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Showing codes 1730104522 — 1336164086
1730104522 -
COMMUNITY HOSPITALS OF INDIANA INC
Other Name
:
Mailing Address
:
8150 OAKLANDON RD
SUITE130
INDIANAPOLIS
IN
46236-9554
Phone
: 317-823-4435;
Fax
: 317-823-9062;
Practice Location Address
:
8150 OAKLANDON RD
, SUITE130
, INDIANAPOLIS
, IN
, 46236-9554
Practice Phone
: 317-823-4435;
Practice Fax
: 317-823-9062
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1649295437 -
NHC-OP, L.P.
Other Name
:
Mailing Address
:
109 WHITEWOOD BLVD
JOHNSON CITY
TN
37601-1059
Phone
: 423-434-0163;
Fax
: ;
Practice Location Address
:
109 WHITEWOOD BLVD
,
, JOHNSON CITY
, TN
, 37601-1059
Practice Phone
: 423-434-0163;
Practice Fax
:
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1558386342 -
LEONARD HALTRECHT
Other Name
:
Mailing Address
:
1999 SPROUL RD
STE 21
BROOMALL
PA
19008-3508
Phone
: 610-353-5840;
Fax
: ;
Practice Location Address
:
1999 SPROUL RD
, STE 21
, BROOMALL
, PA
, 19008-3508
Practice Phone
: 610-353-5840;
Practice Fax
:
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1467477257 -
CARLOS H ZAMBRANO MD LLC
Other Name
:
Mailing Address
:
PO BOX 8088
WILMETTE
IL
60091-8088
Phone
: 773-486-8820;
Fax
: 773-486-8823;
Practice Location Address
:
2434 W DIVISION ST
,
, CHICAGO
, IL
, 60622-2942
Practice Phone
: 773-486-8820;
Practice Fax
: 773-486-8823
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1376568162 -
HUMAN DESIGNS PROSTHETIC AND ORTHOTIC LABORATORY INC.
Other Name
:
Mailing Address
:
49 E FOOTHILL BLVD
ARCADIA
CA
91006-2307
Phone
: 626-445-7797;
Fax
: 626-445-7873;
Practice Location Address
:
49 E FOOTHILL BLVD
,
, ARCADIA
, CA
, 91006-2307
Practice Phone
: 626-445-7797;
Practice Fax
: 626-445-7873
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1285659078 -
MR.
MR.
JEROME
A
MUNIC
R.PH.
Other Name
:
Mailing Address
:
518 PARK DR
SPRINGFIELD
MA
01106-1236
Phone
: 413-754-3210;
Fax
: ;
Practice Location Address
:
110 CHERRY ST
,
, HOLYOKE
, MA
, 01040-7002
Practice Phone
: 413-532-9475;
Practice Fax
:
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1093730889 -
ROGELIO
ORILLAC
M.D.
Other Name
:
Mailing Address
:
1501 KINGS HWY
DEPARTMENT OF OPHTHALMOLOGY
SHREVEPORT
LA
71103-4228
Phone
: 318-675-7737;
Fax
: 318-675-5666;
Practice Location Address
:
1501 KINGS HWY
, DEPARTMENT OF OPHTHALMOLOGY
, SHREVEPORT
, LA
, 71103-4228
Practice Phone
: 318-675-7737;
Practice Fax
: 318-675-5666
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1902821796 -
FRED
J
FRICKE
MD
Other Name
:
Mailing Address
:
PO BOX 1598
ELKO
NV
89803-1598
Phone
: 775-738-0500;
Fax
: 775-738-0555;
Practice Location Address
:
247 BLUFFS AVE STE 102
,
, ELKO
, NV
, 89801-2488
Practice Phone
: 775-738-0500;
Practice Fax
: 775-738-0555
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1811912603 -
GERALDINE
LEDDY
LCSW
Other Name
:
GERI
LEDDY
Mailing Address
:
40 RING FARM WEST
BRIDGTON
ME
04009
Phone
: 207-647-8415;
Fax
: 207-647-8415;
Practice Location Address
:
40 RING FARM W
,
, BRIDGTON
, ME
, 04009-4431
Practice Phone
: 207-647-8415;
Practice Fax
: 207-647-8415
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1720003510 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1639194426 -
DR.
DR.
YVONNE
ANNE
RUDOLPH
D.C.
Other Name
:
Mailing Address
:
13445 I-10 EAST
HOUSTON
TX
77015
Phone
: 713-451-9911;
Fax
: 713-451-4573;
Practice Location Address
:
13445 EAST FWY
,
, HOUSTON
, TX
, 77015-5901
Practice Phone
: 713-451-9911;
Practice Fax
: 713-451-4573
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1548285331 -
SOUHEIL
SADDEKNI
Other Name
:
Mailing Address
:
619 19TH ST S
BIRMINGHAM
AL
35249-1900
Phone
: ;
Fax
: ;
Practice Location Address
:
619 19TH ST S
,
, BIRMINGHAM
, AL
, 35249-1900
Practice Phone
: 205-934-4011;
Practice Fax
:
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1457376246 -
DR.
DR.
STAN
M
UDOUJ
D.M.D.
Other Name
:
Mailing Address
:
520 S 14TH ST
FORT SMITH
AR
72901-4608
Phone
: 479-782-3005;
Fax
: 479-494-7490;
Practice Location Address
:
520 S 14TH ST
,
, FORT SMITH
, AR
, 72901-4608
Practice Phone
: 479-782-3005;
Practice Fax
: 479-494-7490
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1366467151 -
CLAY
JUSTIN
GOODHUE
CFA
Other Name
:
Mailing Address
:
PO BOX 270828
LITTLETON
CO
80127-0014
Phone
: 720-937-8412;
Fax
: 720-981-1588;
Practice Location Address
:
10607 W COOPER DR
,
, LITTLETON
, CO
, 80127-2984
Practice Phone
: 720-937-8412;
Practice Fax
: 720-981-1588
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1275558066 -
MS.
MS.
LORRIE
E.
RABIN
PH.D.
Other Name
:
Mailing Address
:
4716 ELLSWORTH AVENUE
SUITE 101
PITTSBURGH
PA
15213-2842
Phone
: 412-682-0433;
Fax
: 412-682-4310;
Practice Location Address
:
4716 ELLSWORTH AVE
, SUITE 101
, PITTSBURGH
, PA
, 15213-2851
Practice Phone
: 412-682-0433;
Practice Fax
: 412-682-4310
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1184649972 -
SAQIB RAZAQ, M.D.,P.C.
Other Name
:
Mailing Address
:
1492 N MONROE ST
MONROE
MI
48162-4210
Phone
: 734-457-3100;
Fax
: 734-457-3200;
Practice Location Address
:
1492 N MONROE ST
,
, MONROE
, MI
, 48162-4210
Practice Phone
: 734-457-3100;
Practice Fax
: 734-457-3200
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1992720783 -
JALOPY SHOPPE INC
Other Name
:
Mailing Address
:
18227 AMMI TRL
HOUSTON
TX
77060-1116
Phone
: 281-784-4861;
Fax
: 281-209-8025;
Practice Location Address
:
105 E MOCKINGBIRD LN # B
,
, VICTORIA
, TX
, 77904-2073
Practice Phone
: 361-576-4313;
Practice Fax
: 361-576-4326
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1801811690 -
CHRISTINA
MARIA
NYIRATI
CNP
Other Name
:
Mailing Address
:
660 ACKERMAN
PO BOX 183103
COLUMBUS
OH
43218
Phone
: ;
Fax
: ;
Practice Location Address
:
1492 E BROAD ST
,
, COLUMBUS
, OH
, 43205-1546
Practice Phone
: 614-257-3560;
Practice Fax
:
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1710902507 -
KAREN
A
TISDEL
PHARMD
Other Name
:
Mailing Address
:
3334 PARK AVE
RICHMOND
VA
23221-1507
Phone
: 804-675-5340;
Fax
: ;
Practice Location Address
:
1201 BROAD ROCK BLVD # 151
,
, RICHMOND
, VA
, 23249-0001
Practice Phone
: 804-675-5340;
Practice Fax
:
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1629093414 -
DANIEL
E
KUTZLER
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-433-5171;
Practice Location Address
:
6100 HARRIS PARKWAY
, SUITE 355
, FORT WORTH
, TX
, 76132-4134
Practice Phone
: 817-433-5488;
Practice Fax
: 817-433-5171
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1538184320 -
DR.
DR.
FIONA
C.
MCPHERSON
M.D.
Other Name
:
Mailing Address
:
8455 66TH ST
PINELLAS PARK
FL
33781-1206
Phone
: 727-548-7732;
Fax
: 727-545-1644;
Practice Location Address
:
8455 66TH ST
,
, PINELLAS PARK
, FL
, 33781-1206
Practice Phone
: 727-548-7732;
Practice Fax
: 727-545-1644
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1447275235 -
LUZ MARINA
AGUIRRE
Other Name
:
Mailing Address
:
1111 AMSTERDAM AVE, CLARK - 6TH FLOOR
NEW YORK
NY
10025
Phone
: 212-523-6500;
Fax
: 212-523-5677;
Practice Location Address
:
1111 AMSTERDAM AVE, CLARK - 6TH FLOOR
,
, NEW YORK
, NY
, 10025
Practice Phone
: 212-523-6500;
Practice Fax
: 212-523-5677
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1356366140 -
DENSON SHOPS INC
Other Name
:
Mailing Address
:
P O BOX 703
WHEATON
IL
60189-0703
Phone
: 630-665-1488;
Fax
: 630-668-1396;
Practice Location Address
:
509 S CARLTON AVE
,
, WHEATON
, IL
, 60189-0703
Practice Phone
: 630-665-1488;
Practice Fax
: 630-668-1396
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1265457055 -
JELITA
MACANAS
Other Name
:
Mailing Address
:
11606 REAGAN RD
BAKERSFIELD
CA
93312-8253
Phone
: 661-587-8106;
Fax
: ;
Practice Location Address
:
659 S CENTRAL VALLEY HWY
,
, SHAFTER
, CA
, 93263-2790
Practice Phone
: 661-459-1900;
Practice Fax
:
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1174548960 -
MRS.
MRS.
CATHERINE
A
HOSTERMAN
APRN
Other Name
:
Mailing Address
:
118 COLLEGE ST
LITCHFIELD
CT
06759-4206
Phone
: 860-672-0105;
Fax
: ;
Practice Location Address
:
11 INTERLAKEN RD
,
, LAKEVILLE
, CT
, 06039
Practice Phone
: 860-435-3226;
Practice Fax
:
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1083639876 -
ARPITA
GUPTA
DEPALMA
M.D.
Other Name
:
Mailing Address
:
11601 ROBIOUS RD
SUITE 100
MIDLOTHIAN
VA
23113-5605
Phone
: 804-379-9494;
Fax
: ;
Practice Location Address
:
11601 ROBIOUS RD
, SUITE 100
, MIDLOTHIAN
, VA
, 23113-5605
Practice Phone
: 804-379-9494;
Practice Fax
:
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1891710687 -
JOURNEY'S END COUNSELING, CONSULTING & TRAINING, LLC
Other Name
:
Mailing Address
:
1025 S SEMORAN BLVD
SUITE 1093
WINTER PARK
FL
32792-5523
Phone
: 407-678-9800;
Fax
: 407-678-1975;
Practice Location Address
:
1025 S SEMORAN BLVD
, SUITE 1093
, WINTER PARK
, FL
, 32792-5523
Practice Phone
: 407-678-9800;
Practice Fax
: 407-678-1975
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1700801594 -
BALANCE MULTICARE, PLC
Other Name
:
Mailing Address
:
936 12TH PL
PRESCOTT
AZ
86305-1436
Phone
: 928-778-7996;
Fax
: 928-442-3324;
Practice Location Address
:
936 12TH PL
,
, PRESCOTT
, AZ
, 86305-1436
Practice Phone
: 928-778-7996;
Practice Fax
: 928-442-3324
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1619992401 -
DR.
DR.
RONALD
K
WILDS
DC
Other Name
:
RONALD
WILDS
Mailing Address
:
627 NW MOCK AVE
SUITE B
BLUE SPRINGS
MO
64014-2413
Phone
: 816-229-9393;
Fax
: 816-229-2765;
Practice Location Address
:
627 NW MOCK AVE
, SUITE B
, BLUE SPRINGS
, MO
, 64014-2413
Practice Phone
: 816-229-9393;
Practice Fax
: 816-229-2765
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1528083318 -
MOBILE MED LLC
Other Name
:
Mailing Address
:
1247 S PLEASANTBURG DR
GREENVILLE
SC
29605-1344
Phone
: 864-675-1330;
Fax
: ;
Practice Location Address
:
14 JOHN DAVENPORT DR NW STE 100
,
, ROME
, GA
, 30165-4600
Practice Phone
: 706-235-0509;
Practice Fax
:
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1437174224 -
PHYSICIANS FOR WOMEN, PC
Other Name
:
Mailing Address
:
1021 N HOUSTON RD
WARNER ROBINS
GA
31093-1505
Phone
: 478-922-9944;
Fax
: 478-922-3255;
Practice Location Address
:
1021 N HOUSTON RD
,
, WARNER ROBINS
, GA
, 31093-1505
Practice Phone
: 478-922-9944;
Practice Fax
: 478-922-3255
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1346265139 -
LEONARD
J
TYMINSKI
M.D.
Other Name
:
Mailing Address
:
2301 BAHAMAS DR
BAKERSFIELD
CA
93309-0663
Phone
: 661-326-9600;
Fax
: 661-324-6036;
Practice Location Address
:
2301 BAHAMAS DR
,
, BAKERSFIELD
, CA
, 93309-0663
Practice Phone
: 661-326-9600;
Practice Fax
: 661-324-6036
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1255356044 -
DR.
DR.
TERESA
GAYLE
MULVIHILL
M.D.
Other Name
:
Mailing Address
:
1 LINCOLN PKWY STE 202
HATTIESBURG
MS
39402-3261
Phone
: 601-288-8050;
Fax
: 601-288-8058;
Practice Location Address
:
1 LINCOLN PKWY STE 202
,
, HATTIESBURG
, MS
, 39402-3261
Practice Phone
: 601-288-8050;
Practice Fax
: 601-288-8058
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1164447959 -
DR.
DR.
SIAMAK
STEPHEN
MARZBAN
M.D.
Other Name
:
Mailing Address
:
2403 S MORAY AVE
STE 2B
SAN PEDRO
CA
90732-4358
Phone
: 310-832-2694;
Fax
: 310-547-0140;
Practice Location Address
:
2403 S MORAY AVE
, STE 2B
, SAN PEDRO
, CA
, 90732-4358
Practice Phone
: 310-832-2694;
Practice Fax
: 310-547-0140
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1073538864 -
KATHY WILSON, M.D., P. A.
Other Name
:
Mailing Address
:
PO BOX 291826
KERRVILLE
TX
78029-1826
Phone
: 830-792-1132;
Fax
: 830-792-7747;
Practice Location Address
:
703 HILL COUNTRY DR
, SUITE 302
, KERRVILLE
, TX
, 78028-5904
Practice Phone
: 830-792-1132;
Practice Fax
: 830-792-7747
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1982629770 -
PACIFIC COAST WOMEN'S HLTH
Other Name
:
Mailing Address
:
317 N. EL CAMINO REAL
SUITE 306
ENCINITAS
CA
92024
Phone
: 760-944-1000;
Fax
: 760-944-1123;
Practice Location Address
:
317 N. EL CAMINO REAL
, SUITE 306
, ENCINITAS
, CA
, 92024
Practice Phone
: 760-944-1000;
Practice Fax
: 760-944-1123
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1790700581 -
DR.
DR.
SCOTT
A
HEUMANN
D.C.
Other Name
:
Mailing Address
:
27620 5 MILE RD
LIVONIA
MI
48154-3946
Phone
: 734-427-6333;
Fax
: 734-427-6340;
Practice Location Address
:
27620 5 MILE RD
,
, LIVONIA
, MI
, 48154-3946
Practice Phone
: 734-427-6333;
Practice Fax
: 734-427-6340
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1609891498 -
PENN BEAVER PHARMACY INC
Other Name
:
Mailing Address
:
734 OHIO RIVER BLVD
ROCHESTER PLAZA
ROCHESTER
PA
15074-1413
Phone
: ;
Fax
: ;
Practice Location Address
:
734 OHIO RIVER BLVD
, ROCHESTER PLAZA
, ROCHESTER
, PA
, 15074-1413
Practice Phone
: 724-728-7455;
Practice Fax
: 724-728-3717
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1518982305 -
MS.
MS.
STEPHANIE
A
FARMER
APN
Other Name
:
Mailing Address
:
PO BOX 1615
SEARCY
AR
72145-1615
Phone
: 501-776-6019;
Fax
: 501-776-6019;
Practice Location Address
:
319 BRYANT AVE
, SUITE 1
, BRYANT
, AR
, 72022-3815
Practice Phone
: 501-653-0353;
Practice Fax
: 501-653-0347
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1427073212 -
CLIFFORD
KIRACOFE
RPT
Other Name
:
Mailing Address
:
PO BOX 293
HAYDEN
ID
83835-0293
Phone
: 208-772-6991;
Fax
: 208-772-6674;
Practice Location Address
:
8836 N HESS ST
, STE C
, HAYDEN
, ID
, 83835-8718
Practice Phone
: 208-772-6991;
Practice Fax
: 208-772-6674
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1336164128 -
MRS.
MRS.
XIMENA
TUHEY
VALDEZ
PHARM D.
Other Name
:
Mailing Address
:
13702 VELVET ANTLER WAY
MIDLOTHIAN
VA
23112-1921
Phone
: ;
Fax
: ;
Practice Location Address
:
1201 BROAD ROCK BLVD
, (652/119F)
, RICHMOND
, VA
, 23249-0001
Practice Phone
: 804-675-5000;
Practice Fax
:
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1245255033 -
MRS.
MRS.
GLADYS
VERSALLES
CNA
Other Name
:
Mailing Address
:
795 NW 95TH TER
MIAMI
FL
33150-1817
Phone
: 305-864-8323;
Fax
: 305-377-4815;
Practice Location Address
:
7705 ABBOTT AVE
, 305
, MIAMI BEACH
, FL
, 33141-2344
Practice Phone
: 305-864-8323;
Practice Fax
: 305-377-4815
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1154346948 -
MARK A RISEN, DPM,
Other Name
:
Mailing Address
:
1003 OLD GREENSBURG RD
CAMPBELLSVILLE
KY
42718-2571
Phone
: 270-789-4342;
Fax
: 270-465-3305;
Practice Location Address
:
1003 OLD GREENSBURG RD
,
, CAMPBELLSVILLE
, KY
, 42718-2571
Practice Phone
: 270-789-4342;
Practice Fax
: 270-465-3305
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1063437853 -
GEORGETTA
MOLNAR
Other Name
:
Mailing Address
:
659 S. CENTRAL VALLEY HWY
P.O. BOX 1060
SHAFTER
CA
93263-1060
Phone
: 661-459-1900;
Fax
: 661-459-1974;
Practice Location Address
:
2101 7TH ST
,
, WASCO
, CA
, 93280
Practice Phone
: 661-758-5903;
Practice Fax
: 661-758-6630
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1972528768 -
NHC-OP LP
Other Name
:
Mailing Address
:
9050 EXECUTIVE PARK DR STE 100B
KNOXVILLE
TN
37923-4616
Phone
: 865-539-0242;
Fax
: ;
Practice Location Address
:
9050 EXECUTIVE PARK DR STE 100B
,
, KNOXVILLE
, TN
, 37923-4616
Practice Phone
: 865-539-0242;
Practice Fax
:
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1710902457 -
MS.
MS.
JESSICA
O'BRIEN
P.A.
Other Name
:
Mailing Address
:
24 WESLEY CHAPEL RD
SUFFERN
NY
10901-2604
Phone
: 845-362-5336;
Fax
: ;
Practice Location Address
:
5 PERRYRIDGE RD
,
, GREENWICH
, CT
, 06830-4608
Practice Phone
: 203-863-3637;
Practice Fax
:
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1629093364 -
JOAN
PERLMUTTER
Other Name
:
Mailing Address
:
2191 POST RD
WARWICK
RI
02886-1532
Phone
: 401-732-3066;
Fax
: ;
Practice Location Address
:
2191 POST RD
,
, WARWICK
, RI
, 02886-1532
Practice Phone
: 401-732-3066;
Practice Fax
:
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1538184270 -
TERESA
G
PALMER
APRN
Other Name
:
TERESA
G
WALKER
Mailing Address
:
PO BOX 440504
NASHVILLE
TN
37244-0504
Phone
: 865-670-6199;
Fax
: 865-670-6198;
Practice Location Address
:
1924 ALCOA HWY
,
, KNOXVILLE
, TN
, 37920
Practice Phone
: 865-305-7255;
Practice Fax
: 865-305-7115
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1447275185 -
MARK
W.
CASTALDI
MD
Other Name
:
Mailing Address
:
11995 SINGLETREE LN
STE 500
EDEN PRAIRIE
MN
55344-5347
Phone
: 952-595-1100;
Fax
: 952-942-3361;
Practice Location Address
:
3998 RED LION ROAD
,
, PHILADELPHIA
, PA
, 19114-1436
Practice Phone
: 952-595-1100;
Practice Fax
: 952-942-3361
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1356366090 -
MAX
DION
WALKER
MD
Other Name
:
Mailing Address
:
4315 DIPLOMACY DR
ATTN: SHERRY REEDY
ANCHORAGE
AK
99508-5926
Phone
: 907-729-3971;
Fax
: 907-729-1542;
Practice Location Address
:
4315 DIPLOMACY DR
, ATTN: SHERRY REEDY
, ANCHORAGE
, AK
, 99508-5926
Practice Phone
: 907-729-3971;
Practice Fax
: 907-729-1542
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1265457907 -
JAMES
ARTHUR
HENDERSON
M.D.
Other Name
:
Mailing Address
:
110 VILLAGE PKWY
NICHOLASVILLE
KY
40356-2327
Phone
: 859-887-2484;
Fax
: 859-885-8448;
Practice Location Address
:
110 VILLAGE PKWY
,
, NICHOLASVILLE
, KY
, 40356-2327
Practice Phone
: 859-887-2484;
Practice Fax
: 859-885-8448
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1174548812 -
KAREN
L
MORRIS
LCSW
Other Name
:
Mailing Address
:
645 S ROGERS ST
BLOOMINGTON
IN
47403-2353
Phone
: 812-339-1691;
Fax
: 812-337-2438;
Practice Location Address
:
720 N MARR RD
,
, COLUMBUS
, IN
, 47201-6660
Practice Phone
: 812-314-3400;
Practice Fax
: 812-378-8367
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1083639728 -
DR.
DR.
SHELDA
SUE
FOSSO
DC
Other Name
:
SHELDA
SUE
NICHOLSON
Mailing Address
:
155 N SAWYER ST
OSHKOSH
WI
54902-5674
Phone
: 920-230-7600;
Fax
: 920-230-7603;
Practice Location Address
:
155 N SAWYER ST
,
, OSHKOSH
, WI
, 54902-5674
Practice Phone
: 920-230-7600;
Practice Fax
: 920-230-7603
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1891710539 -
DR.
DR.
MICHAEL
WILLIAM
FLETCHER
DC
Other Name
:
Mailing Address
:
440 N KOELLER ST
440 N. KOELLER ST.
OSHKOSH
WI
54902-4111
Phone
: 920-230-2800;
Fax
: 920-651-4289;
Practice Location Address
:
440 N. KOELLER ST.
,
, OSHKOSH
, WI
, 54903-2525
Practice Phone
: 920-233-2828;
Practice Fax
: 920-232-2829
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1700801446 -
DR.
DR.
KENT
LYDELL
BELVILLE
DC
Other Name
:
Mailing Address
:
440 N KOELLER ST
440 N. KOELLER ST.
OSHKOSH
WI
54902-4111
Phone
: 920-230-2525;
Fax
: 920-273-2347;
Practice Location Address
:
440 N. KOELLER ST.
,
, OSHKOSH
, WI
, 54903-2525
Practice Phone
: 920-233-2828;
Practice Fax
: 920-232-2829
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1619992351 -
REGENTS OF THE UNIVERSITY OF MICHIGAN
Other Name
:
Mailing Address
:
3621 S STATE ST
PROVIDER ENROLLMENT
ANN ARBOR
MI
48108
Phone
: 734-647-5299;
Fax
: ;
Practice Location Address
:
1500 E MEDICAL CENTER DR
,
, ANN ARBOR
, MI
, 48109-5000
Practice Phone
: 734-936-4000;
Practice Fax
:
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1528083268 -
REGENTS OF THE UNIVERSITY OF MICHIGAN
Other Name
:
Mailing Address
:
3621 S STATE ST
PROVIDER ENROLLMENT
ANN ARBOR
MI
48108
Phone
: 734-647-5299;
Fax
: ;
Practice Location Address
:
8001 CHALLIS RD
,
, BRIGHTON
, MI
, 48116
Practice Phone
: 810-227-9510;
Practice Fax
:
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1437174174 -
DR.
DR.
IANA
G.
DZAGNIDZE
M.D.
Other Name
:
Mailing Address
:
493 CHATEAU DR NW
ATLANTA
GA
30305-1924
Phone
: 404-869-0203;
Fax
: ;
Practice Location Address
:
340 BOULEVARD NE
, SUITE 324
, ATLANTA
, GA
, 30312-1273
Practice Phone
: 404-849-9542;
Practice Fax
: 404-521-9261
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1346265089 -
SUSAN
M
KUZNIAR
Other Name
:
SUSAN
M
SALECKI
Mailing Address
:
3399 WINTON RD S
ROCHESTER
NY
14623-3057
Phone
: 585-334-6000;
Fax
: 585-334-2858;
Practice Location Address
:
3399 WINTON RD S
,
, ROCHESTER
, NY
, 14623-3057
Practice Phone
: 585-334-6000;
Practice Fax
: 585-334-2858
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1255356994 -
STEVEN
J
GIAMPORCARO
MD
Other Name
:
Mailing Address
:
2512 ATLANTIC AVE
ATLANTIC CITY
NJ
08401
Phone
: 609-347-7333;
Fax
: 609-347-1632;
Practice Location Address
:
2512 ATLANTIC AVE
,
, ATLANTIC CITY
, NJ
, 08401
Practice Phone
: 609-347-7333;
Practice Fax
: 609-347-1632
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1164447801 -
MR.
MR.
THOMAS
JAMES
THIEL
DC
Other Name
:
Mailing Address
:
602 EAST 10TH STREET
ROANOKE RAPIDS
NC
27870
Phone
: 252-537-4231;
Fax
: 252-537-8388;
Practice Location Address
:
602 EAST 10TH STREET
,
, ROANOKE RAPIDS
, NC
, 27870
Practice Phone
: 252-537-4231;
Practice Fax
: 252-537-8388
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1073538716 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1982629622 -
FRANK
A
COCCO
MD
Other Name
:
Mailing Address
:
475 ROUTE 70 SUITE 101
OCEAN GYN & OB ASSOCIATES
LAKEWOOD
NJ
08701
Phone
: 732-364-8000;
Fax
: 732-364-4601;
Practice Location Address
:
475 ROUTE 70 SUITE 101
, OCEAN GYN & OB ASSOCIATES
, LAKEWOOD
, NJ
, 08701
Practice Phone
: 732-364-8000;
Practice Fax
: 732-364-4601
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1790700433 -
MR.
MR.
RALPH
VICTOR
VAN DER LINDE
PT
Other Name
:
Mailing Address
:
9070 KIMBERLY BLVD
SUITE 24
BOCA RATON
FL
33434-2855
Phone
: 561-482-6900;
Fax
: 561-482-6023;
Practice Location Address
:
9070 KIMBERLY BLVD
, SUITE 24
, BOCA RATON
, FL
, 33434-2855
Practice Phone
: 561-482-6900;
Practice Fax
: 561-482-6023
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1609891340 -
STEVEN
RAY
BURT
MD
Other Name
:
Mailing Address
:
PO BOX 1705
MEDFORD
OR
97501-0132
Phone
: 541-773-7273;
Fax
: 541-773-2027;
Practice Location Address
:
842 E MAIN ST
,
, MEDFORD
, OR
, 97504-7134
Practice Phone
: 541-773-7273;
Practice Fax
: 541-773-2027
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1518982255 -
DR.
DR.
STEVEN
RESNICK
Other Name
:
Mailing Address
:
1095 INMAN AVE
EDISON
NJ
08820-1132
Phone
: 908-668-7838;
Fax
: 908-668-5645;
Practice Location Address
:
1095 INMAN AVE
,
, EDISON
, NJ
, 08820-1132
Practice Phone
: 908-668-7838;
Practice Fax
: 908-668-5645
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1427073162 -
JOSEPH
G.
FLORIN
P.A-C
Other Name
:
Mailing Address
:
2100 POWELL ST
STE 900
EMERYVILLE
CA
94608-1826
Phone
: 510-350-2600;
Fax
: 510-879-9100;
Practice Location Address
:
400 N PEPPER AVE
,
, COLTON
, CA
, 92324-1801
Practice Phone
: 909-580-1410;
Practice Fax
:
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1336164078 -
PAUL
WESLEY
HOFFERBERT
MD
Other Name
:
Mailing Address
:
MEDICAL CENTER BLVD
WINSTON SALEM
NC
27157-0001
Phone
: 336-651-8294;
Fax
: 336-651-8100;
Practice Location Address
:
1370 W D ST
,
, NORTH WILKESBORO
, NC
, 28659-3506
Practice Phone
: 336-651-8294;
Practice Fax
: 336-651-8100
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1245255983 -
DR.
DR.
SHEENA
S
DRAKE
MD
Other Name
:
Mailing Address
:
901 HEARTLAND RD STE 2800
SAINT JOSEPH
MO
64506-6201
Phone
: 816-271-1200;
Fax
: ;
Practice Location Address
:
901 HEARTLAND RD
, SUITE 2800
, SAINT JOSEPH
, MO
, 64506-6200
Practice Phone
: 816-271-1085;
Practice Fax
: 816-271-1216
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1326063066 -
RA PHYSICAL THERAPY AND REHABILITATION INC
Other Name
:
Mailing Address
:
910 1/2 S ROBERTSON BLVD
LOS ANGELES
CA
90035-1602
Phone
: 310-657-7220;
Fax
: ;
Practice Location Address
:
910 1/2 S ROBERTSON BLVD
,
, LOS ANGELES
, CA
, 90035-1602
Practice Phone
: 310-657-7220;
Practice Fax
:
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1235154972 -
VANDERBILT UNIVERSITY
Other Name
:
Mailing Address
:
4163 VILLAGE AT VANDERBILT
NASHVILLE
TN
37232-8678
Phone
: 615-322-3573;
Fax
: 615-936-6095;
Practice Location Address
:
2002 RICHARD JONES ROAD
,
, NASHVILLE
, TN
, 37215-2809
Practice Phone
: 615-322-3000;
Practice Fax
:
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1144245887 -
PIEDMONT PRIME CARE
Other Name
:
Mailing Address
:
130 ENTERPRISE DRIVE
DANVILLE
VA
24540-4070
Phone
: 434-791-2273;
Fax
: 434-791-2824;
Practice Location Address
:
130 ENTERPRISE DRIVE
,
, DANVILLE
, VA
, 24540-4070
Practice Phone
: 434-791-2824;
Practice Fax
: 434-791-2824
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1053336792 -
KENNETH
MATTHEW
CAHILL
DO
Other Name
:
Mailing Address
:
475 ROUTE 70
STE 101 OCEAN GYN & OB ASSOCIATES
LAKEWOOD
NJ
08701
Phone
: 732-364-8000;
Fax
: 732-364-4601;
Practice Location Address
:
475 ROUTE 70
, STE 101 OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOC
, LAKEWOOD
, NJ
, 08701
Practice Phone
: 732-364-8000;
Practice Fax
: 732-364-4601
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1962427609 -
MRS.
MRS.
RHONDA
P
BURDEAUX
APRN BC
Other Name
:
Mailing Address
:
425 STANDARD REED RD
WEST MONROE
LA
71291-1609
Phone
: 318-396-6807;
Fax
: 318-396-6807;
Practice Location Address
:
1117 CHENIERE DREW RD
,
, WEST MONROE
, LA
, 71291-8551
Practice Phone
: 318-329-4370;
Practice Fax
: 318-329-4356
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1871518514 -
HARVEY
HWANG
MD
Other Name
:
Mailing Address
:
PO BOX 1705
MEDFORD
OR
97501-0132
Phone
: 541-773-7273;
Fax
: 541-773-2027;
Practice Location Address
:
842 E MAIN ST
,
, MEDFORD
, OR
, 97504-7134
Practice Phone
: 541-773-7273;
Practice Fax
: 541-773-2027
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1780609420 -
BENJAMIN
PAUL
GRAHAM
DMD
Other Name
:
Mailing Address
:
8900 SE 165TH MULBERRY LN
THE VILLAGES
FL
32162-5884
Phone
: 352-674-5000;
Fax
: ;
Practice Location Address
:
8900 SE 165TH MULBERRY LN
,
, THE VILLAGES
, FL
, 32162-5884
Practice Phone
: 352-674-5000;
Practice Fax
:
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1598780231 -
MATTHEW
T
MCGONAGLE
MD
Other Name
:
Mailing Address
:
186 STRATFORD ST
#1
WEST ROXBURY
MA
02132-2141
Phone
: 617-469-5385;
Fax
: 617-636-4852;
Practice Location Address
:
750 WASHINGTON ST
, DEPT OF PSYCHIATRY
, BOSTON
, MA
, 02111-1526
Practice Phone
: 617-469-5385;
Practice Fax
:
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1407871148 -
SHARON
A
BRANGMAN
MD
Other Name
:
Mailing Address
:
550 HARRISON ST
SUITE 117
SYRACUSE
NY
13202-3188
Phone
: 315-464-6100;
Fax
: 315-464-9245;
Practice Location Address
:
550 HARRISON ST
, SUITE 117
, SYRACUSE
, NY
, 13202-3188
Practice Phone
: 315-464-6100;
Practice Fax
: 315-464-9245
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1316962053 -
JANET
L
WILKINSON
Other Name
:
Mailing Address
:
4315 DIPLOMACY DR
ANCHORAGE
AK
99508-5926
Phone
: 907-729-2300;
Fax
: 907-729-2348;
Practice Location Address
:
4315 DIPLOMACY DR
,
, ANCHORAGE
, AK
, 99508-5926
Practice Phone
: 907-729-2300;
Practice Fax
: 907-729-2348
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1225053960 -
GALE
E
EASTON
PA-C
Other Name
:
Mailing Address
:
3165 COUNTY FARM RD
JACKSON
MI
49201-4101
Phone
: 517-787-8015;
Fax
: 517-787-5520;
Practice Location Address
:
3165 COUNTY FARM RD
,
, JACKSON
, MI
, 49201-4101
Practice Phone
: 517-787-8015;
Practice Fax
: 517-787-5520
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1134144876 -
MARCUS
EUGENE
HARRIS
P.A-C
Other Name
:
Mailing Address
:
2100 POWELL ST
STE 900
EMERYVILLE
CA
94608-1826
Phone
: 510-350-2600;
Fax
: 510-879-9100;
Practice Location Address
:
2295 S VINEYARD AVE
,
, ONTARIO
, CA
, 91761-7925
Practice Phone
: 883-574-2273;
Practice Fax
:
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1043235781 -
THEODORE
FISHER
M.D.
Other Name
:
Mailing Address
:
900 RAND RD STE 300
ATTN: RAQUEL LEON
DES PLAINES
IL
60016-2359
Phone
: 847-324-3976;
Fax
: ;
Practice Location Address
:
2923 N CALIFORNIA AVE
, SUITE 300
, CHICAGO
, IL
, 60618-7702
Practice Phone
: 773-777-9900;
Practice Fax
: 773-777-5927
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1952326696 -
LARRY
D
CURTIS
CRNA
Other Name
:
Mailing Address
:
RR1 BOX 11406
HARDIN
MT
59034
Phone
: 406-665-1013;
Fax
: ;
Practice Location Address
:
1010 SOUTH 7650 EAST
, CROW NORTHERN CHEYENNE INDIAN HOSPITAL
, CROW AGENCY
, MT
, 59022
Practice Phone
: 406-638-3500;
Practice Fax
: 406-638-3569
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1861417503 -
BERNARD
LEGASPI
AURELLADO
OTR/L
Other Name
:
Mailing Address
:
155 RAYMOND ROAD
PRINCETON
NJ
08540-9608
Phone
: 732-329-1181;
Fax
: 732-329-1171;
Practice Location Address
:
443 RIVER RD
,
, HIGHLAND PARK
, NJ
, 08904-1914
Practice Phone
: 732-565-2501;
Practice Fax
: 732-565-2502
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1770508418 -
WESTMORELAND REGIONAL HOSPITAL
Other Name
:
Mailing Address
:
PO BOX 1100
LATROBE
PA
15650-5011
Phone
: 724-832-4000;
Fax
: 724-832-4468;
Practice Location Address
:
532 W PITTSBURGH ST
,
, GREENSBURG
, PA
, 15601
Practice Phone
: 724-832-4000;
Practice Fax
: 724-832-4468
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1689699324 -
HEALTHPRO RESOURCES INC
Other Name
:
Mailing Address
:
9335 RESEDA BLVD STE 800
NORTHRIDGE
CA
91324-6036
Phone
: 818-727-7656;
Fax
: ;
Practice Location Address
:
9335 RESEDA BLVD STE 800
,
, NORTHRIDGE
, CA
, 91324-6036
Practice Phone
: 818-727-7656;
Practice Fax
:
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1497770135 -
DR.
DR.
JEFFREY
DALE
JOINER
D.D.S.
Other Name
:
Mailing Address
:
107 KENTUCKY AVE NW
ORANGE CITY
IA
51041-3303
Phone
: 712-737-3521;
Fax
: 712-737-4891;
Practice Location Address
:
123 ALBANY AVE SE
,
, ORANGE CITY
, IA
, 51041-1715
Practice Phone
: 712-737-3521;
Practice Fax
: 712-737-4891
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|
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1306861042 -
RHEUMATOLOGY AND OSTEOPOROSIS MANAGEMENT CENTER, P.A.
Other Name
:
Mailing Address
:
2209 EASTCHESTER DR STE 103
HIGH POINT
NC
27265-1525
Phone
: 336-510-9873;
Fax
: 336-510-9890;
Practice Location Address
:
2209 EASTCHESTER DR STE 103
,
, HIGH POINT
, NC
, 27265-1525
Practice Phone
: 336-510-9873;
Practice Fax
: 336-510-9890
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1215952957 -
ERIK F PERKINS, A MEDICAL CORP
Other Name
:
Mailing Address
:
4033 3RD AVE STE 206
SAN DIEGO
CA
92103-2137
Phone
: 619-384-9292;
Fax
: ;
Practice Location Address
:
4033 3RD AVE STE 206
,
, SAN DIEGO
, CA
, 92103-2137
Practice Phone
: 619-384-9292;
Practice Fax
:
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1124043864 -
STEPHANIE
LUKE
Other Name
:
Mailing Address
:
3399 WINTON RD S
ROCHESTER
NY
14623-3057
Phone
: 585-334-6000;
Fax
: 585-334-2858;
Practice Location Address
:
3399 WINTON RD S
,
, ROCHESTER
, NY
, 14623-3057
Practice Phone
: 585-334-6000;
Practice Fax
: 585-334-2858
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1033134770 -
CRESENCIA D BANZUELA M.D. INC
Other Name
:
Mailing Address
:
PO BOX 6038
CORONA
CA
92878-6038
Phone
: 951-272-3872;
Fax
: ;
Practice Location Address
:
260 E ONTARIO AVE
, SUITE 204
, CORONA
, CA
, 92879-3506
Practice Phone
: 951-272-6595;
Practice Fax
:
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1942225685 -
MRS.
MRS.
LORETTA
RILES WALKER
Other Name
:
Mailing Address
:
10165 N CROSSET HILL DR
PICKERINGTON
OH
43147-8945
Phone
: 614-577-0606;
Fax
: 614-577-1030;
Practice Location Address
:
10165 N CROSSET HILL DR
,
, PICKERINGTON
, OH
, 43147-8945
Practice Phone
: 614-577-0606;
Practice Fax
: 614-577-1030
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1851316590 -
MRS.
MRS.
MARY JANINE
O
HOPKINS
MD
Other Name
:
Mailing Address
:
2509 BROADMOOR BLVD
STE A
MONROE
LA
71201-2987
Phone
: 318-325-0600;
Fax
: 318-325-0890;
Practice Location Address
:
2509 BROADMOOR BLVD
, STE A
, MONROE
, LA
, 71201-2987
Practice Phone
: 318-325-0600;
Practice Fax
: 318-325-0890
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1760407407 -
WILSON COUNTY HOSPITAL
Other Name
:
Mailing Address
:
2600 OTTAWA RD
P O BOX 360
NEODESHA
KS
66757-1897
Phone
: 620-325-2611;
Fax
: 620-325-8459;
Practice Location Address
:
2600 OTTAWA RD
,
, NEODESHA
, KS
, 66757-1897
Practice Phone
: 620-325-2611;
Practice Fax
: 620-325-8453
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1679598312 -
ROBERT
SHELDON
PRICE
M.D.
Other Name
:
ROBERT
S.
PRICE
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: 801-535-8163;
Fax
: 801-355-4011;
Practice Location Address
:
5169 COTTONWOOD ST
,
, MURRAY
, UT
, 84107-6767
Practice Phone
: 801-507-1600;
Practice Fax
:
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1588689228 -
JIN
K.
YU
Other Name
:
Mailing Address
:
24511 WEST JAYNE AVE.
P.O. BOX 5000
COALINGA
CA
93210
Phone
: 559-934-8304;
Fax
: ;
Practice Location Address
:
24511 WEST JAYNE AVE.
,
, COALINGA
, CA
, 93210
Practice Phone
: 559-934-8304;
Practice Fax
:
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1609891357 -
FAMILY BRIDGES INC
Other Name
:
Mailing Address
:
168 11TH ST
OAKLAND
CA
94607
Phone
: 510-839-2022;
Fax
: 510-839-2435;
Practice Location Address
:
168 11TH ST
,
, OAKLAND
, CA
, 94607
Practice Phone
: 510-419-0888;
Practice Fax
: 510-419-0880
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1518982263 -
KRISTIN
JUNE
MORETTI
PT
Other Name
:
Mailing Address
:
1400 N NORTHWEST HIGHWAY
SUITE 100
PARK RIDGE
IL
60068
Phone
: 847-297-7020;
Fax
: 847-297-7022;
Practice Location Address
:
1400 N NORTHWEST HIGHWAY
, SUITE 100
, PARK RIDGE
, IL
, 60068
Practice Phone
: 847-297-7020;
Practice Fax
: 847-297-7022
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1427073170 -
DR.
DR.
VERNON
T.
HUGHES
JR.
D.O.
Other Name
:
Mailing Address
:
122 WESTOVER DR
CLARKSDALE
MS
38614-9767
Phone
: 662-627-6331;
Fax
: ;
Practice Location Address
:
1970 HOSPITAL DR
,
, CLARKSDALE
, MS
, 38614-7202
Practice Phone
: 662-624-3580;
Practice Fax
:
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1336164086 -
DEBRA
JANETTE
PRITZKER
P.A.
Other Name
:
Mailing Address
:
PO BOX 56169
HOUSTON
TX
77256-6169
Phone
: 713-470-6006;
Fax
: ;
Practice Location Address
:
160 N MIDLAND AVE
,
, NYACK
, NY
, 10960-1912
Practice Phone
: 845-348-2000;
Practice Fax
:
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