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Showing codes 1295799286 — 1871557868
1295799286 -
ELIZABETH
HARMAN
JONES
P.T.
Other Name
:
Mailing Address
:
812 S PARK ST
CARROLLTON
GA
30117-4412
Phone
: 770-834-7436;
Fax
: 770-830-5954;
Practice Location Address
:
812 S PARK ST
,
, CARROLLTON
, GA
, 30117-4412
Practice Phone
: 770-834-7436;
Practice Fax
: 770-830-5954
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1104880194 -
DR.
DR.
JOHN
GEORGE
M.D.
Other Name
:
Mailing Address
:
576 JEFFERSON AVE
FORT EUSTIS
VA
23604-1373
Phone
: 757-314-7617;
Fax
: 757-314-7993;
Practice Location Address
:
576 JEFFERSON AVE
,
, NEWPORT NEWS
, VA
, 23604-1373
Practice Phone
: 757-314-7993;
Practice Fax
:
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1013971001 -
DR.
DR.
MARK
S.
ANDERSON
MD
Other Name
:
Mailing Address
:
1635 DIVISADERO STREET, SUITE 625, BOX 1821
SAN FRANCISCO
CA
94143-0001
Phone
: ;
Fax
: ;
Practice Location Address
:
400 PARNASSUS AVE
,
, SAN FRANCISCO
, CA
, 94143-2202
Practice Phone
: 415-353-2266;
Practice Fax
: 415-353-2392
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1922062918 -
THOMAS
A
GAPP
M.D.
Other Name
:
Mailing Address
:
7501 S 70TH ST
LINCOLN
NE
68516-2625
Phone
: 402-421-7502;
Fax
: 402-484-4476;
Practice Location Address
:
7601 PIONEERS BLVD
,
, LINCOLN
, NE
, 68506-4675
Practice Phone
: 402-484-6677;
Practice Fax
: 402-484-4476
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1831153824 -
DR.
DR.
ANN
MARIE
MURPHY
M.D.
Other Name
:
Mailing Address
:
9401 E 30TH ST S
INDEPENDENCE
MO
64052-1331
Phone
: 816-665-3454;
Fax
: ;
Practice Location Address
:
2305 S HIGHWAY 65
,
, MARSHALL
, MO
, 65340-3702
Practice Phone
: 660-886-7431;
Practice Fax
: 660-831-3314
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1740244730 -
DR.
DR.
ALI
L
MOUSTAPHA
MD
Other Name
:
Mailing Address
:
1604 HOSPITAL PKWY STE 301
BEDFORD
TX
76022-6931
Phone
: 817-684-9970;
Fax
: 844-290-4362;
Practice Location Address
:
1604 HOSPITAL PKWY
, SUITE 301
, BEDFORD
, TX
, 76022-6986
Practice Phone
: 817-684-9970;
Practice Fax
: 844-290-4362
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1659335644 -
MARK
ANDREW
ROSS
MD
Other Name
:
Mailing Address
:
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS
VA
23601-1318
Phone
: ;
Fax
: ;
Practice Location Address
:
1000 OLD DENBIGH BLVD
, SUITE 1020A
, NEWPORT NEWS
, VA
, 23602-2017
Practice Phone
: 757-875-2050;
Practice Fax
: 757-875-2070
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1568426559 -
DR.
DR.
GEORGE
FRANK
SCHMID
M.D.
Other Name
:
Mailing Address
:
714 S WHITE HORSE PIKE
AUDUBON
NJ
08106-1326
Phone
: 856-547-6151;
Fax
: 856-547-3477;
Practice Location Address
:
714 S WHITE HORSE PIKE
,
, AUDUBON
, NJ
, 08106-1326
Practice Phone
: 856-547-6151;
Practice Fax
: 856-547-3477
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1477517464 -
NANCY
MANUBAY
PA-C
Other Name
:
Mailing Address
:
137 GRANDE BLVD
SINKING SPRING
PA
19608-9348
Phone
: 610-217-3745;
Fax
: ;
Practice Location Address
:
4400 PENN AVE
,
, SINKING SPRING
, PA
, 19608-8621
Practice Phone
: 610-670-2522;
Practice Fax
: 610-670-7736
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1386608370 -
DR.
DR.
WILLIAM
H
NESBITT
MD
Other Name
:
Mailing Address
:
4375 BOOTH CALLOWAY RD STE 505
NORTH RICHLAND HILLS
TX
76180-8359
Phone
: 972-566-4822;
Fax
: 972-566-4170;
Practice Location Address
:
4375 BOOTH CALLOWAY RD STE 507
,
, NORTH RICHLAND HILLS
, TX
, 76180-8368
Practice Phone
: 972-566-4822;
Practice Fax
: 972-566-4170
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1194789180 -
MR.
MR.
MICHAEL
WILLIAM
GILLUM
MA
Other Name
:
Mailing Address
:
705 WASHINGTON BLVD STE 100
WILLIAMSPORT
PA
17701-5355
Phone
: 570-321-6390;
Fax
: 570-321-6393;
Practice Location Address
:
705 WASHINGTON BLVD STE 100
,
, WILLIAMSPORT
, PA
, 17701-5355
Practice Phone
: 570-321-6390;
Practice Fax
: 570-321-6393
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1003870098 -
FABER
A
WHITE
MD
Other Name
:
Mailing Address
:
PO BOX 65978
CHARLOTTE
NC
28265-0978
Phone
: 501-771-4693;
Fax
: 501-771-4885;
Practice Location Address
:
1701 S SHACKLEFORD RD
,
, LITTLE ROCK
, AR
, 72211-4335
Practice Phone
: 501-219-7481;
Practice Fax
:
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1912961905 -
DR.
DR.
BUFORD
EUGENE
BERRY
M.D.
Other Name
:
Mailing Address
:
2717 E LAKESHORE DR
BATON ROUGE
LA
70808-2151
Phone
: 225-387-2707;
Fax
: 225-387-2718;
Practice Location Address
:
7777 HENNESSY BLVD
, SUITE 1008
, BATON ROUGE
, LA
, 70808-4300
Practice Phone
: 225-766-0416;
Practice Fax
: 225-769-9212
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1821052812 -
DR.
DR.
MOHAMMAD
KHAWAR
ISMAIL
MD
Other Name
:
Mailing Address
:
220 WILSON ST
SUITE 210
CARLISLE
PA
17013-3697
Phone
: 717-249-8283;
Fax
: 717-249-8254;
Practice Location Address
:
220 WILSON ST
, SUITE 210
, CARLISLE
, PA
, 17013-3697
Practice Phone
: 717-249-8286;
Practice Fax
: 717-249-8254
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1730143728 -
DR.
DR.
VANDANA
JAIN
MD
Other Name
:
Mailing Address
:
4905 OLD ORCHARD CTR
LOWER LEVEL
SKOKIE
IL
60077-1425
Phone
: 847-679-6707;
Fax
: 847-679-6721;
Practice Location Address
:
4905 OLD ORCHARD CTR
, LOWER LEVEL
, SKOKIE
, IL
, 60077-1425
Practice Phone
: 847-679-6707;
Practice Fax
: 847-679-6721
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1649234634 -
DR.
DR.
BRANDY
R
MATTHEWS
MD
Other Name
:
Mailing Address
:
250 N SHADELAND AVE
STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS
IN
46219-4959
Phone
: ;
Fax
: ;
Practice Location Address
:
1001 W 10TH ST
, 4TH FLOOR
, INDIANAPOLIS
, IN
, 46202-2859
Practice Phone
: 317-630-7979;
Practice Fax
: 317-630-2668
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1558325548 -
MR.
MR.
THOMAS
EDWARD
HOHN
JR.
CPHT, P.A.H.M.
Other Name
:
Mailing Address
:
7009 BLACKHAWK ST
PITTSBURGH
PA
15218-2321
Phone
: 412-317-1768;
Fax
: 412-317-1769;
Practice Location Address
:
7009 BLACKHAWK ST
,
, PITTSBURGH
, PA
, 15218-2321
Practice Phone
: 412-317-1768;
Practice Fax
: 412-317-1769
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1467416453 -
KEVIN
R
GILLESPIE
M.D.
Other Name
:
Mailing Address
:
7601 PIONEERS BLVD
LINCOLN
NE
68506-4675
Phone
: 402-484-6677;
Fax
: ;
Practice Location Address
:
7601 PIONEERS BLVD
,
, LINCOLN
, NE
, 68506-4675
Practice Phone
: 402-484-6677;
Practice Fax
: 402-484-4476
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1376507368 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1285698274 -
MARY BETH
WALSH
PT
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8051;
Fax
: ;
Practice Location Address
:
133 BROOKLINE AVE
,
, BOSTON
, MA
, 02215-3904
Practice Phone
: 617-421-1347;
Practice Fax
:
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1093779084 -
DR.
DR.
DAVID
YING FOONG
CHIOU
M.D.
Other Name
:
DAVID
CHIOU
Mailing Address
:
157 N SEYMOUR AVE
MUNDELEIN
IL
60060-2304
Phone
: 847-566-0300;
Fax
: 847-566-2818;
Practice Location Address
:
157 N SEYMOUR AVE
,
, MUNDELEIN
, IL
, 60060-2304
Practice Phone
: 847-566-0300;
Practice Fax
: 847-566-2818
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1902860992 -
JOHN
D
WILLIAMS
P.T.
Other Name
:
Mailing Address
:
690 DALLAS HWY STE 203
VILLA RICA
GA
30180-1263
Phone
: 770-459-4555;
Fax
: 770-459-2550;
Practice Location Address
:
690 DALLAS HWY STE 203
,
, VILLA RICA
, GA
, 30180-1263
Practice Phone
: 770-459-4550;
Practice Fax
: 770-459-2550
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1811951809 -
ROBYN
STACY
THOMPSON
MPT
Other Name
:
Mailing Address
:
3150 COON CLUB RD
HAMPSTEAD
MD
21074-1704
Phone
: 410-374-9385;
Fax
: ;
Practice Location Address
:
914 WASHINGTON RD
, SUITE D
, WESTMINSTER
, MD
, 21157-5844
Practice Phone
: 410-848-1722;
Practice Fax
: 410-848-4079
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1720042716 -
DR.
DR.
JAMES
F
NORCROSS
MD
Other Name
:
Mailing Address
:
16980 DALLAS PKWY
SUITE 200
DALLAS
TX
75248-1908
Phone
: 817-461-8327;
Fax
: 844-290-4366;
Practice Location Address
:
902 W RANDOL MILL RD
, SUITE 200
, ARLINGTON
, TX
, 76012-2572
Practice Phone
: 817-461-8327;
Practice Fax
: 844-290-4366
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1639133622 -
DR.
DR.
JONATHAN
GERENSKI
DPT
Other Name
:
Mailing Address
:
490 COLLINS ST
AVON
NY
14414-1466
Phone
: 585-271-3380;
Fax
: 585-271-2728;
Practice Location Address
:
490 COLLINS ST
,
, AVON
, NY
, 14414-1466
Practice Phone
: 585-226-2485;
Practice Fax
:
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1548224538 -
WILLIAM
K
INGHAM
M.D.
Other Name
:
Mailing Address
:
7601 PIONEERS BLVD
LINCOLN
NE
68506-4675
Phone
: 402-484-6677;
Fax
: ;
Practice Location Address
:
7601 PIONEERS BLVD
,
, LINCOLN
, NE
, 68506-4675
Practice Phone
: 402-484-6677;
Practice Fax
: 402-484-4476
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1457315442 -
THOMAS
J
WHIPPLE
PT
Other Name
:
Mailing Address
:
PO BOX 854
MC A410
HERSHEY
PA
17033-0854
Phone
: 800-233-4082;
Fax
: ;
Practice Location Address
:
1850 E PARK AVE
, STE 112
, STATE COLLEGE
, PA
, 16803-6706
Practice Phone
: 800-233-4082;
Practice Fax
:
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1366406357 -
DR.
DR.
MARK
G
ZUKAITIS
M.D.
Other Name
:
Mailing Address
:
PO BOX 5615
FRESNO
CA
93755-5615
Phone
: 559-436-1000;
Fax
: 559-354-4235;
Practice Location Address
:
2825 RANDOLPH RD
,
, CHARLOTTE
, NC
, 28211-1075
Practice Phone
: 704-377-1647;
Practice Fax
: 704-358-8267
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1275597262 -
JOSHUA
B
SMITHSON
M.D.
Other Name
:
Mailing Address
:
222 22ND AVE N
NASHVILLE
TN
37203-1852
Phone
: 629-255-3486;
Fax
: ;
Practice Location Address
:
2325 CRESTMOOR RD STE 201
,
, NASHVILLE
, TN
, 37215-2027
Practice Phone
: 629-255-2210;
Practice Fax
: 629-255-4088
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1184688178 -
DR.
DR.
KAREN
LYNN
PORTE
MD.
Other Name
:
Mailing Address
:
3015 S CONNECTICUT
JOPLIN
MO
64804
Phone
: 417-621-6600;
Fax
: 417-621-6612;
Practice Location Address
:
3015 S CONNECTICUT
,
, JOPLIN
, MO
, 64804
Practice Phone
: 417-621-6600;
Practice Fax
: 417-621-6612
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1992769988 -
CAROL
MOWATT
CNS
Other Name
:
Mailing Address
:
PO BOX 3238
BOSTON
MA
02241-3238
Phone
: 866-689-8862;
Fax
: ;
Practice Location Address
:
164 SUMMIT AVE
,
, PROVIDENCE
, RI
, 02906-2853
Practice Phone
: 401-793-4500;
Practice Fax
:
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1801850896 -
NANCY
LAWLER
LCPC
Other Name
:
Mailing Address
:
1725 S NAPERVILLE RD
SUITE 206
WHEATON
IL
60187-8155
Phone
: 630-653-6441;
Fax
: 630-653-8409;
Practice Location Address
:
1725 S NAPERVILLE RD
, SUITE 206
, WHEATON
, IL
, 60187-8155
Practice Phone
: 630-653-6441;
Practice Fax
: 630-653-8409
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1710941703 -
LORI
S
JETER
P.T.
Other Name
:
Mailing Address
:
1805 VERNON ROAD
STUITE A
LAGRANGE
GA
30240-3871
Phone
: 706-845-9383;
Fax
: 706-845-9482;
Practice Location Address
:
1805 VERNON ROAD
, STUITE A
, LAGRANGE
, GA
, 30240-3871
Practice Phone
: 706-845-9383;
Practice Fax
: 706-845-9482
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1629032610 -
TOTAL RENAL CARE INC
Other Name
:
WEST BOUNTIFUL DIALYSIS
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-341-6814;
Fax
: 800-293-8405;
Practice Location Address
:
724 W 500 S
, STE 300
, WEST BOUNTIFUL
, UT
, 84087
Practice Phone
: 801-296-9091;
Practice Fax
: 801-296-9094
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1538123526 -
ERIC
J
POTTHOFF
D.O.
Other Name
:
Mailing Address
:
250 S CRESCENT DR
MASON CITY
IA
50401-2926
Phone
: 641-494-5210;
Fax
: 641-494-5403;
Practice Location Address
:
250 S CRESCENT DR
,
, MASON CITY
, IA
, 50401-2926
Practice Phone
: 641-494-5210;
Practice Fax
: 641-494-5214
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1447214432 -
DR.
DR.
JESSICA
W.
LEUNG
MD
Other Name
:
Mailing Address
:
PO BOX 4439
HOUSTON
TX
77210-4439
Phone
: 713-792-2991;
Fax
: ;
Practice Location Address
:
1515 HOLCOMBE BLVD
,
, HOUSTON
, TX
, 77030-4009
Practice Phone
: 713-792-6161;
Practice Fax
:
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1356305346 -
STACY
L
RITZMAN
MD
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 216-986-1314;
Fax
: 216-986-1191;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1265496251 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1174587166 -
DR.
DR.
BRUCE
D
LEUCHTER
M.D.
Other Name
:
Mailing Address
:
1300 YORK AVE
DEPARTMENT OF PSYCHIATRY
NEW YORK
NY
10065-4805
Phone
: 212-746-3427;
Fax
: ;
Practice Location Address
:
1300 YORK AVE
, DEPARTMENT OF PSYCHIATRY
, NEW YORK
, NY
, 10065-4805
Practice Phone
: 212-746-3427;
Practice Fax
:
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1114981156 -
RADHAKRISHNA
KUKKILLAYA
M.D.
Other Name
:
Mailing Address
:
PO BOX 58187
CHARLESTON
WV
25358-0187
Phone
: 304-792-6282;
Fax
: 304-792-6290;
Practice Location Address
:
38 HOSPITAL DR
,
, LOGAN
, WV
, 25601-3452
Practice Phone
: 304-792-6282;
Practice Fax
: 304-792-6290
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1023072063 -
ALDERFER AND KUPERSMITH ASSOCIATES
Other Name
:
STONERIDGE OB/GYN
Mailing Address
:
670 LAWN AVE
SUITE 4
SELLERSVILLE
PA
18960-1571
Phone
: 215-257-0414;
Fax
: 215-257-1740;
Practice Location Address
:
670 LAWN AVE
, SUITE 4
, SELLERSVILLE
, PA
, 18960-1571
Practice Phone
: 215-257-0414;
Practice Fax
: 215-257-1740
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1932163979 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1104880186 -
MS.
MS.
CHENOBIA
WEBSTER
LCSW
Other Name
:
Mailing Address
:
3175 LENOX PARK BLVD
SUITE 412
MEMPHIS
TN
38115-4260
Phone
: 901-273-2368;
Fax
: 901-273-2351;
Practice Location Address
:
3175 LENOX PARK BLVD
, SUITE 412
, MEMPHIS
, TN
, 38115-4260
Practice Phone
: 901-273-2368;
Practice Fax
: 901-273-2351
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1013971092 -
DONAL
KEVIN
GORDON
MD
Other Name
:
Mailing Address
:
PO BOX 2205
CEDAR RAPIDS
IA
52406-2205
Phone
: 319-730-7300;
Fax
: ;
Practice Location Address
:
1201 3RD AVE SE
,
, CEDAR RAPIDS
, IA
, 52403-4009
Practice Phone
: 319-730-7300;
Practice Fax
:
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1922062900 -
PEGGY
BONDS
CRNA
Other Name
:
Mailing Address
:
PO BOX 190670
LITTLE ROCK
AR
72219-0670
Phone
: 501-771-4693;
Fax
: 501-771-4885;
Practice Location Address
:
3333 SPRINGHILL DR
,
, NORTH LITTLE ROCK
, AR
, 72117-2922
Practice Phone
: 501-202-3000;
Practice Fax
:
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1831153816 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
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: ;
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:
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1740244722 -
REX
T
RAPER
DDS
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1659335636 -
DR.
DR.
MITCHELL
ROBERT
GOLDSTEIN
M.D.
Other Name
:
Mailing Address
:
107 N EDDY ST
SOUTH BEND
IN
46617-2920
Phone
: 574-246-1036;
Fax
: 574-246-1634;
Practice Location Address
:
107 N EDDY ST
,
, SOUTH BEND
, IN
, 46617-2920
Practice Phone
: 574-246-1036;
Practice Fax
: 574-246-1634
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1568426542 -
ROBERT
GEORGE
OGDEE
MD
Other Name
:
Mailing Address
:
305 SANDY CORNER RD
EL CAMPO
TX
77437-9535
Phone
: 979-543-5510;
Fax
: 979-543-5510;
Practice Location Address
:
305 SANDY CORNER RD
,
, EL CAMPO
, TX
, 77437-9535
Practice Phone
: 979-543-5510;
Practice Fax
: 979-543-5510
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1477517456 -
DR.
DR.
STEPHEN
J
LENHOFF
MD
Other Name
:
Mailing Address
:
16980 DALLAS PKWY
SUITE 200
DALLAS
TX
75248-1908
Phone
: 817-461-3003;
Fax
: 817-469-6156;
Practice Location Address
:
902 W RANDOL MILL RD
, SUITE 200
, ARLINGTON
, TX
, 76012-2572
Practice Phone
: 817-461-3003;
Practice Fax
: 817-469-6156
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1386608362 -
DR.
DR.
JONATHAN
PAUL
MUELLER
M.D.
Other Name
:
Mailing Address
:
11240 KASKANAK CIR
EAGLE RIVER
AK
99577-7228
Phone
: 907-622-8452;
Fax
: 907-257-4717;
Practice Location Address
:
2925 DEBARR RD
, SUITE 1600
, ANCHORAGE
, AK
, 99508-2983
Practice Phone
: 907-257-7414;
Practice Fax
: 907-257-4717
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1194789172 -
SOUTHEASTERN DERMATOLOGY CENTERS
Other Name
:
Mailing Address
:
PO BOX 13128
BIRMINGHAM
AL
35202-3128
Phone
: 205-715-5904;
Fax
: 205-715-5928;
Practice Location Address
:
817 PRINCETON AVE SW
, POB II, SUITE 302
, BIRMINGHAM
, AL
, 35211-1333
Practice Phone
: 205-781-6995;
Practice Fax
: 205-781-8783
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1003870080 -
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:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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: ;
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:
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1912961996 -
DIVERSIFIED COMMUNITY SERVICES, INC.
Other Name
:
Mailing Address
:
1651 E MAIN ST
COLUMBUS
OH
43205-2118
Phone
: 614-253-8444;
Fax
: 614-252-6787;
Practice Location Address
:
1651 E MAIN ST
,
, COLUMBUS
, OH
, 43205-2118
Practice Phone
: 614-253-8444;
Practice Fax
: 614-252-6787
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1821052804 -
DR.
DR.
HODA
SEIF
M.D.
Other Name
:
Mailing Address
:
210 N TUSTIN AVE
SANTA ANA
CA
92705-3807
Phone
: 800-883-7243;
Fax
: 714-647-1245;
Practice Location Address
:
1050 LINDEN AVE
,
, LONG BEACH
, CA
, 90813-3321
Practice Phone
: 800-883-7243;
Practice Fax
:
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1730143710 -
TRACY
SHERMAN
CRNA
Other Name
:
Mailing Address
:
555 N DUKE ST
LANCASTER
PA
17602-2250
Phone
: 717-544-5511;
Fax
: ;
Practice Location Address
:
169 MARTIN AVE
,
, EPHRATA
, PA
, 17522-1734
Practice Phone
: 717-733-0311;
Practice Fax
:
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1649234626 -
CENTRAL FLORIDA CARDIOVASCULAR CENTER PA
Other Name
:
Mailing Address
:
1691 MAYO DR.
TAVARES
FL
32778
Phone
: 352-253-0003;
Fax
: 352-253-0016;
Practice Location Address
:
1691 MAYO DR.
,
, TAVARES
, FL
, 32778
Practice Phone
: 352-253-0003;
Practice Fax
: 352-253-0016
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1356305338 -
GATEWAY COMMUNITY SERVICES, INC.
Other Name
:
Mailing Address
:
555 STOCKTON ST
JACKSONVILLE
FL
32204-2534
Phone
: 904-387-4661;
Fax
: 904-384-5753;
Practice Location Address
:
555 STOCKTON ST
,
, JACKSONVILLE
, FL
, 32204-2534
Practice Phone
: 904-387-4661;
Practice Fax
: 904-384-5753
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1265496244 -
RIVERSIDE HEALTH CARE CORPORATION
Other Name
:
RIVERSIDE HEALTH CARE
Mailing Address
:
1469 HUMBOLDT RD
SUITE #175
CHICO
CA
95928-9116
Phone
: ;
Fax
: ;
Practice Location Address
:
1469 HUMBOLDT RD
, SUITE #175
, CHICO
, CA
, 95928-9116
Practice Phone
: 530-897-5100;
Practice Fax
: 530-897-5105
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1174587158 -
DR.
DR.
QIANG
LI
M.D.
Other Name
:
Mailing Address
:
1255 S CEDAR CREST BLVD
SUITE 3600
ALLENTOWN
PA
18103-6256
Phone
: 610-770-1606;
Fax
: 610-740-0560;
Practice Location Address
:
1200 S CEDAR CREST BLVD
,
, ALLENTOWN
, PA
, 18103-6202
Practice Phone
: 610-402-8080;
Practice Fax
:
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1083678064 -
DR.
DR.
JINNY
K
YOO
MD
Other Name
:
Mailing Address
:
100 EAST ST SE
SUITE 301
VIENNA
VA
22180-4800
Phone
: 703-938-5555;
Fax
: 703-319-8580;
Practice Location Address
:
100 EAST ST SE
, SUITE 301
, VIENNA
, VA
, 22180-4800
Practice Phone
: 703-938-5555;
Practice Fax
: 703-319-8580
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1891759874 -
DR.
DR.
JAMES
M
WEISS
M.D.
Other Name
:
Mailing Address
:
520 SUPERIOR AVE
STE 285
NEWPORT BEACH
CA
92663-3637
Phone
: 949-566-8179;
Fax
: 888-565-6545;
Practice Location Address
:
520 SUPERIOR AVE
, STE 285
, NEWPORT BEACH
, CA
, 92663-3637
Practice Phone
: 949-566-8179;
Practice Fax
: 888-565-6545
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1700840782 -
BARRY
R
FABRIZIANI
O.D.
Other Name
:
Mailing Address
:
286 GRIFFEN ST
PHOENIXVILLE
PA
19460-4448
Phone
: 610-933-1144;
Fax
: 610-933-7067;
Practice Location Address
:
286 GRIFFEN ST
,
, PHOENIXVILLE
, PA
, 19460-4448
Practice Phone
: 610-933-1144;
Practice Fax
: 610-933-7067
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1619931698 -
DR.
DR.
JAMES
DAWSON
HEFFELFINGER
M.D.
Other Name
:
Mailing Address
:
1370 MONTREAL RD
SUITE 130
TUCKER
GA
30084-8128
Phone
: 770-939-1901;
Fax
: 770-270-1711;
Practice Location Address
:
1370 MONTREAL RD
, SUITE 130
, TUCKER
, GA
, 30084-8128
Practice Phone
: 770-939-1901;
Practice Fax
: 770-270-1711
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1528022506 -
PETERSBURG CLINIC COMPANY, LLC
Other Name
:
HEALTH CARE PLUS
Mailing Address
:
436 CLAREMONT CT
SUITE 100
COLONIAL HEIGHTS
VA
23834-1765
Phone
: 804-526-2121;
Fax
: 804-520-2617;
Practice Location Address
:
436 CLAREMONT CT
, SUITE 100
, COLONIAL HEIGHTS
, VA
, 23834-1765
Practice Phone
: 804-526-2121;
Practice Fax
: 804-520-2617
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1437113412 -
DR.
DR.
ANTHONY
R.
PISANI
PHD
Other Name
:
Mailing Address
:
300 CRITTENDEN BLVD
URMC, BOX PSYC
ROCHESTER
NY
14642-0001
Phone
: ;
Fax
: ;
Practice Location Address
:
300 CRITTENDEN BLVD
, URMC, BOX PSYC
, ROCHESTER
, NY
, 14642-0001
Practice Phone
: 585-275-3644;
Practice Fax
:
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1346204328 -
DR.
DR.
CLAYTON
W
CHANG
M.D
Other Name
:
Mailing Address
:
933 N CHARLOTTE ST
SUITE 101
POTTSTOWN
PA
19464-3974
Phone
: 610-323-6566;
Fax
: 610-323-9267;
Practice Location Address
:
933 N CHARLOTTE ST
, SUITE 101
, POTTSTOWN
, PA
, 19464-3974
Practice Phone
: 610-323-6566;
Practice Fax
: 610-323-9267
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1255395232 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
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:
,
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: ;
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:
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1164486148 -
KATHLEEN
B.
VIAMARI
M.D.
Other Name
:
Mailing Address
:
230 MAIN ST
AGAWAM
MA
01001-1838
Phone
: 413-789-6800;
Fax
: 413-789-5171;
Practice Location Address
:
230 MAIN ST
,
, AGAWAM
, MA
, 01001-1838
Practice Phone
: 413-789-6800;
Practice Fax
: 413-789-5171
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1073577052 -
DR.
DR.
ARI
BEN-YISHAY
MD
Other Name
:
Mailing Address
:
PO BOX 631
WESTWOOD
NJ
07675-0631
Phone
: 201-634-1811;
Fax
: 201-634-9170;
Practice Location Address
:
466 OLD HOOK RD
, SUITE 16
, EMERSON
, NJ
, 07630-1396
Practice Phone
: 201-634-1811;
Practice Fax
: 201-634-9170
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1982668968 -
MR.
MR.
JEFFREY
DAVID
CLAY
ATC
Other Name
:
Mailing Address
:
83 TURKEY CRK
ALACHUA
FL
32615-9569
Phone
: 386-462-0675;
Fax
: 386-462-0675;
Practice Location Address
:
83 TURKEY CRK
,
, ALACHUA
, FL
, 32615-9569
Practice Phone
: 386-462-0675;
Practice Fax
: 386-462-0675
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1790749778 -
MRS.
MRS.
JAYDENE
MASON
N.P.
Other Name
:
Mailing Address
:
622 BELLEVIEW AVE
LA JUNTA
CO
81050-2334
Phone
: 719-384-0184;
Fax
: ;
Practice Location Address
:
2600 OAKSHIRE LN
,
, PUEBLO
, CO
, 81001-5671
Practice Phone
: 719-295-7260;
Practice Fax
: 719-295-7267
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1609830686 -
MARGARET
MACFARLANE
PA
Other Name
:
Mailing Address
:
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON
MA
02109-4806
Phone
: 617-559-8053;
Fax
: 617-421-3487;
Practice Location Address
:
230 WORCESTER ST
,
, WELLESLEY
, MA
, 02481-5420
Practice Phone
: 781-431-5200;
Practice Fax
: 781-431-5298
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1518921592 -
APEX PHYSICAL THERAPY, LLC
Other Name
:
Mailing Address
:
676 DEKALB PIKE
STE 205
BLUE BELL
PA
19422
Phone
: 610-270-0370;
Fax
: 610-270-0374;
Practice Location Address
:
676 DEKALB PIKE
, STE 105-106
, BLUE BELL
, PA
, 19422
Practice Phone
: 610-270-0300;
Practice Fax
: 610-270-8863
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1427012400 -
DR.
DR.
TIMOTHY
M
CHAPRNKA
DO
Other Name
:
Mailing Address
:
3333 EVERGREEN DR NE
GRAND RAPIDS
MI
49525-9493
Phone
: 616-364-4200;
Fax
: 616-364-7347;
Practice Location Address
:
3333 EVERGREEN DR NE
,
, GRAND RAPIDS
, MI
, 49525-9493
Practice Phone
: 616-364-4200;
Practice Fax
: 616-364-7347
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1336103316 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1245294222 -
VAN
E.
SIMPSON
CRNA
Other Name
:
Mailing Address
:
PO BOX 235019
MONTGOMERY
AL
36123-5019
Phone
: 334-279-1450;
Fax
: 334-279-1660;
Practice Location Address
:
1234 NAPIER AVE
,
, SAINT JOSEPH
, MI
, 49085-2112
Practice Phone
: 269-428-0118;
Practice Fax
:
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1154385136 -
GRETCHEN
KAY
STEPHENS
CRNP
Other Name
:
Mailing Address
:
930 FRANKLIN ST SE
HUNTSVILLE
AL
35801-4312
Phone
: 256-539-4080;
Fax
: 256-539-4099;
Practice Location Address
:
930 FRANKLIN ST SE
,
, HUNTSVILLE
, AL
, 35801-4312
Practice Phone
: 256-539-4080;
Practice Fax
:
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1063476042 -
DR.
DR.
ANDREW
JOSEPH
SASSACK
III
M.D.
Other Name
:
Mailing Address
:
PO BOX 2425
SKYLAND
NC
28776-2425
Phone
: 828-575-2644;
Fax
: 828-350-2174;
Practice Location Address
:
1521 E TANGERINE RD
, SUITE 311
, ORO VALLEY
, AZ
, 85755-6225
Practice Phone
: 520-326-1266;
Practice Fax
: 520-326-2575
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1972567956 -
MS.
MS.
MICHELLE
D
LEWIS
FNP, ACNP
Other Name
:
Mailing Address
:
4408 EATON CIR
COLLEYVILLE
TX
76034-4652
Phone
: 817-368-1565;
Fax
: ;
Practice Location Address
:
9900 BREN RD EAST
, MAIL ROUTE MN 008-B213
, MINNETONKA
, MN
, 55343-9664
Practice Phone
: 817-368-1565;
Practice Fax
: 817-416-0145
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1881658862 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1699739672 -
DR.
DR.
WILLIAM
A
SMITH
MD
Other Name
:
Mailing Address
:
11109 PARKVIEW PLAZA DRIVE
MAILBOX 117
FORT WAYNE
IN
46845-1545
Phone
: 260-373-9700;
Fax
: 260-373-9740;
Practice Location Address
:
306 E MAUMEE ST STE 201
,
, ANGOLA
, IN
, 46703-2035
Practice Phone
: 260-667-2600;
Practice Fax
: 260-665-7312
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1508820580 -
HELEN
L
BOWMAN
M. ED.
Other Name
:
Mailing Address
:
25 E PARK AVE
STE 7
DU BOIS
PA
15801-2271
Phone
: 814-371-1340;
Fax
: 814-371-1864;
Practice Location Address
:
25 E PARK AVE
, STE 7
, DU BOIS
, PA
, 15801-2271
Practice Phone
: 814-371-1340;
Practice Fax
: 814-371-1864
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1417911496 -
MS.
MS.
JAN
MARIE
GIBSON
Other Name
:
Mailing Address
:
215 SHERIDAN RD
EL PASO
TX
79906-3803
Phone
: 253-283-9106;
Fax
: ;
Practice Location Address
:
BLDG 128 CHAFFEE RD, US ARMY DENTAL ACTIVITY
, ATTN: DENTAC HEADQUEARTERS
, FORT BLISS
, TX
, 79916
Practice Phone
: 915-742-6001;
Practice Fax
:
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1326002304 -
PAULA
B
GEORGE
MD
Other Name
:
Mailing Address
:
118 WASHINGTON ST
HARRISBURG
PA
17104-1677
Phone
: 717-231-8539;
Fax
: 717-231-8588;
Practice Location Address
:
2645 N THIRD STREET
, 1ST FLOOR
, HARRISBURG
, PA
, 17110
Practice Phone
: 717-782-6800;
Practice Fax
: 717-782-6801
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1235193210 -
BARRY
LEE
GROSS
MD
Other Name
:
Mailing Address
:
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS
VA
23601-1318
Phone
: ;
Fax
: ;
Practice Location Address
:
401 OYSTER POINT RD
, SUITE A
, NEWPORT NEWS
, VA
, 23602-6926
Practice Phone
: 757-249-3000;
Practice Fax
: 757-269-4424
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1144284126 -
DR.
DR.
DIANNE
E
SCHELLENBERG
PSY.D.
Other Name
:
Mailing Address
:
630 7TH AVE
BETHLEHEM
PA
18018-5232
Phone
: 610-868-5424;
Fax
: ;
Practice Location Address
:
2045 WESTGATE DR
, SUITE 304
, BETHLEHEM
, PA
, 18017-7480
Practice Phone
: 610-865-8177;
Practice Fax
: 610-865-2764
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1053375030 -
DVA RENAL HEALTHCARE, INC.
Other Name
:
SMITHFIELD DIALYSIS
Mailing Address
:
5200 VIRGINIA WAY
STE. 400 L&C
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4218;
Fax
: 303-209-7825;
Practice Location Address
:
15225 CARROLLTON BLVD
,
, CARROLLTON
, VA
, 23314-2303
Practice Phone
: 757-238-9888;
Practice Fax
: 757-238-9700
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1962466946 -
DR.
DR.
NICOLE
DANFORTH
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
55 FRUIT STREET
, YAW 6900 CHILD & ADOLESCENT PSYCHIATRY
, BOSTON
, MA
, 02114
Practice Phone
: 617-724-6300;
Practice Fax
: 617-726-5567
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1871557850 -
ROBERT
LEON
BEATON JR.
MD
Other Name
:
Mailing Address
:
PO BOX 602598
WAKE FOREST UNIVERSITY HEALTH SCIENCES
CHARLOTTE
NC
28260-2598
Phone
: 336-716-2255;
Fax
: ;
Practice Location Address
:
1200 N ELM ST
,
, GREENSBORO
, NC
, 27401-1004
Practice Phone
: 336-716-2255;
Practice Fax
:
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1780648766 -
DR.
DR.
MOLLY
HONEGGER
M.D.
Other Name
:
Mailing Address
:
2125 OAK GROVE RD STE 200
WALNUT CREEK
CA
94598-2520
Phone
: 925-296-7150;
Fax
: 925-296-7171;
Practice Location Address
:
1601 YGNACIO VALLEY RD
,
, WALNUT CREEK
, CA
, 94598-3122
Practice Phone
: 925-296-7156;
Practice Fax
: 925-296-7174
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1699739680 -
MRS.
MRS.
TAMARA
ANNE
HITTEPOLE
, M.S., CCC/SLP
Other Name
:
Mailing Address
:
100 RADCLIFFE RD
ROCHESTER
NY
14617-2714
Phone
: 585-266-4253;
Fax
: ;
Practice Location Address
:
1000 ELMWOOD AVE
,
, ROCHESTER
, NY
, 14620-3042
Practice Phone
: 585-271-0680;
Practice Fax
:
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1508820598 -
ROBERT
LAWRENCE
WENICK
M.D.
Other Name
:
Mailing Address
:
2 ELIZABETH ST
BETHEL
CT
06801-2100
Phone
: 203-791-2221;
Fax
: 203-791-0682;
Practice Location Address
:
2 ELIZABETH ST
,
, BETHEL
, CT
, 06801-2100
Practice Phone
: 203-791-2221;
Practice Fax
: 203-791-0682
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1417911405 -
DR.
DR.
MARY
PURUCKER
M.D., PH.D.
Other Name
:
Mailing Address
:
8901 WISCONSIN AVENUE
BETHESDA
MD
20889-0001
Phone
: 301-295-4191;
Fax
: ;
Practice Location Address
:
8901 WISCONSIN AVENUE
,
, BETHESDA
, MD
, 20889-0001
Practice Phone
: 301-295-4191;
Practice Fax
:
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1326002312 -
JEFFREY
HAROLD
FERGUSSON
DC
Other Name
:
Mailing Address
:
3007 S HAZEL ST
SUITE 2
PINE BLUFF
AR
71603-5703
Phone
: ;
Fax
: ;
Practice Location Address
:
3007 S HAZEL ST
, SUITE 2
, PINE BLUFF
, AR
, 71603-5703
Practice Phone
: 870-535-5600;
Practice Fax
: 870-535-5655
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1235193228 -
GEORGE
WELDON
WILLIAMS
DO
Other Name
:
Mailing Address
:
122 S GOLD AVE
STE 3
DEMING
NM
88030-3755
Phone
: 575-545-7280;
Fax
: 575-544-7281;
Practice Location Address
:
1110 W FLORIDA ST
,
, DEMING
, NM
, 88030-4908
Practice Phone
: 505-546-4811;
Practice Fax
: 505-546-4821
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1144284134 -
DR.
DR.
RAFAEL
LEVIN
MD
Other Name
:
Mailing Address
:
PO BOX 631
WESTWOOD
NJ
07675-0631
Phone
: 201-634-1811;
Fax
: 201-634-9170;
Practice Location Address
:
466 OLD HOOK RD
, SUITE 16
, EMERSON
, NJ
, 07630-1396
Practice Phone
: 201-634-1811;
Practice Fax
: 201-634-9170
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1053375048 -
MOHAMMAD
R
RAZAVI
DDS
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 216-986-1314;
Fax
: 216-986-1191;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1962466953 -
DR.
DR.
GREGORY
J
MATTER
MD
Other Name
:
Mailing Address
:
5012 S US HWY 75, SUITE 300
ATTN BILLING
DENISON
TX
75020-4589
Phone
: 903-868-4595;
Fax
: ;
Practice Location Address
:
600 E TAYLOR ST STE 100
,
, SHERMAN
, TX
, 75090-2882
Practice Phone
: 903-868-4595;
Practice Fax
: 903-868-4597
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1871557868 -
DR.
DR.
JEFFREY
MICHAEL
BLOCK
D.C.
Other Name
:
Mailing Address
:
301 MAPLE AVE
SMITHTOWN
NY
11787-4900
Phone
: 631-543-0004;
Fax
: ;
Practice Location Address
:
301 MAPLE AVE.
,
, SMITHTOWN
, NY
, 11787
Practice Phone
: 631-543-0004;
Practice Fax
:
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