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1043803448
BROOKE FREDERICK
ROSSVILLE, GA
NPI
1043803448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: GA 326678)
Enumeration Date
2021-02-16
Last Update Date
2021-03-13
Business Address
BROOKE FREDERICK
290 SAGE BRUSH LN
ROSSVILLE, GA 30741-8375
Phone number: 423-402-1129
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Mailing Address
BROOKE FREDERICK
290 SAGE BRUSH LN
ROSSVILLE, GA 30741-8375
Phone number: 423-402-1129
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