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1043955560
JOLIE FREDERICK
LAWRENCEVILLE, GA
NPI
1043955560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT008412)
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
JOLIE FREDERICK
545 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 30046-3390
Phone number: 678-377-2833
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Mailing Address
JOLIE FREDERICK
830 HARTFORD PL SW
ATLANTA, GA 30310-4229
Phone number: 509-671-7428
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