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1013731066
FREDERICK CLOCK
SANTA CRUZ, CA
NPI
1013731066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: CA 172V00000X)
Enumeration Date
2024-11-14
Last Update Date
2024-11-14
Business Address
FREDERICK CLOCK
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
FREDERICK CLOCK
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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