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Showing codes 1780778340 — 1558456988
1780778340 -
NORTHSHORE THERAPY CENTER, LLC
Other Name
:
Mailing Address
:
2790 EAST GAUSE BOULEVARD
SUITE 2
SLIDELL
LA
70461
Phone
: 985-643-6880;
Fax
: 985-643-8104;
Practice Location Address
:
2790 EAST GAUSE BOULEVARD
, SUITE 2
, SLIDELL
, LA
, 70461
Practice Phone
: 985-643-6880;
Practice Fax
: 985-643-8104
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1699869263 -
QUALITY SUPPORT SOLUTIONS, INC.
Other Name
:
Mailing Address
:
966 SOUTH 400 EAST
SALT LAKE CITY
UT
84111-4342
Phone
: 801-575-5484;
Fax
: ;
Practice Location Address
:
966 SOUTH 400 EAST
,
, SALT LAKE CITY
, UT
, 84111-4342
Practice Phone
: 801-575-5484;
Practice Fax
:
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1508950171 -
PARKVIEW PROFESSIONAL PROGRAMS, INC.
Other Name
:
PARKVIEW HEALTH LABORATORIES
Mailing Address
:
PO BOX 5600
FORT WAYNE
IN
46895-5600
Phone
: 260-373-7008;
Fax
: 260-373-7059;
Practice Location Address
:
11109 PARKVIEW PLAZA DR
,
, FORT WAYNE
, IN
, 46845-1701
Practice Phone
: 260-373-9420;
Practice Fax
: 260-373-9464
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1417041088 -
WANITA
A
WALKER
ARNP
Other Name
:
Mailing Address
:
3901 RAINBOW BLVD
MOB 503 MAIL STOP 2024
KANSAS CITY
KS
66160
Phone
: 913-588-6022;
Fax
: 913-588-4060;
Practice Location Address
:
3901 RAINBOW BLVD
, DEPT OF INTERNAL MEDICINE-ENDOCRINOLOGY
, KANSAS CITY
, KS
, 66160
Practice Phone
: 913-588-6022;
Practice Fax
:
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1326132994 -
MICHAEL
CLARENCE
LAFRANCOIS
EMTC
Other Name
:
Mailing Address
:
777 RESERVOIR ROAD
PASCOAG
RI
02859
Phone
: 401-568-5976;
Fax
: ;
Practice Location Address
:
166 MISHNOCK ROAD
,
, WEST GREENWICH
, RI
, 02817
Practice Phone
: 401-397-7353;
Practice Fax
:
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1235223801 -
Other Name
:
Mailing Address
:
Phone
: ;
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: ;
Practice Location Address
:
,
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,
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: ;
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1801980479 -
DR.
DR.
JOHN
GORDON
M.D.
Other Name
:
Mailing Address
:
11126 KINGSTON PIKE
KNOXVILLE
TN
37934-2806
Phone
: 865-777-0088;
Fax
: 865-777-2015;
Practice Location Address
:
11126 KINGSTON PIKE
,
, KNOXVILLE
, TN
, 37934-2806
Practice Phone
: 865-777-0088;
Practice Fax
: 865-777-2015
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1710071386 -
DR.
DR.
JENNIFER
ANNE
SOUCY
PHARMD
Other Name
:
Mailing Address
:
41 GLAUDE AVE
HOLLIS CENTER
ME
04042
Phone
: 207-247-2864;
Fax
: ;
Practice Location Address
:
331 VERANDA ST
,
, PORTLAND
, ME
, 04103
Practice Phone
: 207-791-3756;
Practice Fax
:
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1437243003 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1518051184 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1427142090 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1336233907 -
DR.
DR.
DAVID
ALLAN
STEINWEG
PH.D.
Other Name
:
Mailing Address
:
21625 CHAGRIN BLVD
SUITE 200
BEACHWOOD
OH
44122-5363
Phone
: 216-283-6852;
Fax
: 216-491-0155;
Practice Location Address
:
21625 CHAGRIN BLVD
, SUITE 200
, BEACHWOOD
, OH
, 44122-5363
Practice Phone
: 216-283-6852;
Practice Fax
: 216-491-0155
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1295829877 -
RAI CARE CENTERS OF NEBRASKA II, LLC
Other Name
:
RAI - CENTER ST - OMAHA
Mailing Address
:
4411 CENTER ST STE A
OMAHA
NE
68105-2435
Phone
: 402-558-3284;
Fax
: 402-558-3114;
Practice Location Address
:
4411 CENTER ST STE A
,
, OMAHA
, NE
, 68105-2435
Practice Phone
: 402-558-3284;
Practice Fax
: 402-558-3114
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1104910785 -
MARTIN THERAPY
Other Name
:
Mailing Address
:
25 ARROYO RIDGE ROAD
ALAMOGORDO
NM
88310
Phone
: 505-443-8210;
Fax
: ;
Practice Location Address
:
25 ARROYO RIDGE ROAD
,
, ALAMOGORDO
, NM
, 88310
Practice Phone
: 505-443-8210;
Practice Fax
:
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1013001692 -
RANDI
WEBER
THOMA
LPC
Other Name
:
Mailing Address
:
4800 S MACADAM AVE STE 350
PORTLAND
OR
97239-3970
Phone
: 503-684-7948;
Fax
: 503-684-7958;
Practice Location Address
:
4800 S MACADAM AVE STE 350
,
, PORTLAND
, OR
, 97239-3970
Practice Phone
: 503-684-7948;
Practice Fax
: 503-684-7958
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1922192509 -
DR.
DR.
BRIAN
LEE
MAYHUGH
PH.D.
Other Name
:
Mailing Address
:
P.O. BOX 30018
LAGUNA NIGUEL
CA
92607-0018
Phone
: 949-230-4905;
Fax
: ;
Practice Location Address
:
3070 BRISTOL ST.
, SUITE 350
, COSTA MESA
, CA
, 92626
Practice Phone
: 949-230-4905;
Practice Fax
:
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1831283415 -
CRAIG
FRANKLIN
BEYER
DO
Other Name
:
Mailing Address
:
1810 30TH STREET STE B
BOULDER
CO
80303
Phone
: ;
Fax
: ;
Practice Location Address
:
1810 30TH STREET STE B
,
, BOULDER
, CO
, 80303
Practice Phone
: 303-499-2020;
Practice Fax
:
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1740374321 -
ROBIN
HITCHCOCK
NP
Other Name
:
Mailing Address
:
531 ASBURY CIRCLE-ANNEX
SUITE N340
ATLANTA
GA
30322
Phone
: 404-778-5975;
Fax
: 404-778-2630;
Practice Location Address
:
531 ASBURY CIRCLE-ANNEX
, SUITE N340
, ATLANTA
, GA
, 30322
Practice Phone
: 404-778-5975;
Practice Fax
: 404-778-2630
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1659465235 -
DR.
DR.
ALLAN
M
JOSEPHSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 909
LOUISVILLE
KY
40201-0909
Phone
: 502-588-0800;
Fax
: 502-588-0801;
Practice Location Address
:
200 EAST CHESTNUT STREET
,
, LOUISVILLE
, KY
, 40202
Practice Phone
: 502-588-0800;
Practice Fax
: 502-588-0801
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1568556140 -
DR.
DR.
DAVID
JACOBS
M.D.
Other Name
:
Mailing Address
:
2262 W MAGEE RD
TUCSON
AZ
85742-4329
Phone
: 520-219-0482;
Fax
: 520-219-0485;
Practice Location Address
:
2262 W. MAGEE RD.
,
, TUCSON
, AZ
, 85742
Practice Phone
: 520-219-0482;
Practice Fax
: 520-219-0485
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1477647055 -
RICHARD
LAWRENCE
BRONZO
X
MD
Other Name
:
Mailing Address
:
192 EAST SHORE RD
GREAT NECK
NY
11023
Phone
: 516-466-5166;
Fax
: 516-466-7828;
Practice Location Address
:
192 EAST SHORE RD
,
, GREAT NECK
, NY
, 11023
Practice Phone
: 516-466-5166;
Practice Fax
: 516-466-7828
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1386738961 -
DR.
DR.
SERAFIN
FRANCISCO
VERAMENDI
M.D.
Other Name
:
Mailing Address
:
2243 FORESTVIEW RD.
EVANSTON
IL
60201
Phone
: 773-234-6394;
Fax
: ;
Practice Location Address
:
5318 W DEVON AVE
, SUITE 8
, CHICAGO
, IL
, 60646-4108
Practice Phone
: 773-234-6394;
Practice Fax
:
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1194819771 -
MS.
MS.
HADASSAH
RAMIN
LCSW
Other Name
:
Mailing Address
:
12 WEST 96 STREET
4D
NEW YORK
NY
10025-6509
Phone
: 212-222-2939;
Fax
: ;
Practice Location Address
:
675 WEST END AVE.
, 1A
, NEW YORK
, NY
, 10025-7366
Practice Phone
: 212-222-2939;
Practice Fax
:
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1003900689 -
MELBA
E
OCTAVIANI-REYES
M.D.
Other Name
:
Mailing Address
:
9320 ROOSEVELT AVE # A
2ND FLOOR
JACKSON HEIGHTS
NY
11372-7911
Phone
: 718-404-9109;
Fax
: ;
Practice Location Address
:
7224 BERGENLINE AVE
,
, NORTH BERGEN
, NJ
, 07047-5417
Practice Phone
: 201-869-4603;
Practice Fax
:
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1730274143 -
COUNTY OF CRAWFORD
Other Name
:
Mailing Address
:
P.O.BOX 292
GIRARD
KS
66743
Phone
: 620-231-3344;
Fax
: ;
Practice Location Address
:
270 N INDUSTRIAL DR
,
, FRONTENAC
, KS
, 66763
Practice Phone
: 620-231-3344;
Practice Fax
:
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1457446866 -
LORI
ANN
BRIGGS
M.A., CCC-SLP
Other Name
:
Mailing Address
:
110 4TH ST W STE 3
KALISPELL
MT
59901-4825
Phone
: 406-885-2285;
Fax
: ;
Practice Location Address
:
110 4TH ST W STE 3
,
, KALISPELL
, MT
, 59901-4825
Practice Phone
: 406-885-2285;
Practice Fax
:
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1366537771 -
MR.
MR.
CHRISTOPHER
BRIAN
DENHAM
RKT
Other Name
:
Mailing Address
:
9432 W. LAKE CIR
SHERWOOD
AR
72120
Phone
: 501-833-6162;
Fax
: ;
Practice Location Address
:
2200 FT. ROOTS DR.
, BLDG 170, RM GN102 ROUTING: 116/NLR
, NORTH LITTLE ROCK
, AR
, 72114
Practice Phone
: 501-257-3026;
Practice Fax
:
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1275628687 -
SARA
L
THOMPSON
FNP
Other Name
:
Mailing Address
:
22 BRAMHALL ST
PORTLAND
ME
04102-3134
Phone
: 207-226-7046;
Fax
: ;
Practice Location Address
:
22 BRAMHALL ST
,
, PORTLAND
, ME
, 04102-3134
Practice Phone
: 207-226-7046;
Practice Fax
:
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1184719593 -
C JB SUPPORT SOLUTIONS, L.L.C.
Other Name
:
Mailing Address
:
P.O.BOX 291611
KERRVILLE
TX
78029-1611
Phone
: 830-257-0555;
Fax
: 830-257-0555;
Practice Location Address
:
1232 BANDERA HWY
,
, KERRVILLE
, TX
, 78028-9640
Practice Phone
: 830-257-0555;
Practice Fax
: 830-257-0555
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1992890305 -
VALLEY WIDE RECREATION & PARK DISTRICT
Other Name
:
VALLEY WIDE OUTREACH SERVICES
Mailing Address
:
P.O. BOX 907
SAN JACINTO
CA
92581
Phone
: 951-654-1505;
Fax
: 951-654-9927;
Practice Location Address
:
901 W. ESPLANADE AVE.
,
, SAN JACINTO
, CA
, 92582
Practice Phone
: 951-654-1505;
Practice Fax
: 951-654-9927
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1801981212 -
JUTTA MADJAR GALANTO MD LLC
Other Name
:
WAIKIKI FAMILY PRACTICE
Mailing Address
:
2424 KALAKAUA AVE
SUITE 476A
HONOLULU
HI
96815-3233
Phone
: 808-922-6000;
Fax
: 808-922-2680;
Practice Location Address
:
2424 KALAKAUA AVE SUITE 476A
,
, HONOLULU
, HI
, 96815-3233
Practice Phone
: 808-922-6000;
Practice Fax
: 808-922-2680
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1710072129 -
MRS.
MRS.
GILDA
O
BRATTON-WEBER
NURSE PRACTITIONER
Other Name
:
Mailing Address
:
4801 E LINWOOD BLVD
KANSAS CITY
MO
64128-2226
Phone
: 816-861-4700;
Fax
: 816-922-4737;
Practice Location Address
:
4801 E LINWOOD BLVD
,
, KANSAS CITY
, MO
, 64128-2226
Practice Phone
: 816-861-4700;
Practice Fax
: 816-922-4737
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1629163035 -
JHANNA
ALEXANDRA
NARIYANTS
D.O.
Other Name
:
Mailing Address
:
501 W GLENOAKS BLVD STE 10
GLENDALE
CA
91202-4039
Phone
: ;
Fax
: ;
Practice Location Address
:
1812 VERDUGO BLVD
,
, GLENDALE
, CA
, 91208-1407
Practice Phone
: 818-790-7100;
Practice Fax
:
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1538254941 -
PATRICK
W
CLYDE
MD
Other Name
:
Mailing Address
:
2570 NW EDENBOWER BLVD.
SUITE 100
ROSEBURG
OR
97471-6214
Phone
: 541-677-7200;
Fax
: 541-229-3309;
Practice Location Address
:
2570 NW EDENBOWER BLVD.
, SUITE 100
, ROSEBURG
, OR
, 97471-6214
Practice Phone
: 541-677-7200;
Practice Fax
: 541-229-3309
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1447345855 -
MR.
MR.
CRAIG
WILLIAM
MEADERS
PA-C
Other Name
:
Mailing Address
:
2825 E BARNETT RD # MSS
MEDFORD
OR
97504-8332
Phone
: ;
Fax
: ;
Practice Location Address
:
269 MAPLE ST
,
, ASHLAND
, OR
, 97520-1551
Practice Phone
: 541-201-4700;
Practice Fax
:
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1356436760 -
TODD
TRUITT
JANNEY
SR.
PT
Other Name
:
Mailing Address
:
PO BOX 408
PLAQUEMINE
LA
70765-0408
Phone
: 225-687-2066;
Fax
: 225-687-2067;
Practice Location Address
:
59295 RIVER WEST DR
, STE H
, PLAQUEMINE
, LA
, 70764-6596
Practice Phone
: 225-687-2066;
Practice Fax
: 225-687-2067
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1528153939 -
J.
RUSSELL
MANN
M.D.
Other Name
:
Mailing Address
:
PO BOX 496084
REDDING
CA
96049-6084
Phone
: 530-241-5400;
Fax
: 530-241-9265;
Practice Location Address
:
2175 ROSALINE AVE
,
, REDDING
, CA
, 96001-2549
Practice Phone
: 530-917-8572;
Practice Fax
: 530-229-3703
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1437244845 -
SUSAN
H.
AVERY
MD
Other Name
:
Mailing Address
:
401 15TH AVE S SUITE 110
GREAT FALLS
MT
59405
Phone
: 406-727-0484;
Fax
: 406-453-9504;
Practice Location Address
:
401 15TH AVE S SUITE 110
,
, GREAT FALLS
, MT
, 59405
Practice Phone
: 406-727-0484;
Practice Fax
: 406-453-9504
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1346335759 -
FATEMEH
MANSOORI
C.F.N.P
Other Name
:
Mailing Address
:
2230 BOSQUE FARMS BLVD
BOSQUE FARMS
NM
87068-9334
Phone
: 505-869-0300;
Fax
: 505-869-0311;
Practice Location Address
:
2230 BOSQUE FARMS BLVD
,
, BOSQUE FARMS
, NM
, 87068-9334
Practice Phone
: 505-869-0300;
Practice Fax
:
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1255426664 -
MEGAN
BLYTHE
MILLER
LPC
Other Name
:
Mailing Address
:
2466 S. 48TH STREET
SPRINGDALE
AR
72762
Phone
: 479-750-2020;
Fax
: 479-750-8967;
Practice Location Address
:
2466 S. 48TH STREET
,
, SPRINGDALE
, AR
, 72762
Practice Phone
: 479-725-5224;
Practice Fax
: 479-750-8967
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1164517579 -
WENDY
LEE
HICKS
LMSW
Other Name
:
Mailing Address
:
PO BOX 2741
WHITE CITY
OR
97503-0741
Phone
: 541-772-8455;
Fax
: ;
Practice Location Address
:
8495 CRATER LAKE HWY
, VA SORCC
, WHITE CITY
, OR
, 97503-3011
Practice Phone
: 541-826-2111;
Practice Fax
:
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1073608485 -
DR.
DR.
SEAN
ISAAC
MAY
DC
Other Name
:
Mailing Address
:
514 CRIOLLA CT
OAKDALE
CA
95361-8919
Phone
: 209-847-2229;
Fax
: 209-845-9038;
Practice Location Address
:
514 CRIOLLA CT
,
, OAKDALE
, CA
, 95361-8919
Practice Phone
: 209-847-2229;
Practice Fax
: 209-845-9038
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1982799391 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1790870103 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1144315557 -
TAMICA
L.
DOBY
MSW
Other Name
:
Mailing Address
:
1050 RIBAUT ROAD
BEAUFORT
SC
29902
Phone
: 843-524-3378;
Fax
: ;
Practice Location Address
:
1050 RIBAUT ROAD
,
, BEAUFORT
, SC
, 29902
Practice Phone
: 843-524-3378;
Practice Fax
:
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1871688283 -
WILLIAM
A.
WISNIEWSKI
R.PH.
Other Name
:
Mailing Address
:
1900 COLUMBUS AVE
BAY CITY
MI
48708-6831
Phone
: 989-894-3744;
Fax
: ;
Practice Location Address
:
1900 COLUMBUS AVE
,
, BAY CITY
, MI
, 48708-6831
Practice Phone
: 989-894-3744;
Practice Fax
:
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1407941818 -
DR.
DR.
DANIEL
MARK
JUDD
O.D.
Other Name
:
Mailing Address
:
600 E HOBSON WAY
BLYTHE
CA
92225-1739
Phone
: 760-922-0284;
Fax
: ;
Practice Location Address
:
600 E HOBSONWAY
,
, BLYTHE
, CA
, 92225-1739
Practice Phone
: 760-922-0284;
Practice Fax
:
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1316032725 -
MS.
MS.
MIRIAM
CLAIRE
GODWIN
MS, LMFT
Other Name
:
Mailing Address
:
625 LYNNDALE CT
SUITE B
GREENVILLE
NC
27858-5463
Phone
: 252-916-9835;
Fax
: 252-215-0057;
Practice Location Address
:
625 LYNNDALE CT
, SUITE B
, GREENVILLE
, NC
, 27858-5463
Practice Phone
: 252-916-9835;
Practice Fax
: 252-215-0057
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1225123631 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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,
,
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: ;
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:
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1134214547 -
BREANNA
M
POND
M.D.
Other Name
:
Mailing Address
:
1414 W FAIR AVENUE
SUITE 390
MARQUETTE
MI
49855
Phone
: 906-225-3881;
Fax
: 906-225-0994;
Practice Location Address
:
1414 W FAIR AVENUE
, SUITE 390
, MARQUETTE
, MI
, 49855
Practice Phone
: 906-225-3881;
Practice Fax
: 906-225-0994
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1043305451 -
DR.
DR.
MICHAEL
ALAN
SCHOLIN
AU.D., CNIM
Other Name
:
Mailing Address
:
27 WATERFORD CIR
MADISON
WI
53719-1588
Phone
: 608-469-2518;
Fax
: 608-273-1762;
Practice Location Address
:
27 WATERFORD CIR
,
, MADISON
, WI
, 53719-1588
Practice Phone
: 608-237-1731;
Practice Fax
: 608-273-1762
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1952496366 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1740375161 -
CARLYN
A
TAMURA
PHD
Other Name
:
Mailing Address
:
820 MILILANI STREET
702A
HONOLULU
HI
96813
Phone
: 808-523-9363;
Fax
: 808-523-9418;
Practice Location Address
:
1600 KAPIOLANI BOULEVARD
, SUITE 1323
, HONOLULU
, HI
, 96814
Practice Phone
: 808-942-9733;
Practice Fax
: 808-942-9734
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1659466076 -
WENDY
GAIL
HALL
MSW, LCSW
Other Name
:
Mailing Address
:
3700 HUM BUG DR
QUINTON
VA
23141-2151
Phone
: 804-514-8529;
Fax
: ;
Practice Location Address
:
3700 HUM BUG DR
,
, QUINTON
, VA
, 23141-2151
Practice Phone
: 804-514-8529;
Practice Fax
:
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1568557981 -
DR.
DR.
RAYMOND
JOSEPH
MINT
OD
Other Name
:
Mailing Address
:
293 MAIN ST
PO BOX 297
OWEGO
NY
13827-1615
Phone
: 607-687-3391;
Fax
: 607-687-4226;
Practice Location Address
:
293 MAIN ST
,
, OWEGO
, NY
, 13827-1615
Practice Phone
: 607-687-3391;
Practice Fax
: 607-687-4226
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1477648897 -
DR.
DR.
BRUCE
DAVID
KAUFMAN
MD
Other Name
:
Mailing Address
:
5 PATRIOTS FARM PLACE
ARMONK
NY
10504
Phone
: 914-725-8855;
Fax
: 914-725-8877;
Practice Location Address
:
5 PATRIOTS FARM PLACE
,
, ARMONK
, NY
, 10504
Practice Phone
: 914-725-8855;
Practice Fax
: 914-725-8877
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1164517587 -
DR.
DR.
R.
BRAD
WATTERS
M.D.
Other Name
:
Mailing Address
:
1001 LAKESIDE AVE E
#1200
CLEVELAND
OH
44114-1158
Phone
: 216-479-5541;
Fax
: 216-479-5554;
Practice Location Address
:
10 SEVERANCE CIR
,
, CLEVELAND HEIGHTS
, OH
, 44118-1533
Practice Phone
: 216-621-5600;
Practice Fax
: 216-297-2542
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1073608493 -
LORA
ANN
PHARIS
OT
Other Name
:
Mailing Address
:
3260 KEITH BRIDGE RD
220
CUMMING
GA
30041
Phone
: 770-886-6282;
Fax
: 770-886-6282;
Practice Location Address
:
3260 KEITH BRIDGE RD
, 220
, CUMMING
, GA
, 30041
Practice Phone
: 770-886-6282;
Practice Fax
: 770-886-6282
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1154416576 -
MRS.
MRS.
HAYLEY
AUTUMN
HOOD
OT
Other Name
:
HAYLEY
AUTUMN
BRIDGES
Mailing Address
:
109 JEREMY DRIVE
CARTERVILLE
IL
62918
Phone
: 618-985-6520;
Fax
: ;
Practice Location Address
:
6 EAST SHAWNEE
,
, MURPHYSBORO
, IL
, 62966
Practice Phone
: 618-684-8018;
Practice Fax
:
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1063507481 -
DAVID
A
KASPARI
RPH
Other Name
:
Mailing Address
:
11506 LAKE COUNTRY DR #4
CROSS LAKE
MN
56442
Phone
: 218-927-3754;
Fax
: 218-927-6349;
Practice Location Address
:
124 MINN AVE N
,
, AITKIN
, MN
, 56431
Practice Phone
: 218-927-3754;
Practice Fax
: 218-927-6349
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1972698397 -
PENELOPE
R
ZIMMERMAN
LMHC
Other Name
:
Mailing Address
:
615 NORTH ALABAMA STREET
SUITE 320
INDIANAPOLIS
IN
46204
Phone
: 317-634-6341;
Fax
: 317-464-9575;
Practice Location Address
:
615 NORTH ALABAMA STREET
, SUITE 320
, INDIANAPOLIS
, IN
, 46204
Practice Phone
: 317-634-6341;
Practice Fax
: 317-464-9575
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1881789204 -
ASMARAWORK
J
MEASHO
ARNP
Other Name
:
Mailing Address
:
PO BOX 34703
SEATTLE
WA
98124
Phone
: 206-764-3335;
Fax
: 206-764-0489;
Practice Location Address
:
7410 E DELAWARE LN
,
, VANCOUVER
, WA
, 98664
Practice Phone
: 360-896-5128;
Practice Fax
: 360-896-5179
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1699860015 -
DR.
DR.
BRIAN
SHANE
FREDERICK
M.D.
Other Name
:
Mailing Address
:
PO BOX 743070
ATLANTA
GA
30374-3070
Phone
: 864-560-4304;
Fax
: 864-560-4413;
Practice Location Address
:
101 E WOOD ST
,
, SPARTANBURG
, SC
, 29303-3040
Practice Phone
: 864-560-7025;
Practice Fax
: 864-560-7388
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1417042839 -
REDNER'S MARKETS, INC.
Other Name
:
REDNER'S PHARMACY #20
Mailing Address
:
5471 POTTSVILLE PIKE
LEESPORT
PA
19533-8633
Phone
: 610-926-3129;
Fax
: 610-916-6854;
Practice Location Address
:
5471 POTTSVILLE PIKE
,
, LEESPORT
, PA
, 19533-8633
Practice Phone
: 610-926-3129;
Practice Fax
: 610-916-6854
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1235224650 -
CONTINUCARE HEALTHSERVICES, INC. - WAIVER
Other Name
:
CONTINUCARE HEALTHSERVICES, INC. - DMRS WAIVER
Mailing Address
:
1501 RIVERSIDE DRIVE
SUITE 350
CHATTANOOGA
TN
37406
Phone
: 423-624-8281;
Fax
: 423-624-0133;
Practice Location Address
:
1501 RIVERSIDE DRIVE
, SUITE 350
, CHATTANOOGA
, TN
, 37406
Practice Phone
: 423-624-8281;
Practice Fax
: 423-624-0133
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1144315565 -
ANGELINA
ESPINOZA-LOPEZ
MD
Other Name
:
Mailing Address
:
9157 APPLEBY ST
DOWNEY
CA
90240-2914
Phone
: 818-795-0712;
Fax
: ;
Practice Location Address
:
818 W. ALONDR A BLVD
,
, COMPTON
, CA
, 90220
Practice Phone
: 310-537-1337;
Practice Fax
:
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1053406470 -
DR.
DR.
JAMAL
HUSSAIN
M.D.
Other Name
:
Mailing Address
:
3110 RT. 27
SUITE 4
KENDALL PARK
NJ
08824-1600
Phone
: 732-422-4889;
Fax
: 732-940-8725;
Practice Location Address
:
3110 RT. 27
, SUITE 4
, KENDALL PARK
, NJ
, 08824-1600
Practice Phone
: 732-422-4889;
Practice Fax
: 732-940-8725
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1962597385 -
DR.
DR.
OTIS
EDWARD
TILLMAN
JR.
M.D.
Other Name
:
Mailing Address
:
1942 NORTH AVENUE
COLUMBUS
GA
31901
Phone
: 706-596-1245;
Fax
: 706-576-4245;
Practice Location Address
:
1942 NORTH AVENUE
,
, COLUMBUS
, GA
, 31901
Practice Phone
: 706-596-1245;
Practice Fax
: 706-576-4245
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1598850927 -
MR.
MR.
GREGORY
J
PLAS
PHAMACIST
Other Name
:
Mailing Address
:
50475 BARES RUN RD
BOX 91
HANNIBAL
OH
43931-0091
Phone
: 740-483-2371;
Fax
: 304-455-2174;
Practice Location Address
:
155 NORTH ST
,
, NEW MARTINSVILLE
, WV
, 26155
Practice Phone
: 304-455-2171;
Practice Fax
: 304-455-2174
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1407941834 -
MRS.
MRS.
BRIDGET
BRENNAN
DOLAN
RPH
Other Name
:
BRIDGET
HELEN
BRENNAN
Mailing Address
:
1481 W. 10TH ST
INDIANAPOLIS
IN
46202
Phone
: 317-988-2828;
Fax
: ;
Practice Location Address
:
1481 W. 10TH ST
,
, INDIANAPOLIS
, IN
, 46202
Practice Phone
: 317-988-1996;
Practice Fax
:
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1316032741 -
DR.
DR.
SAGUN
D
GOYAL
M.D.
Other Name
:
Mailing Address
:
3655 VISTA AVENUE
ST. LOUIS
MO
63110
Phone
: 314-577-8854;
Fax
: 314-362-6959;
Practice Location Address
:
3655 VISTA AVENUE
,
, ST. LOUIS
, MO
, 63110
Practice Phone
: 314-577-6057;
Practice Fax
: 314-773-1167
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1225123656 -
DR.
DR.
STILES
TURNER
JEWETT
JR.
M.D.
Other Name
:
Mailing Address
:
12400 NW CORNELL RD
SUITE 200
PORTLAND
OR
97229-5616
Phone
: 503-646-0101;
Fax
: 503-350-1420;
Practice Location Address
:
12400 NW CORNELL RD
, SUITE 200
, PORTLAND
, OR
, 97229-5616
Practice Phone
: 503-646-0101;
Practice Fax
: 503-350-1420
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1134214562 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1043305477 -
JAMIE
A.
KALLMAN
P.A.-C.
Other Name
:
JAMIE
A.
QUALLS
Mailing Address
:
350 ELAINE DR
SUITE 204
LEXINGTON
KY
40504-2754
Phone
: 859-258-4508;
Fax
: 859-258-6122;
Practice Location Address
:
100 NORTH EAGLE CREEK DRIVE
,
, LEXINGTON
, KY
, 40509
Practice Phone
: 859-258-5102;
Practice Fax
: 859-258-5177
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1689769010 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1497840821 -
CASTLEBERRY DRUG COMPANY, LLC
Other Name
:
Mailing Address
:
P.O. BOX 188
FORSYTH
GA
31029
Phone
: 478-994-2051;
Fax
: 478-994-3014;
Practice Location Address
:
67 N. LEE ST
,
, FORSYTH
, GA
, 31029
Practice Phone
: 478-994-2051;
Practice Fax
: 478-994-3014
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1396830725 -
DR.
DR.
DOUGLAS
J
WARD
M.D.
Other Name
:
Mailing Address
:
1737 20TH ST, NW
WASHINGTON
DC
20009
Phone
: 202-745-0201;
Fax
: 202-332-2794;
Practice Location Address
:
1737 20TH ST, NW
,
, WASHINGTON
, DC
, 20009
Practice Phone
: 202-745-0201;
Practice Fax
: 202-332-2794
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1205921632 -
DR.
DR.
JOHN
P
RAKUTT
DMD
Other Name
:
Mailing Address
:
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
501 S. PRESTON ST.
LOUISVILLE
KY
40292
Phone
: 502-852-5128;
Fax
: 502-852-7163;
Practice Location Address
:
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
, 501 S. PRESTON ST.
, LOUISVILLE
, KY
, 40292
Practice Phone
: 502-852-5128;
Practice Fax
: 502-852-7163
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1114012549 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1023103454 -
CARMEN
N.
SCROGGIN
M.A., LPC
Other Name
:
Mailing Address
:
9200 INWOOD ROAD STE. 201
DALLAS
TX
75220
Phone
: 214-706-9545;
Fax
: 214-692-0803;
Practice Location Address
:
9200 INWOOD ROAD STE. 201
,
, DALLAS
, TX
, 75220
Practice Phone
: 214-706-9545;
Practice Fax
: 214-692-0803
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1932294360 -
DR.
DR.
FERNANDO
RAMON
VALERIO
M.D.
Other Name
:
Mailing Address
:
13 SEMINARY HILL APT. A
WEST LEBANON
NH
03784
Phone
: 603-650-4642;
Fax
: 603-650-0614;
Practice Location Address
:
ONE MEDICAL CENTER DRIVE
,
, LEBANON
, NH
, 03756
Practice Phone
: 603-650-4642;
Practice Fax
: 603-650-0614
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1841385275 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1487749818 -
HAYMAN MULTI-CARE, P.L.C.
Other Name
:
Mailing Address
:
3103 CLEARWATER DR STE B
PRESCOTT
AZ
86305-7165
Phone
: 928-774-9428;
Fax
: 928-776-9214;
Practice Location Address
:
3109 CLEARWATER DR
, SUITE B
, PRESCOTT
, AZ
, 86305-7154
Practice Phone
: 928-774-9428;
Practice Fax
:
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1295820629 -
GLADYS
LAROCHE
MD
Other Name
:
Mailing Address
:
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN
NY
11206
Phone
: 718-963-8000;
Fax
: 718-630-3122;
Practice Location Address
:
760 BROADWAY
, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
, BROOKLYN
, NY
, 11206
Practice Phone
: 718-963-8000;
Practice Fax
: 718-693-3724
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1104911536 -
MS.
MS.
ALISHA
K
ERSLAND
OTR/L
Other Name
:
Mailing Address
:
516 SW 38TH TERRACE
MOORE
OK
73160
Phone
: 405-378-2529;
Fax
: ;
Practice Location Address
:
516 SW 38TH TERRACE
,
, MOORE
, OK
, 73160
Practice Phone
: 405-378-2529;
Practice Fax
:
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1013002443 -
DR.
DR.
LOUIS
EARL
EPSTEIN
PH. D.
Other Name
:
Mailing Address
:
3333 BARDSTOWN ROAD
LOUISVILLE
KY
40218
Phone
: 502-459-7433;
Fax
: 502-459-5650;
Practice Location Address
:
3333 BARDSTOWN ROAD
,
, LOUISVILLE
, KY
, 40218
Practice Phone
: 502-459-7433;
Practice Fax
: 502-459-5650
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1922193358 -
NANTADLA
Z
ABINADER
SR.
DDS
Other Name
:
Mailing Address
:
8301 ARLINGTON BLVD SUITE T#1
FAIRFAX
VA
22031
Phone
: 703-204-9200;
Fax
: 703-204-9206;
Practice Location Address
:
8301 ARLINGTON BLVD SUITE T#1
,
, FAIRFAX
, VA
, 22031
Practice Phone
: 703-204-9200;
Practice Fax
: 703-204-9206
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1831284264 -
MS.
MS.
JILL
ABSHER
PA-C
Other Name
:
JILL
CRESPI
Mailing Address
:
PO BOX 3988
CARBONDALE
IL
62902-3988
Phone
: 618-457-5200;
Fax
: ;
Practice Location Address
:
2601 W MAIN ST
,
, CARBONDALE
, IL
, 62901-1031
Practice Phone
: 618-549-5361;
Practice Fax
: 618-351-4878
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1740375179 -
DR.
DR.
JAN
A
BOSSERMAN
D.D.S.
Other Name
:
Mailing Address
:
2138 BROOKDALE RD
TOLEDO
OH
43606-3322
Phone
: 419-531-4626;
Fax
: 419-531-6403;
Practice Location Address
:
2138 BROOKDALE RD
,
, TOLEDO
, OH
, 43606-3322
Practice Phone
: 419-531-4626;
Practice Fax
: 419-531-6403
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1659466084 -
MS.
MS.
HILLARI
SARA
NEU
DPT
Other Name
:
Mailing Address
:
1 VETERANS DRIVE
MINNEAPOLIS
MN
55417
Phone
: 612-467-3072;
Fax
: ;
Practice Location Address
:
1 VETERANS DRIVE
,
, MINNEAPOLIS
, MN
, 55417
Practice Phone
: 612-467-3072;
Practice Fax
:
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1568557999 -
JOANNE
ELLEN
LUCIER
MSW
Other Name
:
Mailing Address
:
227 KATHERYN STREET
MASO
MI
48854
Phone
: 517-676-2891;
Fax
: ;
Practice Location Address
:
4970 NORTHWIND
, STE. 220
, EAST LANSING
, MI
, 48823-5032
Practice Phone
: 517-333-7115;
Practice Fax
: 989-345-5803
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1477648806 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
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1386739712 -
JOHN
C
ANDERSON
LPC
Other Name
:
Mailing Address
:
402 S SILVER SPRINGS ROAD
CAPE GIRARDEAU
MO
63703
Phone
: 573-334-1100;
Fax
: 573-651-4345;
Practice Location Address
:
402 S SILVER SPRINGS ROAD
,
, CAPE GIRARDEAU
, MO
, 63703
Practice Phone
: 573-334-1100;
Practice Fax
: 573-651-4345
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1194810523 -
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: ;
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1003901430 -
DANE
HASSANI
MD
Other Name
:
Mailing Address
:
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON
ME
04243-7291
Phone
: 207-777-8560;
Fax
: 207-777-8800;
Practice Location Address
:
360 BROADWAY
,
, BANGOR
, ME
, 04401-3979
Practice Phone
: 207-907-1430;
Practice Fax
: 207-907-3508
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1912092347 -
THI KIM
TRANG
NGUYEN
Other Name
:
Mailing Address
:
2211 LOGANS MILL TRAIL
CHESAPEAKE
VA
23320
Phone
: 703-307-4856;
Fax
: 757-489-9227;
Practice Location Address
:
4712 HAMPTON BLVD
,
, NORFOLK
, VA
, 23508
Practice Phone
: 757-489-4848;
Practice Fax
: 757-489-9227
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1821183252 -
JOHN
T
LIM
M.D.
Other Name
:
Mailing Address
:
DEPT LA 21555
PASADENA
CA
91185-1555
Phone
: 949-263-8620;
Fax
: 949-263-1639;
Practice Location Address
:
1 HOAG DR
,
, NEWPORT BEACH
, CA
, 92663-4162
Practice Phone
: 949-263-8620;
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:
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1730274168 -
DR.
DR.
THOMAS
RICHARD
EUBANKS
D.O.
Other Name
:
Mailing Address
:
9200 SE 91ST AVE
STE 320
PORTLAND
OR
97086-6756
Phone
: 503-353-3005;
Fax
: 503-546-3201;
Practice Location Address
:
9200 SE 91ST AVE
, STE 320
, PORTLAND
, OR
, 97086-6756
Practice Phone
: 503-353-3005;
Practice Fax
: 503-546-3201
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1649365073 -
JESSICA
CABRAL
PT
Other Name
:
Mailing Address
:
1754 DIAMOND HILL RD
APT 2R
CUMBERLAND
RI
02864-5537
Phone
: 401-385-9530;
Fax
: 401-385-9532;
Practice Location Address
:
1754 DIAMOND HILL RD
, APT 2R
, CUMBERLAND
, RI
, 02864-5537
Practice Phone
: 401-385-9530;
Practice Fax
: 401-385-9532
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1558456988 -
ROMIE LANE PHARMACY, INC
Other Name
:
Mailing Address
:
505 E ROMIE LN
SALINAS
CA
93901-4031
Phone
: 831-424-0395;
Fax
: 831-424-7949;
Practice Location Address
:
505 E ROMIE LN
,
, SALINAS
, CA
, 93901-4031
Practice Phone
: 831-424-0395;
Practice Fax
: 831-424-7949
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