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1003149865
SCOTT FREDRICKSON
ANAHEIM, CA
NPI
1003149865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- SCOTT FREDRICKSON
203 W CLIFFWOOD AVE
ANAHEIM, CA 92802-4816
Phone number: 714-624-2351
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Mailing Address
-- SCOTT FREDRICKSON
203 W CLIFFWOOD AVE
ANAHEIM, CA 92802-4816
Phone number: 714-624-2351
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