: 301-371-8905;
Practice Location Address
:
300 S CHURCH ST
,
, MIDDLETOWN
, MD
, 21769-8043
Practice Phone
: 301-371-9000;
Practice Fax
: 301-371-8905
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1417952474 -
PAUL
S
CHIPLEY
MD
Other Name
:
Mailing Address
:
PO BOX 3686
WILMINGTON
NC
28406-0686
Phone
: 910-442-1100;
Fax
: 910-442-1199;
Practice Location Address
:
2131 S 17TH ST
,
, WILMINGTON
, NC
, 28401-7407
Practice Phone
: 910-442-1100;
Practice Fax
: 910-442-1199
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1326043381 -
DR.
DR.
KATHRYN
E
PALOMINO
MD
Other Name
:
Mailing Address
:
6620 FLY ROAD
STE 200
EAST SYRACUSE
NY
13057
Phone
: 315-464-4472;
Fax
: ;
Practice Location Address
:
6620 FLY ROAD
, STE 200
, EAST SYRACUSE
, NY
, 13057
Practice Phone
: 315-464-4472;
Practice Fax
:
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1235134297 -
DR.
DR.
SONIA
DEORA
D.O.
Other Name
:
Mailing Address
:
10 JEFFERSON PLZ
STE. 100
PRINCETON
NJ
08540-9502
Phone
: 732-274-1274;
Fax
: 732-355-0321;
Practice Location Address
:
10 JEFFERSON PLZ
, STE. 100
, PRINCETON
, NJ
, 08540-9542
Practice Phone
: 732-274-1274;
Practice Fax
: 732-355-0321
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1144225103 -
WALTER
J
FAILLACE
MD
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: 608-775-4467;
Practice Location Address
:
1836 SOUTH AVE
,
, LA CROSSE
, WI
, 54601-5429
Practice Phone
: 608-782-7300;
Practice Fax
: 608-775-4467
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1053316018 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1962407924 -
DR.
DR.
FELICE
L
BANSON
MD
Other Name
:
Mailing Address
:
3700 JOSEPH SIEWICK DR STE 308
FAIRFAX
VA
22033-1739
Phone
: 703-698-8960;
Fax
: 703-716-8703;
Practice Location Address
:
3700 JOSEPH SIEWICK DR STE 308
,
, FAIRFAX
, VA
, 22033
Practice Phone
: 703-698-8960;
Practice Fax
: 647-646-4744
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1871598839 -
DR.
DR.
CHRISTOPHER
S
DICKSON
MD
Other Name
:
Mailing Address
:
1200 N ELM ST
GREENSBORO
NC
27401-1004
Phone
: 336-832-7000;
Fax
: ;
Practice Location Address
:
2704 HENRY ST
,
, GREENSBORO
, NC
, 27405-3633
Practice Phone
: 336-621-3777;
Practice Fax
: 336-621-8374
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1780689745 -
DR.
DR.
RICHARD
RUSSELL
KNUBLEY
D.D.S.
Other Name
:
Mailing Address
:
5350 COLLEGE BLVD
STE 202
OVERLAND PARK
KS
66211-1633
Phone
: 913-327-0100;
Fax
: 913-327-0102;
Practice Location Address
:
5350 COLLEGE BLVD
, STE 202
, OVERLAND PARK
, KS
, 66211-1633
Practice Phone
: 913-327-0100;
Practice Fax
: 913-327-0102
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1598760555 -
PAUL
S
BUCKMAN
MD
Other Name
:
Mailing Address
:
15210 L P BAILEY MEMORIAL HWY
NATHALIE
VA
24577-3304
Phone
: 434-349-3113;
Fax
: 434-349-2172;
Practice Location Address
:
15210 L P BAILEY MEMORIAL HWY
,
, NATHALIE
, VA
, 24577-3304
Practice Phone
: 434-349-3113;
Practice Fax
: 434-349-2172
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1407851462 -
BRIAN
W
KLAMM
PT
Other Name
:
Mailing Address
:
200 W DOUGLAS AVE
STE. 1040
WICHITA
KS
67202-3013
Phone
: 316-263-0003;
Fax
: 316-263-1241;
Practice Location Address
:
712 1ST TER
, STE 103
, LANSING
, KS
, 66043-1735
Practice Phone
: 913-727-2022;
Practice Fax
: 913-727-2033
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1316942378 -
KEVIN
O
DIECKHAUS
MD
Other Name
:
Mailing Address
:
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON
CT
06030-2212
Phone
: 860-679-7503;
Fax
: 860-679-1610;
Practice Location Address
:
263 FARMINGTON AVE
,
, FARMINGTON
, CT
, 06030-0001
Practice Phone
: 860-679-4225;
Practice Fax
: 860-679-1217
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1225033285 -
DR.
DR.
CHRISTOPHER
ALLEN
BANNINGER
O.D.
Other Name
:
Mailing Address
:
1000 E CLOUD ST
SALINA
KS
67401-6416
Phone
: 785-823-6391;
Fax
: 785-823-7188;
Practice Location Address
:
1000 E CLOUD ST
,
, SALINA
, KS
, 67401-6416
Practice Phone
: 785-823-6391;
Practice Fax
: 785-823-7188
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1134124191 -
BRIAN
D
ANDERSON
DO
Other Name
:
Mailing Address
:
865 LINCOLN RD
STE L10
BETTENDORF
IA
52722-4159
Phone
: 563-355-9191;
Fax
: 563-355-3419;
Practice Location Address
:
2526 41ST ST
,
, MOLINE
, IL
, 61265-5016
Practice Phone
: 309-792-6540;
Practice Fax
: 309-764-9326
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1043215007 -
DR.
DR.
RAMSES
S
NASHED
M.D.
Other Name
:
Mailing Address
:
2680 HUNT RD
TARPON SPRINGS
FL
34688-7335
Phone
: 727-938-8806;
Fax
: 727-934-6370;
Practice Location Address
:
1501 PASADENA AVE S
,
, SOUTH PASADENA
, FL
, 33707-3717
Practice Phone
: 727-938-8806;
Practice Fax
: 727-934-6370
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1952306912 -
DR.
DR.
THOMAS
P
CAMPBELL
M.D.
Other Name
:
Mailing Address
:
7920 W 44TH AVE
WHEAT RIDGE
CO
80033-4506
Phone
: 303-424-7572;
Fax
: ;
Practice Location Address
:
7920 W 44TH AVE
,
, WHEAT RIDGE
, CO
, 80033-4506
Practice Phone
: 303-424-7572;
Practice Fax
:
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1861497828 -
DR.
DR.
FRANCIS
YG
LEE
M.D.
Other Name
:
Mailing Address
:
6535 N CHARLES ST
STE 400
BALTIMORE
MD
21204-5826
Phone
: 410-828-7417;
Fax
: 410-828-0257;
Practice Location Address
:
6535 N CHARLES ST
, STE 400
, BALTIMORE
, MD
, 21204-5826
Practice Phone
: 410-828-7417;
Practice Fax
: 410-828-0257
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1770588733 -
DR.
DR.
KENNETH
H
GOLDSTEIN
MD
Other Name
:
Mailing Address
:
3599 UNIVERSITY BLVD S
SUITE 805
JACKSONVILLE
FL
32216
Phone
: 904-309-8680;
Fax
: 904-345-5841;
Practice Location Address
:
2161 KINGSLEY AVE.
, SUITE 200
, ORANGE PARK
, FL
, 32073
Practice Phone
: 904-276-2303;
Practice Fax
: 904-272-3659
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1689679649 -
MR.
MR.
ALAN
MARK
LEVINE
M.D.
Other Name
:
Mailing Address
:
6132 KIPPS COLONY DR W
GULFPORT
FL
33707-3970
Phone
: 727-260-1040;
Fax
: 727-347-3135;
Practice Location Address
:
1501 PASADENA AVE S
,
, SOUTH PASADENA
, FL
, 33707-3717
Practice Phone
: 727-938-8806;
Practice Fax
: 727-934-6370
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1497750459 -
MICHAEL
K
CASE
MD
Other Name
:
Mailing Address
:
1836 SOUTH AVE
LA CROSSE
WI
54601-5429
Phone
: 608-782-7300;
Fax
: ;
Practice Location Address
:
1836 SOUTH AVE
,
, LA CROSSE
, WI
, 54601-5429
Practice Phone
: 608-782-7300;
Practice Fax
:
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1306841366 -
DR.
DR.
JUAN
JOEL
GARZA
MD
Other Name
:
Mailing Address
:
2310 N ED CAREY DR STE 1A
HARLINGEN
TX
78550-8200
Phone
: 956-428-5522;
Fax
: 956-421-2759;
Practice Location Address
:
2310 N ED CAREY DR
, SUITE 1A
, HARLINGEN
, TX
, 78550-8200
Practice Phone
: 956-428-5522;
Practice Fax
: 956-421-2759
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1215932272 -
MARY
JAMES
PA-C
Other Name
:
Mailing Address
:
1328 NATIVIDAD RD
SALINAS
CA
93906-3101
Phone
: 831-757-8081;
Fax
: 831-757-0625;
Practice Location Address
:
1328 NATIVIDAD RD
,
, SALINAS
, CA
, 93906-3101
Practice Phone
: 831-757-8081;
Practice Fax
: 831-757-0625
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