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Showing codes 1740215508 — 1972538601
1740215508 -
HEIDI
PAULI
P.T.
Other Name
:
Mailing Address
:
820 ROY ST
ORTONVILLE
MN
56278-1138
Phone
: 320-839-4271;
Fax
: 320-839-4196;
Practice Location Address
:
901 E VIRGIL AVE
,
, MILBANK
, SD
, 57252-2124
Practice Phone
: 605-432-3173;
Practice Fax
: 320-839-4196
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1659306413 -
DANA
KAY
MILLER
MA/CCC-SLP
Other Name
:
Mailing Address
:
1232 S STONEY POINTE CT
SIOUX FALLS
SD
57106-3340
Phone
: 605-361-7285;
Fax
: ;
Practice Location Address
:
2501 W 22ND ST
,
, SIOUX FALLS
, SD
, 57105-1305
Practice Phone
: 605-336-3230;
Practice Fax
:
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1568497329 -
DR.
DR.
MARILYN
R
BROWN
MD
Other Name
:
Mailing Address
:
601 ELMWOOD AVE
BOX 667
ROCHESTER
NY
14642-0001
Phone
: 585-275-2647;
Fax
: 585-275-0707;
Practice Location Address
:
601 ELMWOOD AVE
, BOX 635
, ROCHESTER
, NY
, 14642-0001
Practice Phone
: 585-275-7787;
Practice Fax
:
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1477588234 -
WENDY
H
FARNSWORTH
M.D.
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8374;
Fax
: 617-421-3487;
Practice Location Address
:
75 FRANCIS ST
,
, BOSTON
, MA
, 02115-6110
Practice Phone
: 617-732-5500;
Practice Fax
:
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1386679140 -
DR.
DR.
DAVID
MYER
LEADER
DMD
Other Name
:
Mailing Address
:
389 MAIN ST
UNIT 403
MALDEN
MA
02148-5017
Phone
: 781-397-9229;
Fax
: ;
Practice Location Address
:
389 MAIN ST
, UNIT 403
, MALDEN
, MA
, 02148-5017
Practice Phone
: 781-397-9229;
Practice Fax
:
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1194750950 -
DR.
DR.
RONALD
E
WHITLEY
Other Name
:
Mailing Address
:
515 E GRANT ST
SUITE 211
MACOMB
IL
61455-3368
Phone
: 309-833-3706;
Fax
: 309-836-1039;
Practice Location Address
:
515 E GRANT ST
, SUITE 211
, MACOMB
, IL
, 61455-3368
Practice Phone
: 309-833-3706;
Practice Fax
: 309-836-1039
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1003841867 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1912932773 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1821023680 -
DR.
DR.
NEIL
SHAPIRO
M.D.
Other Name
:
Mailing Address
:
26 CAPT HONEYWELLS RD
ARDSLEY
NY
10502-1629
Phone
: 914-674-2361;
Fax
: ;
Practice Location Address
:
423 E 23RD ST
,
, NEW YORK
, NY
, 10010-5011
Practice Phone
: 212-686-7500;
Practice Fax
: 212-951-3387
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1730114596 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1649205402 -
JONDRA
ANN
PENNINGTON
M.S., M.F.T.
Other Name
:
Mailing Address
:
66419 SAN JUAN RD
DESERT HOT SPRINGS
CA
92240-2411
Phone
: 760-251-8822;
Fax
: 760-251-8821;
Practice Location Address
:
78150 CALLE TAMPICO
, SUITE 207C
, LA QUINTA
, CA
, 92253
Practice Phone
: 769-777-9939;
Practice Fax
: 760-251-8821
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1558396317 -
DR.
DR.
LEO
W
TOWNSEND
D.D.S.
Other Name
:
Mailing Address
:
7915 LAGUNA BLVD.
STE. 120
ELK GROVE
CA
95758-7945
Phone
: 916-683-1335;
Fax
: 916-683-4506;
Practice Location Address
:
7915 LAGUNA BLVD.
, STE. 120
, ELK GROVE
, CA
, 95758-7945
Practice Phone
: 916-683-1335;
Practice Fax
: 916-683-4506
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1427083294 -
DR.
DR.
MUMTAZ
RAZA
MD
Other Name
:
MUMTAZ
FATIMA
Mailing Address
:
1786 MOON LAKE BLVD
SUITE 104
HOFFMAN ESTATES
IL
60194-5029
Phone
: 847-755-8090;
Fax
: 847-843-7393;
Practice Location Address
:
1786 MOON LAKE BLVD
, SUITE 104
, HOFFMAN ESTATES
, IL
, 60194-5029
Practice Phone
: 847-755-8090;
Practice Fax
: 847-843-7393
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1336174101 -
MICHAEL
MING-KONG
LIAO
Other Name
:
MICHAEL
M.
LIAO
Mailing Address
:
777 BANNOCK ST
DENVER
CO
80204-4507
Phone
: 303-436-6000;
Fax
: ;
Practice Location Address
:
777 BANNOCK ST
,
, DENVER
, CO
, 80204-4507
Practice Phone
: 303-436-6000;
Practice Fax
:
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1245265016 -
DR.
DR.
DORALEE
GRINDLER KATONAH
PSY.D., M.DIV.
Other Name
:
Mailing Address
:
1775 BALLARD RD
PARK RIDGE
IL
60068-1005
Phone
: 948-318-2860;
Fax
: 947-318-2922;
Practice Location Address
:
1775 BALLARD RD
,
, PARK RIDGE
, IL
, 60068-1005
Practice Phone
: 948-318-2860;
Practice Fax
: 947-318-2922
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1154356921 -
JUNG MEDICAL CENTER
Other Name
:
Mailing Address
:
3511 W OLYMPIC BLVD
#101
LOS ANGELES
CA
90019-3563
Phone
: 323-766-1057;
Fax
: 323-766-8790;
Practice Location Address
:
3511 W OLYMPIC BLVD
, #101
, LOS ANGELES
, CA
, 90019-3563
Practice Phone
: 323-766-1057;
Practice Fax
: 323-766-8790
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1063447837 -
PHILLIP
ROEMER
MD
Other Name
:
Mailing Address
:
680 N LAKE SHORE DR
SUITE 1000
CHICAGO
IL
60611-4546
Phone
: 312-695-9797;
Fax
: ;
Practice Location Address
:
680 N LAKE SHORE DR
, SUITE 1000
, CHICAGO
, IL
, 60611-4546
Practice Phone
: 312-695-9797;
Practice Fax
:
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1972538742 -
JULIE
M
STRIDE
D.P.M.
Other Name
:
Mailing Address
:
PO BOX 64
LAKE BLUFF
IL
60044-0064
Phone
: 847-234-6164;
Fax
: 847-535-7840;
Practice Location Address
:
1200 N WESTMORELAND RD
,
, LAKE FOREST
, IL
, 60045-1601
Practice Phone
: 847-234-6164;
Practice Fax
: 847-535-7840
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1881629657 -
MR.
MR.
SCOTT
C
ELLIS
PA
Other Name
:
Mailing Address
:
789 CENTRAL AVE
DOVER
NH
03820-2526
Phone
: 603-740-2163;
Fax
: ;
Practice Location Address
:
789 CENTRAL AVE
,
, DOVER
, NH
, 03820-2526
Practice Phone
: 603-740-2163;
Practice Fax
:
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1699700468 -
ROBERT
OZWOELD
PHD
Other Name
:
Mailing Address
:
PO BOX 24410
EUGENE
OR
97402-0451
Phone
: ;
Fax
: ;
Practice Location Address
:
1200 HILYARD ST
,
, EUGENE
, OR
, 97401-8122
Practice Phone
: 541-744-0828;
Practice Fax
: 541-687-6214
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1508891375 -
DONALD
J
KOVACS
M.D.
Other Name
:
Mailing Address
:
1358 LUTZTOWN RD
BOILING SPRINGS
PA
17007-9302
Phone
: 717-258-3274;
Fax
: 717-258-0311;
Practice Location Address
:
1358 LUTZTOWN RD
,
, BOILING SPRINGS
, PA
, 17007-9302
Practice Phone
: 717-258-3274;
Practice Fax
: 717-258-0311
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1417982281 -
BRADFORD
J
WOOD
M.D.
Other Name
:
Mailing Address
:
1358 LUTZTOWN RD
BOILING SPRINGS
PA
17007-9302
Phone
: 717-258-3274;
Fax
: 717-258-0311;
Practice Location Address
:
1358 LUTZTOWN RD
,
, BOILING SPRINGS
, PA
, 17007-9302
Practice Phone
: 717-258-3274;
Practice Fax
: 717-258-0311
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1326073198 -
DENISE
JANE
FARMER
LMSW
Other Name
:
Mailing Address
:
6975 EATON RAPIDS RD
ALBION
MI
49224-9302
Phone
: 517-888-3592;
Fax
: 855-421-1773;
Practice Location Address
:
180 W MICHIGAN AVE STE 802
,
, JACKSON
, MI
, 49201
Practice Phone
: 517-888-3592;
Practice Fax
: 855-421-1773
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1235164005 -
MARGARITA
M
PACHECO
M.D.
Other Name
:
Mailing Address
:
10 CALLE AMAPOLA
APT. 505
CAROLINA
PR
00979-8031
Phone
: ;
Fax
: ;
Practice Location Address
:
10 CALLE AMAPOLA
, APT 505
, CAROLINA
, PR
, 00979-8031
Practice Phone
: 787-758-8383;
Practice Fax
:
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1144255910 -
DR.
DR.
TRACY
L
CUNNINGHAM
D.C.
Other Name
:
Mailing Address
:
25078 PEACHLAND AVE STE A
NEWHALL
CA
91321-2558
Phone
: 661-255-5087;
Fax
: 661-255-5207;
Practice Location Address
:
25078 PEACHLAND AVE STE A
,
, NEWHALL
, CA
, 91321-2558
Practice Phone
: 661-255-5087;
Practice Fax
: 661-255-5207
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1053346825 -
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Other Name
:
GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS
Mailing Address
:
1200 GRANT BLVD W
WABASHA
MN
55981-1042
Phone
: 651-565-4531;
Fax
: 651-565-2482;
Practice Location Address
:
1200 GRANT BLVD W
,
, WABASHA
, MN
, 55981-1042
Practice Phone
: 651-565-4531;
Practice Fax
: 651-565-2482
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1962437731 -
DIANA
R.
DECOSIMO
M.D.
Other Name
:
Mailing Address
:
30 BERGEN ST
ADMC 12 1205
NEWARK
NJ
07107-3000
Phone
: ;
Fax
: ;
Practice Location Address
:
90 BERGEN ST
, DOC 4400
, NEWARK
, NJ
, 07103-2425
Practice Phone
: 973-972-1880;
Practice Fax
: 973-972-1879
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1871528646 -
DR.
DR.
SHAWN
PATRICK
MCMAHON
M.D.
Other Name
:
Mailing Address
:
325 11TH AVE
TWO HARBORS
MN
55616-1300
Phone
: 218-834-7727;
Fax
: 218-834-7727;
Practice Location Address
:
325 11TH AVE
,
, TWO HARBORS
, MN
, 55616-1300
Practice Phone
: 218-834-7727;
Practice Fax
: 218-834-7727
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1780619551 -
MRS.
MRS.
KELLY
DELANEY
COYNE
RN, CPNP
Other Name
:
Mailing Address
:
4145 WOLF RD
WESTERN SPRINGS
IL
60558-1451
Phone
: 708-784-3423;
Fax
: 773-880-3019;
Practice Location Address
:
2300 N CHILDRENS PLZ
, BOX 30
, CHICAGO
, IL
, 60614-3363
Practice Phone
: 773-975-8643;
Practice Fax
: 773-880-3019
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1598790362 -
DR.
DR.
STEVEN
WYNN
MELHORN
D.O.
Other Name
:
Mailing Address
:
103 N ERLWOOD CT
RICHMOND
VA
23229-7679
Phone
: 804-741-9885;
Fax
: ;
Practice Location Address
:
1504 SANTA ROSA RD
, SUITE 103
, RICHMOND
, VA
, 23229-5109
Practice Phone
: 804-288-6414;
Practice Fax
: 804-288-9022
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1407881279 -
DR.
DR.
JENNIFER
L
JESSUP
DC
Other Name
:
Mailing Address
:
223 E MAIN ST
SUITE B
TROY
OH
45373-3408
Phone
: 937-335-1551;
Fax
: 937-335-1288;
Practice Location Address
:
50 TROY TOWN DR
, SUITE B
, TROY
, OH
, 45373-2341
Practice Phone
: 937-335-1551;
Practice Fax
: 937-335-1288
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1316972185 -
TRACY
LYNN
CARTER
MD
Other Name
:
Mailing Address
:
11511 SHADOW CREEK PKWY
PEARLAND
TX
77584-7298
Phone
: 713-442-0000;
Fax
: ;
Practice Location Address
:
10701 VINTAGE PRESERVE PKWY
,
, HOUSTON
, TX
, 77070-2158
Practice Phone
: 713-442-1500;
Practice Fax
:
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1225063092 -
DR.
DR.
GINA
MOHR
M.D.
Other Name
:
Mailing Address
:
54701 FILE NUMBER
LOS ANGELES
CA
90074-4701
Phone
: 909-651-4300;
Fax
: ;
Practice Location Address
:
25455 BARTON RD
, SUITE 204B
, LOMA LINDA
, CA
, 92354-3128
Practice Phone
: 909-558-6600;
Practice Fax
:
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1134154909 -
DR.
DR.
DAVID
MARSHALL
JONES
MD
Other Name
:
Mailing Address
:
1899 TATE BLVD SE
SUITE 2108
HICKORY
NC
28602-4200
Phone
: 828-327-6500;
Fax
: 828-327-4700;
Practice Location Address
:
1899 TATE BLVD SE
, SUITE 2108
, HICKORY
, NC
, 28602-4200
Practice Phone
: 828-327-6500;
Practice Fax
: 828-327-4700
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1043245814 -
DR.
DR.
PETER
N
HJORTH
DMD
Other Name
:
Mailing Address
:
6 ESSEX CENTER DR
UNIT #210
PEABODY
MA
01960-2904
Phone
: 978-531-3010;
Fax
: 978-977-9828;
Practice Location Address
:
6 ESSEX CENTER DR
, UNIT #210
, PEABODY
, MA
, 01960-2904
Practice Phone
: 978-531-3010;
Practice Fax
: 978-977-9828
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1952336729 -
DR.
DR.
SANTOKH
SINGH
KHALSA
D.C.
Other Name
:
Mailing Address
:
740 N LAKE AVE
PASADENA
CA
91104-4557
Phone
: 626-345-9750;
Fax
: 626-345-9753;
Practice Location Address
:
740 N LAKE AVE
,
, PASADENA
, CA
, 91104-4557
Practice Phone
: 626-345-9750;
Practice Fax
: 626-345-9753
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1861427635 -
NAVNEET
KAUR
MD
Other Name
:
Mailing Address
:
301 LIPPINCOTT DR STE 410
MARLTON
NJ
08053-4197
Phone
: 856-355-0340;
Fax
: 856-355-0330;
Practice Location Address
:
175 MADISON AVE
,
, MOUNT HOLLY
, NJ
, 08060-2038
Practice Phone
: 609-914-6180;
Practice Fax
: 609-914-6182
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1770518540 -
THOMAS
M
MCGOREY
MD
Other Name
:
Mailing Address
:
147 W ROCKWELL ST
JEFFERSON
WI
53549-2048
Phone
: 920-674-6255;
Fax
: 920-674-5288;
Practice Location Address
:
1225 REMMEL DR
,
, JOHNSON CREEK
, WI
, 53094-8511
Practice Phone
: 920-674-6255;
Practice Fax
: 920-674-5288
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1689609455 -
MARLENE
ERDMAN
LCSW
Other Name
:
Mailing Address
:
2357 SEQUOIA DR
AURORA
IL
60506-6222
Phone
: 630-859-6800;
Fax
: ;
Practice Location Address
:
2285 SEQUOIA DR
,
, AURORA
, IL
, 60506-6209
Practice Phone
: 630-859-6700;
Practice Fax
:
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1497780266 -
DR.
DR.
LEWIS
B
BAYNES
M.D.
Other Name
:
Mailing Address
:
PO BOX 3290
LA GRANDE
OR
97850-7290
Phone
: 541-963-8421;
Fax
: ;
Practice Location Address
:
900 SUNSET DR
,
, LA GRANDE
, OR
, 97850-1362
Practice Phone
: 541-963-8421;
Practice Fax
:
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1306871173 -
REESE
JAMES
D.O.
Other Name
:
Mailing Address
:
PO BOX 32627
DETROIT
MI
48232-0627
Phone
: 866-744-1452;
Fax
: 586-412-4101;
Practice Location Address
:
1375 N MAIN ST
,
, LAPEER
, MI
, 48446-1350
Practice Phone
: 810-667-5744;
Practice Fax
: 810-667-5741
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1215962089 -
CHARLENE
A
MORGAN
LPT
Other Name
:
CHARLENE
TROPP
Mailing Address
:
30 CHERRY ST
PINE GROVE
PA
17963-1104
Phone
: 570-345-8027;
Fax
: 570-345-0373;
Practice Location Address
:
24 HIKES HOLLOW ROAD
,
, PINE GROVE
, PA
, 17963
Practice Phone
: 570-345-8350;
Practice Fax
: 570-345-8325
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1124053996 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1033144803 -
KARI
COX
R.D.
Other Name
:
Mailing Address
:
PO BOX 24410
EUGENE
OR
97402-0451
Phone
: ;
Fax
: ;
Practice Location Address
:
4010 AERIAL WAY
,
, EUGENE
, OR
, 97402-9757
Practice Phone
: 541-242-8300;
Practice Fax
: 541-242-8303
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1942235718 -
GARY
JACOBSEN
FNP, ARNP
Other Name
:
Mailing Address
:
176 1ST AVE. NORTH
PO BOX N
ILWACO
WA
98624
Phone
: ;
Fax
: ;
Practice Location Address
:
176 1ST AVE. NORTH
, PO BOX N
, ILWACO
, WA
, 98624
Practice Phone
: 360-642-6316;
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:
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1851326623 -
DR.
DR.
KAREN
LEE
HERMAN
O.D.
Other Name
:
KAREN
LEE
KROHN
Mailing Address
:
1402 MAIN ST
BLOOMER
WI
54724-1637
Phone
: 715-568-1373;
Fax
: ;
Practice Location Address
:
1402 MAIN ST
,
, BLOOMER
, WI
, 54724-1637
Practice Phone
: 715-568-1373;
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:
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1760417539 -
DEIDRA
L
MAYS
LPC
Other Name
:
Mailing Address
:
PO BOX 391772
SNELLVILLE
GA
30039-0030
Phone
: 678-852-0265;
Fax
: ;
Practice Location Address
:
2330 SCENIC HWY S
,
, SNELLVILLE
, GA
, 30078-3115
Practice Phone
: 678-852-0265;
Practice Fax
:
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1679508444 -
MRS.
MRS.
POLLY
B.
FARRIS
CRNA
Other Name
:
Mailing Address
:
PO BOX 32861
ANESTHESIA SERVICES - 5TH FLOOR SURGERY TOWER
CHARLOTTE
NC
28232-2861
Phone
: 704-355-8983;
Fax
: ;
Practice Location Address
:
1000 BLYTHE BLVD
,
, CHARLOTTE
, NC
, 28203-5812
Practice Phone
: 704-355-8983;
Practice Fax
: 704-355-8994
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1588699359 -
CHAD
FEY
MD
Other Name
:
Mailing Address
:
512 SKYLINE BLVD
CLOQUET
MN
55720-3787
Phone
: 218-879-4641;
Fax
: ;
Practice Location Address
:
512 SKYLINE BLVD
,
, CLOQUET
, MN
, 55720-3787
Practice Phone
: 218-879-4641;
Practice Fax
:
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1396770160 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
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: ;
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:
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1205861077 -
MS.
MS.
ELISA
ANN
BIANCHI-SMAK
NP-C
Other Name
:
Mailing Address
:
10 GERARD AVE
OLD BRIDGE
NJ
08857-2104
Phone
: 732-679-5377;
Fax
: ;
Practice Location Address
:
385 TREMONT AVE
,
, EAST ORANGE
, NJ
, 07018-1023
Practice Phone
: 973-676-1000;
Practice Fax
: 973-395-7010
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1114952983 -
DR.
DR.
ANH
T
MEADOWS
M.D.
Other Name
:
Mailing Address
:
1718 PATTERSON ST
NASHVILLE
TN
37203-2926
Phone
: 615-327-1085;
Fax
: ;
Practice Location Address
:
1718 PATTERSON ST
,
, NASHVILLE
, TN
, 37203-2926
Practice Phone
: 615-327-1085;
Practice Fax
:
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1023043890 -
PETER
D
SHELTON
PA
Other Name
:
HAMPTON
ORTHOPEDICS
SPORTS MEDICINE
Mailing Address
:
325 MEETING HOUSE LN BLDG 2
SUITE 301
SOUTHAMPTON
NY
11968-5087
Phone
: 631-287-9477;
Fax
: ;
Practice Location Address
:
325 MEETING HOUSE LN BLDG 2
, SUITE 301
, SOUTHAMPTON
, NY
, 11968-5087
Practice Phone
: 631-287-9477;
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:
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1932134707 -
THE MCLEAN HOSPITAL CORPORATION
Other Name
:
Mailing Address
:
P.O. BOX 5-0408
WOBURN
MA
01815-0408
Phone
: 617-724-3371;
Fax
: 617-724-9687;
Practice Location Address
:
115 MILL ST
,
, BELMONT
, MA
, 02478-1041
Practice Phone
: 617-855-3311;
Practice Fax
: 617-855-2366
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1841225612 -
SUSAN
EYSMANN
MD
Other Name
:
Mailing Address
:
1177 SUMMER ST
5TH FLOOR
STAMFORD
CT
06905-5572
Phone
: ;
Fax
: ;
Practice Location Address
:
1177 SUMMER ST
, 5TH FLOOR
, STAMFORD
, CT
, 06905-5572
Practice Phone
: 203-353-1133;
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:
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1750316527 -
DPI OF NORTH BROWARD LLC
Other Name
:
Mailing Address
:
PO BOX 5047
FT LAUDERDALE
FL
33310-5047
Phone
: 954-566-4551;
Fax
: 954-566-4565;
Practice Location Address
:
6808 N STATE ROAD 7
,
, COCONUT CREEK
, FL
, 33073-4304
Practice Phone
: 954-566-4551;
Practice Fax
: 954-566-4565
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1669407433 -
MR.
MR.
NICHOLAS
RAINES
KEITZER
DPT
Other Name
:
Mailing Address
:
6 WOMACK CT
NOVATO
CA
94947-2029
Phone
: 808-780-6013;
Fax
: ;
Practice Location Address
:
165 ROWLAND WAY
, SUITE 101
, NOVATO
, CA
, 94945-5038
Practice Phone
: 415-898-1311;
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:
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1578598348 -
PAUL
NORRIS
Other Name
:
Mailing Address
:
PO BOX 569
EUGENE
OR
97440-0569
Phone
: ;
Fax
: ;
Practice Location Address
:
1515 VILLAGE DR
,
, COTTAGE GROVE
, OR
, 97424-9700
Practice Phone
: 541-942-0511;
Practice Fax
: 541-942-0353
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1487689253 -
JENNIFER
HOPE
BAGGENSTOSS
PA-C
Other Name
:
JENNIFER
HOPE
BOYD
Mailing Address
:
2780 BOB WALLACE AVE SW
HUNTSVILLE
AL
35805-4104
Phone
: 256-533-4626;
Fax
: ;
Practice Location Address
:
2780 BOB WALLACE AVE SW
,
, HUNTSVILLE
, AL
, 35805-4104
Practice Phone
: 256-533-4626;
Practice Fax
: 256-533-4710
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1295760064 -
DANIEL
BURICK
Other Name
:
Mailing Address
:
90 CUSICK LN
SHARPSVILLE
PA
16150-1621
Phone
: 724-962-5430;
Fax
: ;
Practice Location Address
:
740 E STATE ST
,
, SHARON
, PA
, 16146-3328
Practice Phone
: 724-983-3911;
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:
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1104851971 -
DR.
DR.
THOMAS
ANDREW
PETERSON
M.D.
Other Name
:
Mailing Address
:
325 11TH AVE
TWO HARBORS
MN
55616-1300
Phone
: 218-834-7727;
Fax
: 218-834-7727;
Practice Location Address
:
325 11TH AVE
,
, TWO HARBORS
, MN
, 55616-1300
Practice Phone
: 218-834-7727;
Practice Fax
: 218-834-7727
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1013942887 -
DR.
DR.
STEVEN
P
SARDO
M.D.
Other Name
:
Mailing Address
:
13041 N DEL WEBB BLVD
SUN CITY
AZ
85351-3034
Phone
: 623-977-7201;
Fax
: 623-876-2820;
Practice Location Address
:
13041 N DEL WEBB BLVD
,
, SUN CITY
, AZ
, 85351-3034
Practice Phone
: 623-977-7201;
Practice Fax
: 623-876-2820
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1922033794 -
MR.
MR.
MARK
S.
TONN
DC
Other Name
:
Mailing Address
:
1700 HIGHWAY 25 N
BUFFALO
MN
55313-1930
Phone
: 763-682-1313;
Fax
: ;
Practice Location Address
:
1107 HART BLVD
, SUITE 100
, MONTICELLO
, MN
, 55362-8538
Practice Phone
: 763-295-2921;
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:
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1831124601 -
MURIEL
R
GILLICK
M.D.
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8374;
Fax
: 617-421-3487;
Practice Location Address
:
75 FRANCIS ST
,
, BOSTON
, MA
, 02115-6110
Practice Phone
: 617-559-8374;
Practice Fax
: 617-421-3487
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1740215516 -
KAREN
LYNN
ROE
MD
Other Name
:
Mailing Address
:
200 CORPORATE BLVD
STE 201
LAFAYETTE
LA
70508-3870
Phone
: 800-893-9698;
Fax
: ;
Practice Location Address
:
900 W KINGSHIGHWAY
,
, PARAGOULD
, AR
, 72450-5942
Practice Phone
: 800-893-9698;
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:
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1659306421 -
ALOKA
PATEL
M.D.
Other Name
:
Mailing Address
:
1653 W CONGRESS PKWY
CHICAGO
IL
60612-3833
Phone
: 312-942-7154;
Fax
: ;
Practice Location Address
:
1653 W CONGRESS PKWY
,
, CHICAGO
, IL
, 60612-3833
Practice Phone
: 312-942-7154;
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:
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1568497337 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1477588242 -
DR.
DR.
ERNEST
CREDE
HIESTAND
M.D.
Other Name
:
Mailing Address
:
PO BOX 62
OLD FORT
OH
44861-0062
Phone
: 419-992-4520;
Fax
: ;
Practice Location Address
:
715 S TAFT AVE
,
, FREMONT
, OH
, 43420-3200
Practice Phone
: 419-334-6657;
Practice Fax
: 419-334-6637
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1386679157 -
DR.
DR.
DAVID
M
SULLIVAN
D.M.D
Other Name
:
Mailing Address
:
40 CHURCH AVE
WAREHAM
MA
02571-2093
Phone
: 508-273-0110;
Fax
: 508-273-0112;
Practice Location Address
:
40 CHURCH AVE
,
, WAREHAM
, MA
, 02571-2093
Practice Phone
: 508-273-0110;
Practice Fax
: 508-273-0112
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1194750968 -
DR.
DR.
FREDERICK
CORIO
MD
Other Name
:
Mailing Address
:
241 NEWTON SPARTA RD
NEWTON
NJ
07860-2771
Phone
: 717-293-3223;
Fax
: 717-390-2455;
Practice Location Address
:
89 SPARTA AVE
, SUITE 120
, SPARTA
, NJ
, 07871-1777
Practice Phone
: 973-729-0002;
Practice Fax
: 973-726-4456
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1003841875 -
NOMAN
AHMED
MALIK
M.D.
Other Name
:
Mailing Address
:
PO BOX 2876
MOULTRIE
GA
31776-2876
Phone
: 229-891-9131;
Fax
: ;
Practice Location Address
:
3131 S MAIN ST
,
, MOULTRIE
, GA
, 31768-6925
Practice Phone
: 229-890-3500;
Practice Fax
:
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1912932781 -
HIEU
T.M.
NGUYEN
D.O.
Other Name
:
Mailing Address
:
54701 FILE NUMBER
LOS ANGELES
CA
90074-4701
Phone
: 909-651-4300;
Fax
: ;
Practice Location Address
:
25333 BARTON RD
,
, LOMA LINDA
, CA
, 92350-0210
Practice Phone
: 909-558-6641;
Practice Fax
:
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1821023698 -
DR.
DR.
CAROL
MOST-LEVIN
M.D.
Other Name
:
Mailing Address
:
7912 SONOMA SPRINGS CIR
APT 101
LAKE WORTH
FL
33463-7931
Phone
: 561-422-7577;
Fax
: 561-422-7615;
Practice Location Address
:
7305 N MILITARY TRL
, PRIMARY CARE (110)
, RIVIERA BEACH
, FL
, 33410-7417
Practice Phone
: 561-422-7577;
Practice Fax
: 561-422-7615
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1730114505 -
DR.
DR.
THOMAS
ANDRE
MASON
M.D.
Other Name
:
Mailing Address
:
6337 S WOODLAWN AVE
CHICAGO
IL
60637-3707
Phone
: 773-753-5508;
Fax
: ;
Practice Location Address
:
6337 S WOODLAWN AVE
,
, CHICAGO
, IL
, 60637-3707
Practice Phone
: 773-753-5508;
Practice Fax
:
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1649205410 -
KIMBERLY
RAMOS-RAMOS
M.D.
Other Name
:
Mailing Address
:
HC 4 BOX 6964
YABUCOA
PR
00767-9513
Phone
: 787-266-0901;
Fax
: ;
Practice Location Address
:
HC 4 BOX 6964
,
, YABUCOA
, PR
, 00767-9513
Practice Phone
: 787-266-0901;
Practice Fax
:
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1558396325 -
SARWAT
KHAWAR
M.D.
Other Name
:
Mailing Address
:
8987 HICKORY MEADOWS RD
BOSTON
NY
14025-9683
Phone
: ;
Fax
: ;
Practice Location Address
:
263 LIBERTY ST
,
, ARCADE
, NY
, 14009-1626
Practice Phone
: 585-492-3000;
Practice Fax
:
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1467487231 -
GREGORY
KNAPP
PA
Other Name
:
Mailing Address
:
1021 BANDANA BLVD E
SUITE 200
SAINT PAUL
MN
55108-5113
Phone
: 651-642-2700;
Fax
: 651-642-9441;
Practice Location Address
:
1020 BANDANA BLVD W
,
, SAINT PAUL
, MN
, 55108-5107
Practice Phone
: 651-641-7000;
Practice Fax
: 651-641-7166
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1376578146 -
DR.
DR.
ROBERT
S
CAPUTO
D.O
Other Name
:
Mailing Address
:
194 E REDSTONE AVE
SUITE B
CRESTVIEW
FL
32539-5368
Phone
: 850-398-8873;
Fax
: 850-398-8897;
Practice Location Address
:
194 E REDSTONE AVE
, SUITE B
, CRESTVIEW
, FL
, 32539-6428
Practice Phone
: 850-398-8873;
Practice Fax
: 850-398-8897
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1285669051 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1194750976 -
DR.
DR.
JOHN
JOSEPH
SHONK
JR.
M.D.
Other Name
:
Mailing Address
:
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND
CO
80538-9071
Phone
: 970-624-4034;
Fax
: 970-490-4347;
Practice Location Address
:
1725 E BOULDER ST STE 101
,
, COLORADO SPRINGS
, CO
, 80909-5740
Practice Phone
: 719-365-6300;
Practice Fax
: 719-365-6094
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1710912431 -
DR.
DR.
BARRY
L
GRUBER
M.D.
Other Name
:
Mailing Address
:
500 W MAIN ST
SUITE 110
BABYLON
NY
11702-3027
Phone
: 631-376-2663;
Fax
: 631-376-4800;
Practice Location Address
:
500 W MAIN ST
, SUITE 110
, BABYLON
, NY
, 11702-3027
Practice Phone
: 631-376-2663;
Practice Fax
: 631-376-4800
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1629003348 -
MRS.
MRS.
SOPHIA
RAWLINGS
WATERS
M.S., P.T.
Other Name
:
Mailing Address
:
1741 HOG MOUNTAIN RD
BLDG 100
WATKINSVILLE
GA
30677-1947
Phone
: 706-769-6261;
Fax
: 706-769-6316;
Practice Location Address
:
1741 HOG MOUNTAIN RD
, BLDG 100
, WATKINSVILLE
, GA
, 30677-1947
Practice Phone
: 706-769-6261;
Practice Fax
: 706-769-6316
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1538194253 -
DR.
DR.
DONNA
MAY
HASTINGS
PSY.D.
Other Name
:
Mailing Address
:
579 DANIEL WEBSTER HWY
NATICOOK COUNSELING RESOURCES, P.A,
MERRIMACK
NH
03054-3407
Phone
: ;
Fax
: ;
Practice Location Address
:
579 DANIEL WEBSTER HWY
, NATICOOK COUNSELING RESOURCES, P.A,
, MERRIMACK
, NH
, 03054-3407
Practice Phone
: 603-429-1190;
Practice Fax
:
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1447285168 -
DR.
DR.
ANOOP
KAPOOR
M.D.
Other Name
:
Mailing Address
:
P.O. BOX 1559
STONY BROOK
NY
11790
Phone
: 631-444-0580;
Fax
: 631-444-9092;
Practice Location Address
:
26 RESEARCH WAY
,
, EAST SETAUKET
, NY
, 11733
Practice Phone
: 631-444-0580;
Practice Fax
: 631-444-0562
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1356376073 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1265467989 -
DAVID
CRAIG
HOLUB
M.D.
Other Name
:
Mailing Address
:
777 SOUTH CLINTON AVE
HIGHLAND FAMILY MEDICINE
ROCHESTER
NY
14620
Phone
: 585-279-4800;
Fax
: 585-442-8319;
Practice Location Address
:
777 SOUTH CLINTON AVE
, HIGHLAND FAMILY MEDICINE
, ROCHESTER
, NY
, 14620
Practice Phone
: 585-279-4800;
Practice Fax
: 585-442-8319
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1174558894 -
TYLER OPTICAL LAB INC
Other Name
:
BARRETT OPTICIANS
Mailing Address
:
4568 S BROADWAY AVE
TYLER
TX
75703-1305
Phone
: 903-581-5451;
Fax
: ;
Practice Location Address
:
4568 S. BROADWAY AVE.
,
, TYLER
, TX
, 75703-1305
Practice Phone
: 903-581-5451;
Practice Fax
:
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1083649701 -
LESLIE
PARIS
DORNFELD
MD
Other Name
:
Mailing Address
:
FILE #55737
LOS ANGELES
CA
90074
Phone
: 310-301-8708;
Fax
: 310-301-8751;
Practice Location Address
:
200 MEDICAL PLAZA
, #214,365,530,420,120
, LOS ANGELES
, CA
, 90095
Practice Phone
: 310-825-0631;
Practice Fax
:
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1891720512 -
DR.
DR.
RICARDO
RESTREPO-GUZMAN
M.D
Other Name
:
Mailing Address
:
2001 LOS TRANCOS DR
APT D
IRVINE
CA
92617-4003
Phone
: 617-365-0866;
Fax
: ;
Practice Location Address
:
5901 E 7TH ST
, 06/116A
, LONG BEACH
, CA
, 90822-5201
Practice Phone
: 562-826-4684;
Practice Fax
: 562-826-5969
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1700811429 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1619902335 -
PAUL
KWON
DO
Other Name
:
Mailing Address
:
3851 ROGER BROOKE DRIVE
MCHE-QD (CREDS)
FORT SAM HOUSTON
TX
78234-6200
Phone
: 210-916-2460;
Fax
: 210-916-5102;
Practice Location Address
:
3851 ROGER BROOKE DRIVE
, MCHE-QD (CREDS)
, FORT SAM HOUSTON
, TX
, 78234-6200
Practice Phone
: 210-916-2460;
Practice Fax
: 210-916-5102
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1528093242 -
FAMILY SERVICE LEAGUE, INC.
Other Name
:
Mailing Address
:
790 PARK AVE
HUNTINGTON
NY
11743-4516
Phone
: 631-427-3700;
Fax
: 631-427-0287;
Practice Location Address
:
790 PARK AVE
,
, HUNTINGTON
, NY
, 11743-4516
Practice Phone
: 631-427-3700;
Practice Fax
:
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1437184157 -
LINDA
LEE HOLLEMA
DEMER
MD
Other Name
:
Mailing Address
:
5767 W CENTURY BLVD
SUITE 200
LOS ANGELES
CA
90045-5632
Phone
: 310-825-8811;
Fax
: ;
Practice Location Address
:
200 MEDICAL PLAZA
, #365
, LOS ANGELES
, CA
, 90095-3075
Practice Phone
: 310-825-8811;
Practice Fax
:
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1518992247 -
DR.
DR.
JONATHAN
CROWSTON
M.D./PH.D
Other Name
:
Mailing Address
:
9500 GILMAN DR
MAIL CODE 0946
LA JOLLA
CA
92093-5004
Phone
: 858-534-8824;
Fax
: ;
Practice Location Address
:
200 W ARBOR DR
,
, SAN DIEGO
, CA
, 92103-9001
Practice Phone
: 858-534-6290;
Practice Fax
:
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1427083153 -
LAKEWOOD REGIONAL MEDICAL CENTER, INC.
Other Name
:
LAKEWOOD REGIONAL MEDICAL CENTER
Mailing Address
:
FILE 57508
LOS ANGELES
CA
90074-0001
Phone
: 626-300-4122;
Fax
: 562-602-0083;
Practice Location Address
:
3700 SOUTH ST
,
, LAKEWOOD
, CA
, 90712-1419
Practice Phone
: 562-531-2550;
Practice Fax
:
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1336174069 -
DR.
DR.
ROBERT
LUND
M.D.
Other Name
:
Mailing Address
:
4801 W 81ST ST
SUITE 108
BLOOMINGTON
MN
55437-1111
Phone
: 952-837-9700;
Fax
: 952-837-9701;
Practice Location Address
:
4801 W 81ST ST
, SUITE 108
, BLOOMINGTON
, MN
, 55437-1111
Practice Phone
: 952-837-9700;
Practice Fax
: 952-837-9701
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1245265974 -
CHERYL
R C
SPEERS
CRNA
Other Name
:
CHERYL
R
CONEY
Mailing Address
:
3621 SOUTH STATE STREET
700 KMS PLACE
ANN ARBOR
MI
48108
Phone
: 734-936-2047;
Fax
: ;
Practice Location Address
:
1500 EAST MEDICAL CENTER DRIVE
, 1H247 UNIVERSITY HOSPITAL
, ANN ARBOR
, MI
, 48109-5048
Practice Phone
: 734-936-4280;
Practice Fax
: 734-936-9091
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1154356889 -
BRADLEY
T
HOLT
PA
Other Name
:
Mailing Address
:
907 18TH ST E STE 400
TIFTON
GA
31794-3684
Phone
: 229-382-9733;
Fax
: ;
Practice Location Address
:
1641 MADISON AVE
,
, TIFTON
, GA
, 31794-3757
Practice Phone
: 229-353-2284;
Practice Fax
:
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1063447795 -
MICHAEL
J.
LEIDING
MD
Other Name
:
Mailing Address
:
5730 EXECUTIVE DR STE 230
CATONSVILLE
MD
21228-1762
Phone
: 303-876-8320;
Fax
: 888-701-4175;
Practice Location Address
:
3235 MILL VISTA RD
,
, HIGHLANDS RANCH
, CO
, 80129-2440
Practice Phone
: 303-876-8320;
Practice Fax
: 888-701-4175
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1972538601 -
MS.
MS.
MARTHA
DANIELS
SCHOONMAKER
P.T.
Other Name
:
MARTY
DANIELS
SCHOONMAKER
Mailing Address
:
PO BOX 7109
TAHOE CITY
CA
96145-7109
Phone
: 530-581-3884;
Fax
: ;
Practice Location Address
:
1970 TWIN PEAKS
,
, TAHOE CITY
, CA
, 96145
Practice Phone
: 530-581-3884;
Practice Fax
: 530-581-3884
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