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Showing codes 1114945623 — 1518984111
1114945623 -
MAUREEN
K
STEELE
M.D.
Other Name
:
Mailing Address
:
33 STONY BROOK RD
DARIEN
CT
06820-4327
Phone
: 203-801-0483;
Fax
: ;
Practice Location Address
:
159 W PUTNAM AVE FL 2
,
, GREENWICH
, CT
, 06830-5367
Practice Phone
: 203-232-6101;
Practice Fax
: 203-594-1707
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1023036530 -
ROBERT
K
ELLIS
MD
Other Name
:
Mailing Address
:
2310 CALIFORNIA ROAD
SUITE A
ELKHART
IN
46514-1228
Phone
: 574-264-4163;
Fax
: 574-262-9650;
Practice Location Address
:
2310 CALIFORNIA ROAD
, SUITE A
, ELKHART
, IN
, 46514-1228
Practice Phone
: 574-264-4163;
Practice Fax
: 574-262-9650
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1932127446 -
DAVID
A
CUTCLIFFE
MD
Other Name
:
Mailing Address
:
2310 CALIFORNIA ROAD
ELKHART
IN
46514-1228
Phone
: 574-264-4163;
Fax
: 574-262-9650;
Practice Location Address
:
2310 CALIFORNIA ROAD
,
, ELKHART
, IN
, 46514-1228
Practice Phone
: 574-264-4163;
Practice Fax
: 574-262-9650
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1841218351 -
SHEILA
ANNE
KELLOGG
CRNA
Other Name
:
Mailing Address
:
3621 S STATE ST
ANN ARBOR
MI
48108-1633
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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1750309266 -
DR.
DR.
CHERYL
LYNN
REINHART
MD
Other Name
:
Mailing Address
:
2116 COPELARE DR
MILTON
FL
32583-3318
Phone
: 850-626-9966;
Fax
: 850-474-5334;
Practice Location Address
:
2116 COPELARE DR
,
, MILTON
, FL
, 32583-3318
Practice Phone
: 850-626-9966;
Practice Fax
: 850-474-5334
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1669490173 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
379 SOUTH ST
,
, CALAIS
, ME
, 04619-1129
Practice Phone
: 207-454-8326;
Practice Fax
: 479-277-4331
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1578581088 -
WAL-MART STORES EAST LP
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
1240 MAIN ST
,
, OXFORD
, ME
, 04270-3392
Practice Phone
: 207-743-5466;
Practice Fax
: 479-277-4331
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1295753705 -
WALMART INC.
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
0S900 IL ROUTE 83
,
, OAKBROOK TERRACE
, IL
, 60181-3519
Practice Phone
: 630-530-5305;
Practice Fax
:
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1104844612 -
WALMART INC.
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
3S100 IL ROUTE 53
,
, GLEN ELLYN
, IL
, 60137-7394
Practice Phone
: 630-545-1080;
Practice Fax
:
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1013935527 -
WALMART INC.
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
2000 COMMERCE DR
,
, FAIRFIELD
, IL
, 62837-2363
Practice Phone
: 618-847-5205;
Practice Fax
:
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1922026434 -
WALMART INC.
Other Name
:
Mailing Address
:
702 SW 8TH ST
BENTONVILLE
AR
72716-0445
Phone
: ;
Fax
: ;
Practice Location Address
:
2206 STATE ST
,
, CHESTER
, IL
, 62233-1142
Practice Phone
: 618-826-4898;
Practice Fax
:
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1831117340 -
DR.
DR.
ANDREW
DURHAM
SEWELL
D.D.S.
Other Name
:
Mailing Address
:
4705 QUAIL CREEK LN
BOULDER
CO
80301-3872
Phone
: 303-530-3811;
Fax
: ;
Practice Location Address
:
2727 PINE ST
, SUITE #2
, BOULDER
, CO
, 80302-3824
Practice Phone
: 303-442-6142;
Practice Fax
: 303-443-6163
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1740208255 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1659399160 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1568480077 -
MARY
VARGO
MD
Other Name
:
Mailing Address
:
2500 METROHEALTH DR
CLEVELAND
OH
44109-1900
Phone
: 216-778-4389;
Fax
: ;
Practice Location Address
:
2500 METROHEALTH DR
,
, CLEVELAND
, OH
, 44109-1900
Practice Phone
: 216-778-7800;
Practice Fax
:
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1477571982 -
DR.
DR.
SANDRA
SARNOSKI-ROBERTS
Other Name
:
Mailing Address
:
601 ELMWOOD AVE
BOX 655
ROCHESTER
NY
14642-8655
Phone
: ;
Fax
: ;
Practice Location Address
:
601 ELMWOOD AVE
, BOX 655
, ROCHESTER
, NY
, 14642-8655
Practice Phone
: 585-275-9555;
Practice Fax
:
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1386662898 -
JILL
BLASI
OLMSTEAD
MSW
Other Name
:
Mailing Address
:
3300 STOCKTON BLVD
SACRAMENTO
CA
95820-1451
Phone
: 916-734-4214;
Fax
: ;
Practice Location Address
:
3300 STOCKTON BLVD
,
, SACRAMENTO
, CA
, 95820-1451
Practice Phone
: 916-734-4214;
Practice Fax
:
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1295753713 -
ANGELA
M
THEISEN
MSW
Other Name
:
Mailing Address
:
200 1ST ST SW
ROCHESTER
MN
55905-0001
Phone
: 715-838-5222;
Fax
: ;
Practice Location Address
:
1400 BELLINGER ST
,
, EAU CLAIRE
, WI
, 54703-5222
Practice Phone
: 715-838-5222;
Practice Fax
:
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1922026442 -
DR.
DR.
BAKUL
RAMAKANT
DAVE
MD
Other Name
:
Mailing Address
:
660 S EUCLID AVE
CB 8054
SAINT LOUIS
MO
63110-1010
Phone
: 800-862-9980;
Fax
: 314-362-1185;
Practice Location Address
:
1 BARNES JEWISH HOSPITAL PLZ
, DEPT ANESTHESIOLOGY
, SAINT LOUIS
, MO
, 63110-1003
Practice Phone
: 800-862-9980;
Practice Fax
: 314-362-1185
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1831117357 -
DR.
DR.
KELLY
M
BROWN
MD
Other Name
:
Mailing Address
:
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE
TN
37215-2691
Phone
: 615-322-3000;
Fax
: ;
Practice Location Address
:
719 THOMPSON LN
,
, NASHVILLE
, TN
, 37204-3609
Practice Phone
: 615-322-3000;
Practice Fax
:
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1528085107 -
REBECCA
F
MARSDEN
CRNP
Other Name
:
Mailing Address
:
1220B E JOPPA RD
SUITE 310
BALTIMORE
MD
21286-5813
Phone
: 410-494-1888;
Fax
: 410-494-1008;
Practice Location Address
:
1220B E JOPPA RD
, SUITE 310
, BALTIMORE
, MD
, 21286-5813
Practice Phone
: 410-494-1888;
Practice Fax
: 410-494-1008
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1437176013 -
RICHARD
R.
PRICE
M.D.
Other Name
:
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: 801-535-8163;
Fax
: 801-355-4011;
Practice Location Address
:
333 S 900 E
,
, SALT LAKE CITY
, UT
, 84102-2310
Practice Phone
: 801-535-8163;
Practice Fax
: 801-355-4011
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1346267929 -
DANIEL
JOSEPH
RIPP
MD
Other Name
:
Mailing Address
:
PO BOX 19070
PREVEA HEALTH
GREEN BAY
WI
54307-9070
Phone
: 920-496-4700;
Fax
: 920-431-1995;
Practice Location Address
:
3021 VOYAGER DR
,
, GREEN BAY
, WI
, 54311-8303
Practice Phone
: 920-496-4700;
Practice Fax
: 920-431-1995
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1255358834 -
KATHLEEN
SUE
FLYNN HIGBY
MSSW, LICSW
Other Name
:
KATHLEEN
SUE
FLYNN
Mailing Address
:
1900 SILVER LAKE RD NW
SUITE110
NEW BRIGHTON
MN
55112-1786
Phone
: 651-628-9566;
Fax
: 651-628-0411;
Practice Location Address
:
1900 SILVER LAKE RD NW
, SUITE110
, NEW BRIGHTON
, MN
, 55112-1786
Practice Phone
: 651-628-9566;
Practice Fax
: 651-628-0411
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1164449740 -
JEFFREY
S
FITZGERALD
MD
Other Name
:
Mailing Address
:
PO BOX 23457
JACKSON
MS
39225-3457
Phone
: 601-200-6175;
Fax
: 601-200-2020;
Practice Location Address
:
969 LAKELAND DR
,
, JACKSON
, MS
, 39216-4606
Practice Phone
: 601-200-6175;
Practice Fax
: 601-200-2020
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1073530655 -
DR.
DR.
CHARLES
IAN
COOPERBERG
MD
Other Name
:
CHUCK
COOPERBERG
Mailing Address
:
4419 BEN FRANKLIN BLVD
DURHAM
NC
27704-2147
Phone
: 919-477-3005;
Fax
: 919-477-5526;
Practice Location Address
:
4419 BEN FRANKLIN BLVD
,
, DURHAM
, NC
, 27704-2147
Practice Phone
: 919-477-3005;
Practice Fax
: 919-477-5526
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1982621561 -
MARTHA
D
GUERRA
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-924-5144;
Practice Location Address
:
1250 8TH AVENUE
, SUITE 435
, FORT WORTH
, TX
, 76104-4144
Practice Phone
: 817-923-0088;
Practice Fax
: 817-924-5144
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1790702371 -
COUNTY OF YOAKUM
Other Name
:
Mailing Address
:
PO BOX 1130
DENVER CITY
TX
79323-1130
Phone
: 806-591-2121;
Fax
: 806-592-2891;
Practice Location Address
:
412 MUSTANG AVENUE
,
, DENVER CITY
, TX
, 79323-2750
Practice Phone
: 806-592-2121;
Practice Fax
: 806-592-2891
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1609893288 -
LUIS
MARTINEZ
MD
Other Name
:
Mailing Address
:
6713 MORNING DEW DR
FORT WORTH
TX
76132-1145
Phone
: 817-296-1614;
Fax
: ;
Practice Location Address
:
6713 MORNING DEW DR
,
, FORT WORTH
, TX
, 76132-1145
Practice Phone
: 817-296-1614;
Practice Fax
:
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1518984194 -
MICHAEL
LEWIS
SMITH
MD
Other Name
:
Mailing Address
:
PO BOX 655
SAVANNAH
TN
38372-0655
Phone
: 731-925-2300;
Fax
: 731-925-2157;
Practice Location Address
:
150 E END DR
,
, SAVANNAH
, TN
, 38372-1712
Practice Phone
: 731-925-2300;
Practice Fax
: 731-925-9514
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1427075001 -
MICHAEL
ROBERT
LASKY
MD
Other Name
:
Mailing Address
:
3691 RUTGER ST DEPT OF
SAINT LOUIS
MO
63110-2515
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
1201 S GRAND BLVD
,
, SAINT LOUIS
, MO
, 63104-1016
Practice Phone
: 314-977-5700;
Practice Fax
:
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1336166917 -
LUCIA
Z
LIU
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3635 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8750;
Practice Fax
: 314-268-5102
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1245257823 -
JOHN
D
SRINIVASAN
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3635 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8750;
Practice Fax
: 314-268-5102
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1154348738 -
YI
PAN
MD
Other Name
:
Mailing Address
:
915 N GRAND BLVD
SAINT LOUIS
MO
63106-1621
Phone
: 314-562-4100;
Fax
: ;
Practice Location Address
:
1225 S GRAND BLVD
,
, SAINT LOUIS
, MO
, 63104-1016
Practice Phone
: 314-977-6082;
Practice Fax
: 314-977-1783
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1063439644 -
AMY
L
MULCASTER
DO
Other Name
:
AMY
L
MILLER
Mailing Address
:
800 SW 13TH AVE
PORTLAND
OR
97205-1902
Phone
: 503-221-0161;
Fax
: 503-274-1697;
Practice Location Address
:
800 SW 13TH AVE
,
, PORTLAND
, OR
, 97205-1902
Practice Phone
: 503-221-0161;
Practice Fax
: 503-274-1697
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1972520559 -
MARK
R
PALAZZOLO
DO
Other Name
:
Mailing Address
:
502 GOLFPARK DR
CELEBRATION
FL
34747-4626
Phone
: 586-801-8980;
Fax
: ;
Practice Location Address
:
1160 CYPRESS GLEN CIR
,
, KISSIMMEE
, FL
, 34741-7560
Practice Phone
: 407-518-1074;
Practice Fax
:
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1578580163 -
THOMAS
H
YOUNG
M.D.
Other Name
:
Mailing Address
:
8220 MEADOWBRIDGE RD
SUITE 203
MECHANICSVILLE
VA
23116-2336
Phone
: 804-764-1253;
Fax
: 804-764-1259;
Practice Location Address
:
8220 MEADOWBRIDGE RD
, SUITE 203
, MECHANICSVILLE
, VA
, 23116-2336
Practice Phone
: 804-764-1253;
Practice Fax
: 804-764-1259
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1487671079 -
TODD
ZALUT
M.D.
Other Name
:
Mailing Address
:
75 REMITT DRIVE
LOCKBOX 1574
CHICAGO
IL
60675-1574
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
5000 W CHAMBERS ST
,
, MILWAUKEE
, WI
, 53210-1650
Practice Phone
: 414-447-2000;
Practice Fax
:
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1295752889 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104843796 -
LOREN
HUGHES
M.D.
Other Name
:
Mailing Address
:
1950 VANDALIA ST
COLLINSVILLE
IL
62234-4846
Phone
: 618-344-3046;
Fax
: 618-344-5284;
Practice Location Address
:
1950 VANDALIA ST
,
, COLLINSVILLE
, IL
, 62234-4846
Practice Phone
: 618-344-3046;
Practice Fax
: 618-344-5284
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1013934603 -
DAVID
P
HUNT
P.A.-C
Other Name
:
Mailing Address
:
2016 SHORE BREEZE DR
PEARLAND
TX
77584-3618
Phone
: 361-533-3419;
Fax
: ;
Practice Location Address
:
2606 HOSPITAL BLVD
,
, CORPUS CHRISTI
, TX
, 78405-1804
Practice Phone
: 361-902-4000;
Practice Fax
:
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1922025519 -
YOLANDA
F
BROWN
M.D.
Other Name
:
Mailing Address
:
4 FULLER ST
APT. 1
BROOKLINE
MA
02446-2490
Phone
: 617-919-2341;
Fax
: ;
Practice Location Address
:
CHILDREN'S HOSPITAL BOSTON
, 300 LONGWOOD AVE, ENDERS 9
, BOSTON
, MA
, 02115
Practice Phone
: 617-919-2341;
Practice Fax
:
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1831116425 -
CARL
J
HAUSER
M.D.
Other Name
:
Mailing Address
:
1000 GREENLEY RD
SONORA
CA
95370-5200
Phone
: 617-632-9929;
Fax
: ;
Practice Location Address
:
1000 GREENLEY RD
,
, SONORA
, CA
, 95370-5200
Practice Phone
: 617-632-9929;
Practice Fax
:
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1740207331 -
VIJAY
R
HEGDE
M.D.
Other Name
:
Mailing Address
:
40 WYMAN ST
UNIT #1
JAMAICA PLAIN
MA
02130-1927
Phone
: 410-477-9309;
Fax
: ;
Practice Location Address
:
40 WYMAN ST
, UNIT #1
, JAMAICA PLAIN
, MA
, 02130-1927
Practice Phone
: 410-477-9309;
Practice Fax
:
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1659398246 -
JOHN
F
EISENBEIS
MD
Other Name
:
Mailing Address
:
1008 S SPRING AVE # 3300
SAINT LOUIS
MO
63110-2520
Phone
: 314-977-8884;
Fax
: ;
Practice Location Address
:
1225 S. GRAND
, DOOR 3
, ST. LOUIS
, MO
, 63104-6310
Practice Phone
: 314-977-5110;
Practice Fax
: 314-977-7686
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1568489151 -
THOMAS
R
SANFORD
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
1225 S. GRAND
, DOOR 3
, ST. LOUIS
, MO
, 63104
Practice Phone
: 314-977-5110;
Practice Fax
: 314-977-7686
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1477570067 -
MS.
MS.
ROBERTA
CIROCCO
ARNP
Other Name
:
Mailing Address
:
PO BOX 56560
JACKSONVILLE
FL
32241-6560
Phone
: ;
Fax
: ;
Practice Location Address
:
1601 SW ARCHER RD
,
, GAINESVILLE
, FL
, 32608-1135
Practice Phone
: 904-396-8750;
Practice Fax
: 904-396-8759
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1386661973 -
MS.
MS.
EMILIANA
PEREZ
MSN ARNP
Other Name
:
Mailing Address
:
8828 BLISS ROAD
GIBSONTON
FL
33534
Phone
: 813-677-2757;
Fax
: ;
Practice Location Address
:
10508 GIBSONTON DR
,
, RIVERVIEW
, FL
, 33578-5434
Practice Phone
: 954-983-9191;
Practice Fax
:
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1194742783 -
DR.
DR.
JAN
R
SORIANO
MD
Other Name
:
Mailing Address
:
15 BARCLAY CT
SOMERSET
NJ
08873-4819
Phone
: 201-838-9740;
Fax
: ;
Practice Location Address
:
15 BARCLAY CT
,
, SOMERSET
, NJ
, 08873-4819
Practice Phone
: 201-838-9740;
Practice Fax
:
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1003833690 -
DR.
DR.
PAUL
JOSEPH
RUGGIANO
DC
Other Name
:
Mailing Address
:
3800 SW 60TH AVE
MIAMI
FL
33155-5015
Phone
: 305-668-8629;
Fax
: ;
Practice Location Address
:
1793 SW 3RD AVE
,
, MIAMI
, FL
, 33129-1492
Practice Phone
: 305-858-5880;
Practice Fax
: 305-858-5877
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1912924507 -
ANTHONY
DUANE
GOODWIN
RT, MS
Other Name
:
Mailing Address
:
4905 BELLEMEADE AVE
EVANSVILLE
IN
47715-4129
Phone
: 812-469-3740;
Fax
: 812-469-3770;
Practice Location Address
:
4905 BELLEMEADE AVE
,
, EVANSVILLE
, IN
, 47715-4129
Practice Phone
: 812-469-3740;
Practice Fax
: 812-469-3770
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1821015413 -
DR.
DR.
DEBRA
BLEEMER
DC
Other Name
:
Mailing Address
:
1015 BATTERY ST STE B
SAN FRANCISCO
CA
94111-1221
Phone
: 415-797-2480;
Fax
: 415-956-3221;
Practice Location Address
:
1015 BATTERY ST STE B
,
, SAN FRANCISCO
, CA
, 94111-1221
Practice Phone
: 415-797-2480;
Practice Fax
: 415-956-3221
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1730106329 -
BRUCE
L
DOMM
MD
Other Name
:
Mailing Address
:
PO BOX 6001
FARGO
ND
58108-6001
Phone
: 701-364-3300;
Fax
: 701-364-8906;
Practice Location Address
:
5 9TH AVE N
,
, CASSELTON
, ND
, 58012-3339
Practice Phone
: 701-347-4445;
Practice Fax
: 701-347-5276
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1649297235 -
KASHIF
Z
KHAN
M.D.
Other Name
:
Mailing Address
:
PO BOX 115
SWARTZ CREEK
MI
48473-0115
Phone
: 810-635-7453;
Fax
: 810-630-2151;
Practice Location Address
:
826 W KING ST
,
, OWOSSO
, MI
, 48867-2120
Practice Phone
: 810-635-7453;
Practice Fax
: 810-630-2151
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1558388140 -
SALLY
P
CUMMINGS
FNP-C
Other Name
:
Mailing Address
:
4005 OLEANDER DR
WILMINGTON
NC
28403-6816
Phone
: 910-790-9949;
Fax
: 910-790-9455;
Practice Location Address
:
4005 OLEANDER DR
,
, WILMINGTON
, NC
, 28403-6816
Practice Phone
: 910-790-9949;
Practice Fax
: 910-790-9455
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1467479055 -
RICE MEDICAL ASSOCITATION
Other Name
:
Mailing Address
:
610 S AUSTIN RD
EAGLE LAKE
TX
77434-3202
Phone
: 979-234-2551;
Fax
: ;
Practice Location Address
:
610 S AUSTIN RD
,
, EAGLE LAKE
, TX
, 77434-3202
Practice Phone
: 979-234-2551;
Practice Fax
:
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1376560961 -
DARIEN
W
BRADFORD
MD
Other Name
:
Mailing Address
:
PO BOX 6278
FORT WORTH
TX
76115-0278
Phone
: 817-568-5474;
Fax
: 817-568-5474;
Practice Location Address
:
11803 SOUTH FWY STE 310
,
, BURLESON
, TX
, 76028-7036
Practice Phone
: 817-293-5547;
Practice Fax
: 817-593-8551
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1285651877 -
ROBERT
J
LOVETT
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-263-3702;
Practice Location Address
:
6100 HARRIS PARKWAY
, SUITE 275
, FORT WORTH
, TX
, 76132-6110
Practice Phone
: 817-263-3700;
Practice Fax
: 817-263-3702
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1093732687 -
SYLVIA
KAYE
MOORE
WHNP
Other Name
:
Mailing Address
:
PO BOX 961205
FORTH WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-924-5144;
Practice Location Address
:
1250 8TH AVENUE, SUITE 435
,
, FORT WORTH
, TX
, 76104
Practice Phone
: 817-923-0088;
Practice Fax
: 817-924-5144
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1902823594 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1811914401 -
DAVID
L
HOLMES
MD
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
, 76104-0000
Practice Phone
: 817-923-0023;
Practice Fax
: 817-923-0087
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1720005317 -
DR.
DR.
JASON
T
KOO
MD
Other Name
:
Mailing Address
:
13249 CASCADE GLEN DR
DRAPER
UT
84020-7146
Phone
: 801-572-5226;
Fax
: ;
Practice Location Address
:
13249 CASCADE GLEN DR
,
, DRAPER
, UT
, 84020-7146
Practice Phone
: 801-572-5226;
Practice Fax
:
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1639196223 -
MICHAEL
E
BROOKS
MD
Other Name
:
Mailing Address
:
PO BOX 12630
FORT WORTH
TX
76110-8630
Phone
: 817-870-0172;
Fax
: 817-870-0158;
Practice Location Address
:
2260 COLLEGE AVENUE
,
, FORT WORTH
, TX
, 76110-1952
Practice Phone
: 817-870-0172;
Practice Fax
: 817-870-0158
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1548287139 -
SONJA
WILKEY
M.D.
Other Name
:
Mailing Address
:
PO BOX 17572
BALTIMORE
MD
21297-1572
Phone
: 866-916-5259;
Fax
: 231-922-4030;
Practice Location Address
:
411 W RANDOLPH RD
,
, HOPEWELL
, VA
, 23860-2938
Practice Phone
: 804-330-2000;
Practice Fax
:
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1457378044 -
ROBERT
M
WILKINSON
APRN
Other Name
:
Mailing Address
:
637 COLEMAN RD
MARION
KY
42064-7904
Phone
: 270-965-5743;
Fax
: ;
Practice Location Address
:
141 HOSPITAL DR STE 103
,
, SALEM
, KY
, 42078-8043
Practice Phone
: 270-988-3298;
Practice Fax
: 270-988-4642
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|
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1366469959 -
CATHERINE
WILLIAMS
P.A.-C
Other Name
:
Mailing Address
:
1404 W ULYSSES ST
BROKEN ARROW
OK
74012-0509
Phone
: 773-919-8407;
Fax
: ;
Practice Location Address
:
1818 N HIGHWAY 66 STE B
,
, CATOOSA
, OK
, 74015-3052
Practice Phone
: 918-379-5013;
Practice Fax
:
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1275550865 -
SUNITA
BALRAJ
WILLIAMSON
M.D.
Other Name
:
Mailing Address
:
20710 ABBOT CT
FRANKFORT
IL
60423-3107
Phone
: 815-464-6577;
Fax
: ;
Practice Location Address
:
150 W HALF DAY RD
,
, BUFFALO GROVE
, IL
, 60089-6591
Practice Phone
: 847-215-0000;
Practice Fax
:
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1184641771 -
DONALD
E
WILLMAN
D.O.
Other Name
:
Mailing Address
:
751 KENMOOR AVENUE SE BRIGHTWAVE PAIN THERAPY
GRAND RAPIDS
MI
49546
Phone
: 616-608-5551;
Fax
: 616-608-5551;
Practice Location Address
:
751 KENMOOR AVENUE SE BRIGHTWAVE PAIN THERAPY
,
, GRAND RAPIDS
, MI
, 49546
Practice Phone
: 616-608-5551;
Practice Fax
: 616-608-5551
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1992722581 -
DAVID
WILSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 842368
DALLAS
TX
75284-2368
Phone
: 866-916-5259;
Fax
: 231-922-7403;
Practice Location Address
:
1635 NORTH LOOP W
,
, HOUSTON
, TX
, 77008-1532
Practice Phone
: 713-867-2000;
Practice Fax
:
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1801813498 -
KAYE
E
CRUSE
RN, MSN, ENP
Other Name
:
KAYE
E
WILSON
Mailing Address
:
1100 E DIMOND BLVD
ANCHORAGE
AK
99515-2010
Phone
: 907-565-6000;
Fax
: 907-565-6000;
Practice Location Address
:
3841 PIPER ST
, SUITE T-345
, ANCHORAGE
, AK
, 99508-4624
Practice Phone
: 907-565-6000;
Practice Fax
: 907-565-6000
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1629095211 -
DR.
DR.
ROBERTO
E.
MONTALVO
PH.D.
Other Name
:
Mailing Address
:
38970 BLACOW RD
SUITE C
FREMONT
CA
94536-7380
Phone
: 510-796-3034;
Fax
: ;
Practice Location Address
:
38970 BLACOW RD
, SUITE C
, FREMONT
, CA
, 94536-7380
Practice Phone
: 510-796-3034;
Practice Fax
:
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1538186127 -
DR.
DR.
JOHN
J
JANICK
M.D.
Other Name
:
Mailing Address
:
1649 TAMIAMI TRL UNIT 1C
PORT CHARLOTTE
FL
33948-1019
Phone
: 941-629-3366;
Fax
: 941-629-6999;
Practice Location Address
:
1649 TAMIAMI TRL UNIT 1C
,
, PORT CHARLOTTE
, FL
, 33948-1019
Practice Phone
: 941-629-3366;
Practice Fax
: 941-629-6999
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|
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1447277033 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1356368948 -
DANIEL
W
ZIEGLER
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-870-1602;
Practice Location Address
:
900 W. MAGNOLIA AVENUE, SUITE 200
,
, FORT WORTH
, TX
, 76104-4611
Practice Phone
: 817-882-1193;
Practice Fax
: 817-870-1602
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|
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|
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1265459853 -
INGRID
K
KOHLMORGEN
MD
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-921-2801;
Practice Location Address
:
1250 8TH AVENUE
, SUITE 445
, FORT WORTH
, TX
, 76104-4144
Practice Phone
: 817-923-0022;
Practice Fax
: 817-921-2801
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1174540769 -
DANA
M
MARTIN
PT
Other Name
:
Mailing Address
:
PO BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8400;
Fax
: 817-810-0054;
Practice Location Address
:
1651 W ROSEDALE
, SUITE 200
, FORT WORTH
, TX
, 76104-7437
Practice Phone
: 817-810-0001;
Practice Fax
: 817-810-0054
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1083631675 -
DR.
DR.
ROBERT
GAGNET
WEILBAECHER
JR.
M.D.
Other Name
:
Mailing Address
:
3800 HOUMA BLVD
SUITE 250
METAIRIE
LA
70006-4182
Phone
: 504-885-3272;
Fax
: 504-456-6600;
Practice Location Address
:
3800 HOUMA BLVD
, SUITE 250
, METAIRIE
, LA
, 70006-4182
Practice Phone
: 504-885-3272;
Practice Fax
: 504-456-6600
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1891712485 -
NASSAU HEALTH CARE CORPORATION
Other Name
:
Mailing Address
:
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
11554-1859
Phone
: 516-572-6131;
Fax
: 516-572-5793;
Practice Location Address
:
2201 HEMPSTEAD TPKE
,
, EAST MEADOW
, NY
, 11554-1859
Practice Phone
: 516-572-6131;
Practice Fax
: 516-572-5793
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1700803392 -
NASSAU HEALTH CARE CORPORATION
Other Name
:
Mailing Address
:
2201 HEMPSTEAD TPKE
EAST MEADOW
NY
11554-1859
Phone
: 516-572-6131;
Fax
: 516-572-5793;
Practice Location Address
:
875 JERUSALEM AVE
,
, UNIONDALE
, NY
, 11553-3038
Practice Phone
: 516-572-6132;
Practice Fax
: 516-572-5793
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1619994209 -
MS.
MS.
SUSAN
M
HARGADON
ARNP
Other Name
:
Mailing Address
:
10140 CENTURION PKWY N
JACKSONVILLE
FL
32256-0532
Phone
: 904-697-4127;
Fax
: 904-697-5102;
Practice Location Address
:
5153 N 9TH AVE
,
, PENSACOLA
, FL
, 32504-8785
Practice Phone
: 850-505-4700;
Practice Fax
: 850-505-4711
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1528085115 -
DR.
DR.
ROBERT
F.
PATTERSON
MD
Other Name
:
Mailing Address
:
PO BOX 2699
SHMG HPE
PENSACOLA
FL
32513-2699
Phone
: 850-475-4686;
Fax
: 850-475-4619;
Practice Location Address
:
1675 TRINITY DR
,
, PENSACOLA
, FL
, 32504-5708
Practice Phone
: 850-416-7710;
Practice Fax
: 850-416-6729
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1437176021 -
DR.
DR.
CYNTHIA
REYES
MD
Other Name
:
Mailing Address
:
3001 W DR MLK JR. BLVD
1ST FL SJCH
TAMPA
FL
33607-3012
Phone
: 813-554-8384;
Fax
: 813-443-8160;
Practice Location Address
:
3001 W DR MARTIN LUTHER KING JR BLVD
,
, TAMPA
, FL
, 33607-6307
Practice Phone
: 813-554-8384;
Practice Fax
: 813-443-8160
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1346267937 -
DR.
DR.
ROBERT
P.
STANTON
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPTMENT
ROCKLAND
DE
19732-0191
Phone
: 302-651-5985;
Fax
: 302-651-4945;
Practice Location Address
:
1717 S ORANGE AVE STE 100
,
, ORLANDO
, FL
, 32806-2946
Practice Phone
: 407-650-7715;
Practice Fax
: 407-650-7124
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1255358842 -
THOMAS
J
DONOVAN
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-4440;
Fax
: ;
Practice Location Address
:
3660 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8887;
Practice Fax
: 314-268-5111
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1164449757 -
JOHN
A
STITH
MD
Other Name
:
Mailing Address
:
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS
MO
63110
Phone
: 314-977-3828;
Fax
: 314-977-6777;
Practice Location Address
:
3660 VISTA
,
, ST LOUIS
, MO
, 63110
Practice Phone
: 314-577-8887;
Practice Fax
: 314-268-5111
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1073530663 -
DR.
DR.
RANDALL
WALTER
NAMETH
DDS
Other Name
:
Mailing Address
:
716 WORTHINGTON WOODS BLVD
WORTHINGTON
OH
43085-5713
Phone
: 614-846-2222;
Fax
: 614-846-3020;
Practice Location Address
:
716 WORTHINGTON WOODS BLVD
,
, WORTHINGTON
, OH
, 43085-5713
Practice Phone
: 614-846-2222;
Practice Fax
: 614-846-3020
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1982621579 -
MRS.
MRS.
CARLA
E
FORTUNE
AUD
Other Name
:
Mailing Address
:
133 BENMORE DR
SUITE 100
WINTER PARK
FL
32792-4143
Phone
: 407-644-4883;
Fax
: 407-644-3697;
Practice Location Address
:
133 BENMORE DR
, SUITE 100
, WINTER PARK
, FL
, 32792-4143
Practice Phone
: 407-644-4883;
Practice Fax
: 407-644-3697
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1891712493 -
NORTHRIDGE FAMILY PRACTICE LLC
Other Name
:
Mailing Address
:
PO BOX 279
HALE
MI
48739-0279
Phone
: 989-728-6000;
Fax
: 989-728-6003;
Practice Location Address
:
3190 NORTHRIDGE DRIVE
,
, HALE
, MI
, 48739-9276
Practice Phone
: 989-728-6000;
Practice Fax
: 989-728-6003
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1700803301 -
BARBARA
SOCHA
MD
Other Name
:
Mailing Address
:
136 PLANTATION SHORES DR
TAVERNIER
FL
33070-2320
Phone
: 302-604-4099;
Fax
: ;
Practice Location Address
:
91550 OVERSEAS HWY STE 215
,
, TAVERNIER
, FL
, 33070-2513
Practice Phone
: 305-853-9236;
Practice Fax
: 305-853-9238
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1619994217 -
MR.
MR.
STEPHEN
R
BEAUPRE
MD
Other Name
:
Mailing Address
:
1312 OAKLAWN AVE
MIDLAND MEDICAL
CRANSTON
RI
02920
Phone
: 401-463-3380;
Fax
: 401-463-3308;
Practice Location Address
:
1312 OAKLAWN AVE
, MIDLAND MEDICAL
, CRANSTON
, RI
, 02920
Practice Phone
: 401-463-3380;
Practice Fax
: 401-463-3308
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1528085123 -
MICHAEL
CHIH-MAI
YEN
MD FACP
Other Name
:
Mailing Address
:
821 N EUTAW ST
SUITE 401
BALTIMORE
MD
21201
Phone
: 410-383-3464;
Fax
: 410-383-3468;
Practice Location Address
:
827 LINDEN AVE
,
, BALTIMORE
, MD
, 21201
Practice Phone
: 410-225-8947;
Practice Fax
:
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1437176039 -
UNIVERSITY MEDICAL ASSOCIATES
Other Name
:
Mailing Address
:
PO BOX 751461
CHARLOTTE
NC
28275-1461
Phone
: 843-792-6200;
Fax
: ;
Practice Location Address
:
1200 JOHNNIE DODDS BLVD
,
, MT PLEASANT
, SC
, 29464-3231
Practice Phone
: 843-792-1414;
Practice Fax
:
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1346267945 -
MT PLEASANT OPHTHALMOLOGY
Other Name
:
Mailing Address
:
1705 BEAUCASTEL RD
MT PLEASANT
SC
29464-3657
Phone
: 843-884-2015;
Fax
: 843-881-7068;
Practice Location Address
:
1705 BEAUCASTEL RD
,
, MT PLEASANT
, SC
, 29464-3657
Practice Phone
: 843-884-2015;
Practice Fax
: 843-881-7068
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1255358859 -
DR.
DR.
ROBERT
J.
MARTINEZ
D.C.
Other Name
:
Mailing Address
:
20911 LAKE TALIA BLVD
LAND O LAKES
FL
34638-3703
Phone
: 813-929-0815;
Fax
: ;
Practice Location Address
:
3460 MARINER BLVD
,
, SPRING HILL
, FL
, 34609-2462
Practice Phone
: 352-686-1686;
Practice Fax
:
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1164449765 -
MS.
MS.
LISA
M
HOFFMAN
FNP-C
Other Name
:
LISA
M
VIGNEAU
Mailing Address
:
2325 SUMMIT PARK DR
SUITE 3
PETOSKEY
MI
49770-8774
Phone
: 231-439-5100;
Fax
: 231-439-9292;
Practice Location Address
:
2325 SUMMIT PARK DR
, SUITE 3
, PETOSKEY
, MI
, 49770-8774
Practice Phone
: 231-439-5100;
Practice Fax
: 231-439-9292
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1073530671 -
DR.
DR.
SUSAN
M
YEAGER
DPM
Other Name
:
Mailing Address
:
1901 COOK ST
DYERSBURG
TN
38024-1882
Phone
: 731-885-0220;
Fax
: ;
Practice Location Address
:
429 REDCLIFF DR STE 100
,
, REDDING
, CA
, 96002-0167
Practice Phone
: 731-286-2139;
Practice Fax
:
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1982621587 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1790702397 -
CHRISTINA
M.
MYINT
M.D.
Other Name
:
Mailing Address
:
P.O. BOX 961205
FORT WORTH
TX
76161-1205
Phone
: 817-740-8450;
Fax
: ;
Practice Location Address
:
7515 GREENVILLE AVE STE 503
,
, DALLAS
, TX
, 75231-3865
Practice Phone
: 214-239-1938;
Practice Fax
: 214-239-1939
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1609893205 -
LISA
M
HOLLIER
M.D.
Other Name
:
Mailing Address
:
PO BOX 201088
HOUSTON
TX
77216-1088
Phone
: 713-500-3500;
Fax
: ;
Practice Location Address
:
6410 FANNIN ST
, 720
, HOUSTON
, TX
, 77030-3000
Practice Phone
: 832-325-7200;
Practice Fax
: 713-512-2237
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1518984111 -
BROCK
LYNDSEY
ROBINSON
MD
Other Name
:
Mailing Address
:
3021 VOYAGER DR
GREEN BAY
WI
54311-8303
Phone
: 920-496-4700;
Fax
: 920-272-1621;
Practice Location Address
:
3021 VOYAGER DR
,
, GREEN BAY
, WI
, 54311-8303
Practice Phone
: 920-496-4700;
Practice Fax
: 920-272-1621
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