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1003191735
KRISTEL JUNE FREDERICKS
LONGVIEW, TX
NPI
1003191735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT82118)
Enumeration Date
2011-10-13
Last Update Date
2013-07-31
Business Address
MRS. KRISTEL JUNE FREDERICKS MS, RD, LD
3133 GOOD SHEPHERD WAY
LONGVIEW, TX 75605-7921
Phone number: 903-323-6541
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Mailing Address
MRS. KRISTEL JUNE FREDERICKS MS, RD, LD
3133 GOOD SHEPHERD WAY
LONGVIEW, TX 75605-7921
Phone number: 903-323-6541
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