Last updated on September 2018

Corticosteroids + Bevacizumab vs. Corticosteroids + Placebo (BEST) for Radionecrosis After Radiosurgery for Brain Metastases


Brief description of study

This randomized phase II study aims to investigate whether the addition of bevacizumab to standard corticosteroid therapy results in greater improvement in symptoms and less treatment-induced symptoms compared with standard corticosteroid therapy for patients with symptomatic brain radionecrosis following radiosurgery. It is hypothesized that the addition of bevacizumab to standard care corticosteroids will reduce treatment-induced toxicities and improve neurologic impairments in patients with brain radionecrosis following radiosurgery for brain metastases.

Detailed Study Description

This is a randomized double-blinded phase II study of corticosteroids with bevacizumab vs. corticosteroids with placebo for brain radionecrosis following radiosurgery for brain metastases. This is a two-arm clinical trial with parallel group design for longitudinal quality of life endpoint. Patients will be stratified according to age ( 65 years vs. > 65 years), pathological confirmation of necrosis (yes vs. no), MDASI-BT mean global score (symptom + interference scores) ( < 4.0 vs. > 4.0) and prior whole brain radiotherapy (yes vs. no). The primary and secondary objectives are detailed below.

Primary Objective:

To investigate whether the addition of bevacizumab to standard corticosteroid therapy results in greater improvement in symptoms (clinical and patient-reported symptom improvement associated with radionecrosis and less radionecrosis treatment-induced symptoms) compared with standard corticosteroid therapy.

Secondary Objectives:

  1. To evaluate the toxicity profile associated with bevacizumab and corticosteroid therapy.
  2. To compare self-reported health related quality of life (HRQOL) using LASA, Dexamethasone Symptoms Questionnaire-Chronic (DSQ-C), and MDASI-BT symptom and interference score between treatment arms.
  3. To compare intracranial progression-free survival and time to maximum radiographic response between treatment arms.
  4. To compare the dose and duration of corticosteroids required between treatment arms and correlate steroid requirement with DSQ-C and MDASI-BT scores.

Patient event monitoring will occur every 2 months after treatment up to 6 months. Then event monitoring will occur up to one year.

Clinical Study Identifier: NCT02490878

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Caroline Chung, MD

Anchorage Associates in Radiation Medicine
Anchorage, AK United States
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Caroline Chung, MD

Anchorage Radiation Therapy Center
Anchorage, AK United States
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Caroline Chung, MD

Alaska Breast Care and Surgery LLC
Anchorage, AK United States
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Caroline Chung, MD

Alaska Oncology and Hematology LLC
Anchorage, AK United States
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Caroline Chung, MD

Alaska Women's Cancer Care
Anchorage, AK United States
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Caroline Chung, MD

Anchorage Oncology Centre
Anchorage, AK United States
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Caroline Chung, MD

Katmai Oncology Group
Anchorage, AK United States
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Caroline Chung, MD

Providence Alaska Medical Center
Anchorage, AK United States
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Caroline Chung, MD

Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank, CA United States
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Gregory A. Masters

Beebe Medical Center
Lewes, DE United States
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Gregory A. Masters

Delaware Clinical and Laboratory Physicians PA
Newark, DE United States
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Gregory A. Masters

Helen F Graham Cancer Center
Newark, DE United States
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Gregory A. Masters

Medical Oncology Hematology Consultants PA
Newark, DE United States
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Gregory A. Masters

Regional Hematology and Oncology PA
Newark, DE United States
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Gregory A. Masters

Christiana Care Health System-Christiana Hospital
Newark, DE United States
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Gregory A. Masters

Beebe Health Campus
Rehoboth Beach, DE United States
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Gregory A. Masters

Nanticoke Memorial Hospital
Seaford, DE United States
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Gregory A. Masters

Christiana Care Health System-Wilmington Hospital
Wilmington, DE United States
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Sajeel A. Chowdhary

Boca Raton Regional Hospital
Boca Raton, FL United States
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Ruby Anne E. Deveras

Halifax Health Medical Center-Centers for Oncology
Daytona Beach, FL United States
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Christopher E. Haberman

Summit Cancer Care-Memorial
Savannah, GA United States
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Caroline Chung, MD

Low Country Cancer Care Associates PC
Savannah, GA United States
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Christopher M. Reynolds

Saint Alphonsus Cancer Care Center-Boise
Boise, ID United States
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Caroline Chung, MD

Saint Luke's Mountain States Tumor Institute
Boise, ID United States
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Christopher M. Reynolds

Saint Alphonsus Cancer Care Center-Caldwell
Caldwell, ID United States
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Benjamin T. Marchello

Kootenai Medical Center
Coeur d'Alene, ID United States
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Christopher M. Reynolds

Walter Knox Memorial Hospital
Emmett, ID United States
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Caroline Chung, MD

Saint Luke's Mountain States Tumor Institute - Fruitland
Fruitland, ID United States
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Christopher M. Reynolds

Idaho Urologic Institute-Meridian
Meridian, ID United States
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Caroline Chung, MD

Saint Luke's Mountain States Tumor Institute - Meridian
Meridian, ID United States
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Christopher M. Reynolds

Saint Alphonsus Medical Center-Nampa
Nampa, ID United States
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Caroline Chung, MD

Saint Luke's Mountain States Tumor Institute - Nampa
Nampa, ID United States
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Benjamin T. Marchello

Kootenai Cancer Center
Post Falls, ID United States
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Benjamin T. Marchello

Kootenai Cancer Clinic
Sandpoint, ID United States
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Caroline Chung, MD

Saint Luke's Mountain States Tumor Institute-Twin Falls
Twin Falls, ID United States
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Kendrith M. Rowland

Rush - Copley Medical Center
Aurora, IL United States
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Aidnag Z. Diaz

Rush University Medical Center
Chicago, IL United States
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Kendrith M. Rowland

Carle on Vermilion
Danville, IL United States
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Kendrith M. Rowland

Carle Physician Group-Effingham
Effingham, IL United States
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Kendrith M. Rowland

Carle Physician Group-Mattoon/Charleston
Mattoon, IL United States
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Carle Cancer Center
Urbana, IL United States
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The Carle Foundation Hospital
Urbana, IL United States
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Rush-Copley Healthcare Center
Yorkville, IL United States
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Deaconess Clinic Downtown
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Thomas J. Reid

Memorial Regional Cancer Center Day Road
Mishawaka, IN United States
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Chancellor Center for Oncology
Newburgh, IN United States
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Caroline Chung, MD

Reid Health
Richmond, IN United States
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Thomas J. Reid

Memorial Hospital of South Bend
South Bend, IN United States
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Iowa Methodist Medical Center
Des Moines, IA United States
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Medical Oncology and Hematology Associates-Des Moines
Des Moines, IA United States
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Broadlawns Medical Center
Des Moines, IA United States
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Iowa Lutheran Hospital
Des Moines, IA United States
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Methodist West Hospital
West Des Moines, IA United States
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Alliance for Clinical Trials in Oncology
Boston, MA United States
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Saint Joseph Mercy Hospital
Ann Arbor, MI United States
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IHA Hematology Oncology Consultants-Brighton
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Saint Joseph Mercy Brighton
Brighton, MI United States
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Canton, MI United States
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Caro Cancer Center
Caro, MI United States
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Chelsea, MI United States
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Saint Joseph Mercy Chelsea
Chelsea, MI United States
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Hematology Oncology Consultants-Clarkston
Clarkston, MI United States
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Newland Medical Associates-Clarkston
Clarkston, MI United States
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Beaumont Hospital-Dearborn
Dearborn, MI United States
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Saint John Hospital and Medical Center
Detroit, MI United States
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Great Lakes Cancer Management Specialists-Doctors Park
East China Township, MI United States
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Hurley Medical Center
Flint, MI United States
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Genesee Cancer and Blood Disease Treatment Center
Flint, MI United States
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Genesee Hematology Oncology PC
Flint, MI United States
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Genesys Hurley Cancer Institute
Flint, MI United States
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Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
Grosse Pointe Woods, MI United States
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Lymphoma Clinic of Michigan
Grosse Pointe Woods, MI United States
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Michigan Breast Specialists-Grosse Pointe Woods
Grosse Pointe Woods, MI United States
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William Beaumont Hospital-Grosse Point
Grosse Pointe, MI United States
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Allegiance Health
Jackson, MI United States
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Sparrow Hospital
Lansing, MI United States
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Hope Cancer Clinic
Livonia, MI United States
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Saint Mary Mercy Hospital
Livonia, MI United States
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Michigan Breast Specialists-Macomb Township
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Assarian Cancer Center
Novi, MI United States
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21st Century Oncology-Pontiac
Pontiac, MI United States
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Hope Cancer Center
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Newland Medical Associates-Pontiac
Pontiac, MI United States
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Saint Joseph Mercy Oakland
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Lake Huron Medical Center
Port Huron, MI United States
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Great Lakes Cancer Management Specialists-Rochester Hills
Rochester Hills, MI United States
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Michigan Cancer Specialists
Roseville, MI United States
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Oakland Colon and Rectal Association
Royal Oak, MI United States
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Cancer Care Associates PC
Royal Oak, MI United States
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Comprehensive Medical Center PLLC
Royal Oak, MI United States
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Hematology Oncology Consultants PC
Royal Oak, MI United States
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Oakland Medical Group
Royal Oak, MI United States
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William Beaumont Hospital-Royal Oak
Royal Oak, MI United States
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Saint Mary's of Michigan
Saginaw, MI United States
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Oncology Hematology Associates of Saginaw Valley PC
Saginaw, MI United States
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Providence Hospital-Southfield Cancer Center
Southfield, MI United States
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Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights, MI United States
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Premier Hematology Oncology Care
Sterling Heights, MI United States
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Caroline Chung, MD

Mitchell Folbe MD PC
Sterling Heights, MI United States
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Caroline Chung, MD

Michigan Institute of Urology-Town Center
Troy, MI United States
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Claudia BR Herke MD PC
Troy, MI United States
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Hematology Oncology Consultants PC-Troy
Troy, MI United States
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William Beaumont Hospital - Troy
Troy, MI United States
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Great Lakes Cancer Management Specialists-Macomb Professional Building
Warren, MI United States
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Christopher M. Reynolds

Macomb Hematology Oncology PC
Warren, MI United States
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Christopher M. Reynolds

Michigan Breast Specialists-Warren
Warren, MI United States
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Christopher M. Reynolds

Saint John Macomb-Oakland Hospital
Warren, MI United States
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Saint Mary's Oncology/Hematology Associates of West Branch
West Branch, MI United States
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Huron Gastroenterology PC
Ypsilanti, MI United States
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IHA Hematology Oncology Consultants-Ann Arbor
Ypsilanti, MI United States
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Essentia Health Saint Joseph's Medical Center
Brainerd, MN United States
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Essentia Health Cancer Center
Duluth, MN United States
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Essentia Health Saint Mary's Medical Center
Duluth, MN United States
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Bret E. Friday

Miller-Dwan Hospital
Duluth, MN United States
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Lake Region Healthcare Corporation-Cancer Care
Fergus Falls, MN United States
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Mayo Clinic
Rochester, MN United States
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Siteman Cancer Center at West County Hospital
Creve Coeur, MO United States
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Washington University School of Medicine
Saint Louis, MO United States
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Siteman Cancer Center at Saint Peters Hospital
Saint Peters, MO United States
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Community Hospital of Anaconda
Anaconda, MT United States
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Billings Clinic Cancer Center
Billings, MT United States
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Bozeman Deaconess Hospital
Bozeman, MT United States
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Benefis Healthcare- Sletten Cancer Institute
Great Falls, MT United States
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Great Falls Clinic
Great Falls, MT United States
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Saint Peter's Community Hospital
Helena, MT United States
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Kalispell Regional Medical Center
Kalispell, MT United States
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Community Medical Hospital
Missoula, MT United States
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Carson Tahoe Regional Medical Center
Carson City, NV United States
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Cancer and Blood Specialists-Henderson
Henderson, NV United States
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Comprehensive Cancer Centers of Nevada - Henderson
Henderson, NV United States
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Las Vegas Cancer Center-Henderson
Henderson, NV United States
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Comprehensive Cancer Centers of Nevada-Southeast Henderson
Henderson, NV United States
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University Medical Center of Southern Nevada
Las Vegas, NV United States
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Cancer and Blood Specialists-Shadow
Las Vegas, NV United States
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Radiation Oncology Centers of Nevada Central
Las Vegas, NV United States
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21st Century Oncology
Las Vegas, NV United States
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HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
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HealthCare Partners Medical Group Oncology/Hematology-San Martin
Las Vegas, NV United States
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Radiation Oncology Centers of Nevada Southeast
Las Vegas, NV United States
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Cancer Therapy and Integrative Medicine
Las Vegas, NV United States
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Ann M Wierman MD LTD
Las Vegas, NV United States
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Cancer and Blood Specialists-Tenaya
Las Vegas, NV United States
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Comprehensive Cancer Centers of Nevada - Northwest
Las Vegas, NV United States
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Las Vegas, NV United States
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Comprehensive Cancer Centers of Nevada-Summerlin
Las Vegas, NV United States
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Summerlin Hospital Medical Center
Las Vegas, NV United States
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Las Vegas Cancer Center-Medical Center
Las Vegas, NV United States
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Comprehensive Cancer Centers of Nevada
Las Vegas, NV United States
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Nevada Cancer Specialists-Fort Apache
Las Vegas, NV United States
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HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
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Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas, NV United States
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University Cancer Center
Las Vegas, NV United States
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Renown Regional Medical Center
Reno, NV United States
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Saint Mary's Regional Medical Center
Reno, NV United States
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New Hampshire Oncology Hematology PA-Concord
Concord, NH United States
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New Hampshire Oncology Hematology PA-Hooksett
Hooksett, NH United States
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Caroline Chung, MD

Overlook Hospital
Summit, NJ United States
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Roswell Park Cancer Institute
Buffalo, NY United States
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Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, NY United States
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Southeastern Medical Oncology Center-Clinton
Clinton, NC United States
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Southeastern Medical Oncology Center-Goldsboro
Goldsboro, NC United States
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Wayne Memorial Hospital
Goldsboro, NC United States
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Onslow Memorial Hospital
Jacksonville, NC United States
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Southeastern Medical Oncology Center-Jacksonville
Jacksonville, NC United States
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Southeastern Medical Oncology Center-Wilson
Wilson, NC United States
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Wake Forest University Health Sciences
Winston-Salem, NC United States
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Essentia Health Cancer Center-South University Clinic
Fargo, ND United States
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Dayton Physicians LLC-Miami Valley South
Centerville, OH United States
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Miami Valley Hospital South
Centerville, OH United States
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Oncology Hematology Care Inc-Kenwood
Cincinnati, OH United States
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Good Samaritan Hospital - Dayton
Dayton, OH United States
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Miami Valley Hospital
Dayton, OH United States
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Dayton Physicians LLC-Samaritan North
Dayton, OH United States
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Samaritan North Health Center
Dayton, OH United States
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Armes Family Cancer Center
Findlay, OH United States
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Blanchard Valley Hospital
Findlay, OH United States
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Orion Cancer Care
Findlay, OH United States
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Atrium Medical Center-Middletown Regional Hospital
Franklin, OH United States
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Dayton Physicians LLC-Atrium
Franklin, OH United States
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Dayton Physicians LLC-Wayne
Greenville, OH United States
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Wayne Hospital
Greenville, OH United States
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Greater Dayton Cancer Center
Kettering, OH United States
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First Dayton Cancer Care
Kettering, OH United States
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Kettering Medical Center
Kettering, OH United States
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Dayton Physicians LLC-Signal Point
Middletown, OH United States
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Dayton Physicians LLC-Wilson
Sidney, OH United States
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Springfield Regional Cancer Center
Springfield, OH United States
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Springfield Regional Medical Center
Springfield, OH United States
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Dayton Physicians LLC-Upper Valley
Troy, OH United States
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Upper Valley Medical Center
Troy, OH United States
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Saint Alphonsus Medical Center-Baker City
Baker City, OR United States
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Saint Charles Health System
Bend, OR United States
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Clackamas Radiation Oncology Center
Clackamas, OR United States
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Providence Oncology and Hematology Care Southeast
Clackamas, OR United States
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Bay Area Hospital
Coos Bay, OR United States
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Providence Newberg Medical Center
Newberg, OR United States
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Saint Alphonsus Medical Center-Ontario
Ontario, OR United States
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Providence Willamette Falls Medical Center
Oregon City, OR United States
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Providence Portland Medical Center
Portland, OR United States
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Providence Saint Vincent Medical Center
Portland, OR United States
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Lehigh Valley Hospital-Cedar Crest
Allentown, PA United States
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Lehigh Valley Hospital - Muhlenberg
Bethlehem, PA United States
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Christiana Care Health System-Concord Health Center
Chadds Ford, PA United States
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Roper Hospital
Charleston, SC United States
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Charleston Hematology Oncology Associates-Roper
Charleston, SC United States
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Lowcountry Hematology Oncology PA-North Charleston
Charleston, SC United States
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Bon Secours Saint Francis Hospital
Charleston, SC United States
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Lowcountry Hematology Oncology PA-West Ashley
Charleston, SC United States
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Greenville Health System Cancer Institute-Laurens
Clinton, SC United States
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Michael D. Zurenko

Greenville Health System Cancer Institute-Easley
Easley, SC United States
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Greenville Health System Cancer Institute-Butternut
Greenville, SC United States
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Greenville Health System Cancer Institute-Faris
Greenville, SC United States
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Greenville Memorial Hospital
Greenville, SC United States
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Greenville Health System Cancer Institute-Eastside
Greenville, SC United States
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Michael D. Zurenko

Greenville Health System Cancer Institute-Greer
Greer, SC United States
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Caroline Chung, MD

Lowcountry Hematology Oncology PA-Mount Pleasant
Mount Pleasant, SC United States
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Michael D. Zurenko

Greenville Health System Cancer Institute-Seneca
Seneca, SC United States
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Michael D. Zurenko

Greenville Health System Cancer Institute-Spartanburg
Spartanburg, SC United States
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Vanderbilt-Ingram Cancer Center Cool Springs
Franklin, TN United States
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Albert Attia

Vanderbilt Breast Center at One Hundred Oaks
Nashville, TN United States
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Albert Attia

Vanderbilt University/Ingram Cancer Center
Nashville, TN United States
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Barbara J. O'Brien

M D Anderson Cancer Center
Houston, TX United States
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Caroline Chung, MD

Providence Regional Cancer System-Aberdeen
Aberdeen, WA United States
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Cancer Care Center at Island Hospital
Anacortes, WA United States
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Caroline Chung, MD

PeaceHealth Saint Joseph Medical Center
Bellingham, WA United States
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Caroline Chung, MD

Providence Regional Cancer System-Centralia
Centralia, WA United States
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Caroline Chung, MD

Swedish Medical Center-Edmonds
Edmonds, WA United States
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Caroline Chung, MD

Providence Regional Cancer Partnership
Everett, WA United States
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Caroline Chung, MD

Swedish Cancer Institute-Issaquah
Issaquah, WA United States
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Caroline Chung, MD

Kadlec Clinic Hematology and Oncology
Kennewick, WA United States
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Caroline Chung, MD

Providence Regional Cancer System-Lacey
Lacey, WA United States
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Caroline Chung, MD

PeaceHealth Saint John Medical Center
Longview, WA United States
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Caroline Chung, MD

Pacific Gynecology Specialists
Seattle, WA United States
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Caroline Chung, MD

Swedish Medical Center-Ballard Campus
Seattle, WA United States
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Caroline Chung, MD

Kaiser Permanente Washington
Seattle, WA United States
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Caroline Chung, MD

Swedish Medical Center-First Hill
Seattle, WA United States
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Caroline Chung, MD

Swedish Medical Center-Cherry Hill
Seattle, WA United States
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Caroline Chung, MD

Providence Regional Cancer System-Shelton
Shelton, WA United States
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Caroline Chung, MD

Rockwood Clinic Cancer Treatment Center-Valley
Spokane Valley, WA United States
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Caroline Chung, MD

Rockwood Cancer Treatment Center-DHEC-Downtown
Spokane, WA United States
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Caroline Chung, MD

Rockwood North Cancer Treatment Center
Spokane, WA United States
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Caroline Chung, MD

PeaceHealth Southwest Medical Center
Vancouver, WA United States
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Caroline Chung, MD

Providence Saint Mary Regional Cancer Center
Walla Walla, WA United States
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Caroline Chung, MD

Providence Regional Cancer System-Yelm
Yelm, WA United States
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Aaron P. Provenzano

United Hospital Center
Bridgeport, WV United States
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Aaron P. Provenzano

West Virginia University Healthcare
Morgantown, WV United States
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Benjamin T. Marchello

Billings Clinic-Cody
Cody, WY United States
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Benjamin T. Marchello

Welch Cancer Center
Sheridan, WY United States
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Jeffrey N. Greenspoon

Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton, ON Canada
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David B. Shultz

University Health Network-Princess Margaret Hospital
Toronto, ON Canada
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David Roberge

CHUM - Hopital Notre-Dame
Montreal, QC Canada
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Caroline Chung, MD

Jewish General Hospital
Montreal, QC Canada
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John A. Ellerton

PCR Oncology
Arroyo Grande, CA United States
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David E. Piccioni

UC San Diego Moores Cancer Center
La Jolla, CA United States
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Robert Cavaliere

Baptist MD Anderson Cancer Center
Jacksonville, FL United States
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Caroline Chung, MD

Mayo Clinic in Florida
Jacksonville, FL United States
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Sepideh Mokhtari

Moffitt Cancer Center
Tampa, FL United States
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Caroline Chung, MD

Summit Cancer Care-Candler
Savannah, GA United States
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Michelle M. Kim

University of Michigan Comprehensive Cancer Center
Ann Arbor, MI United States
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Christopher M. Reynolds

Saint Joseph Mercy Canton
Canton, MI United States
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Christopher M. Reynolds

Great Lakes Cancer Management Specialists-Macomb Medical Campus
Macomb, MI United States
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Christopher M. Reynolds

Saint Mary's Oncology/Hematology Associates of Marlette
Marlette, MI United States
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Christopher M. Reynolds

Advanced Breast Care Center PLLC
Warren, MI United States
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Christopher M. Reynolds

Bhadresh Nayak MD PC-Warren
Warren, MI United States
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Bret E. Friday

Essentia Health Virginia Clinic
Virginia, MN United States
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John A. Ellerton

Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson, NV United States
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John A. Ellerton

Nevada Cancer Specialists-Saint Rose
Henderson, NV United States
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John A. Ellerton

21st Century Oncology-Henderson
Henderson, NV United States
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John A. Ellerton

Desert West Surgery
Las Vegas, NV United States
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John A. Ellerton

Nevada Cancer Specialists?Oakey
Las Vegas, NV United States
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John A. Ellerton

21st Century Oncology-Vegas Tenaya
Las Vegas, NV United States
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John A. Ellerton

Nevada Cancer Specialists-Tenaya
Las Vegas, NV United States
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John A. Ellerton

21st Century Oncology-Fort Apache
Las Vegas, NV United States
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John A. Ellerton

Hope Cancer Care of Nevada-Pahrump
Pahrump, NV United States
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John A. Ellerton

Radiation Oncology Associates
Reno, NV United States
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Caroline Chung, MD

Englewood Hospital and Medical Center
Englewood, NJ United States
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Caroline Chung, MD

Indu and Raj Soin Medical Center
Beavercreek, OH United States
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Bret E. Friday

Duluth Clinic Ashland
Ashland, WI United States
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Alan M. Nichol

BCCA-Vancouver Cancer Centre
Vancouver, BC Canada
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Hany Soliman

Odette Cancer Centre- Sunnybrook Health Sciences Centre
Toronto, ON Canada
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David Roberge

CHUM - Centre Hospitalier de l'Universite de Montreal
Montreal, QC Canada
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Christopher M. Reynolds

Saint Joseph Health System-Tawas City
Tawas City, MI United States
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Ashley L. Sumrall

Carolinas Medical Center/Levine Cancer Institute
Charlotte, NC United States
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Caroline Chung, MD

Charleston Hematology Oncology Associates PA-Saint Francis
Charleston, SC United States
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Christopher E. Haberman

Memorial Health University Medical Center
Savannah, GA United States
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Rakesh Gaur

Central Care Cancer Center - Garden City
Garden City, KS United States
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Rakesh Gaur

Central Care Cancer Center - Great Bend
Great Bend, KS United States
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Rakesh Gaur

Kansas Institute of Medicine Cancer and Blood Center
Lenexa, KS United States
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Rakesh Gaur

Minimally Invasive Surgery Hospital
Lenexa, KS United States
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Rakesh Gaur

Menorah Medical Center
Overland Park, KS United States
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Caroline Chung, MD

Saint Luke's South Hospital
Overland Park, KS United States
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John A. Ellerton

Huron Medical Center PC
Port Huron, MI United States
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Rakesh Gaur

Central Care Cancer Center - Bolivar
Bolivar, MO United States
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Rakesh Gaur

Centerpoint Medical Center LLC
Independence, MO United States
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Caroline Chung, MD

Saint Luke's Hospital of Kansas City
Kansas City, MO United States
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Rakesh Gaur

Research Medical Center
Kansas City, MO United States
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Caroline Chung, MD

Saint Luke's East - Lee's Summit
Lee's Summit, MO United States
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Caroline Chung, MD

Heartland Regional Medical Center
Saint Joseph, MO United States
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Pamela A. Lepera

East Carolina University
Greenville, NC United States
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Hui-Kuo G. Shu

Emory University Hospital/Winship Cancer Institute
Atlanta, GA United States
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Caroline Chung, MD

Cleveland Clinic Akron General
Akron, OH United States
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Sharad A. Ghamande

University Cancer and Blood Center LLC
Athens, GA United States
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Caroline Chung, MD

Beaumont Hospital - Farmington Hills
Farmington Hills, MI United States
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Bret E. Friday

Essentia Health Hibbing Clinic
Hibbing, MN United States
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Garth A. Nicholas

Ottawa Hospital and Cancer Center-General Campus
Ottawa, ON Canada
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Robert J. Behrens

Trinity Regional Medical Center
Fort Dodge, IA United States
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Steven P. Howard

University of Wisconsin Hospital and Clinics
Madison, WI United States
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Laurence Masson-Cote

Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
Sherbrooke, QC Canada
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Bret E. Friday

Essentia Health - Deer River Clinic
Deer River, MN United States
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Bret E. Friday

Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes, MN United States
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Bret E. Friday

Essentia Health - Fosston
Fosston, MN United States
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Bret E. Friday

Essentia Health - Park Rapids
Park Rapids, MN United States
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Bret E. Friday

Essentia Health Sandstone
Sandstone, MN United States
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Yuhchyau Chen

University of Rochester
Rochester, NY United States
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Bret E. Friday

Essentia Health - Jamestown Clinic
Jamestown, ND United States
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Aaron P. Provenzano

WVUH-Berkely Medical Center
Martinsburg, WV United States
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Aaron P. Provenzano

Camden Clark Medical Center
Parkersburg, WV United States
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Bret E. Friday

Ashland Memorial Medical Center
Ashland, WI United States
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