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1073891958
TRACEY FREDERICK
WILLIAMSVILLE, NY
NPI
1073891958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 306268)
Enumeration Date
2011-07-27
Last Update Date
2011-07-27
Business Address
-- TRACEY FREDERICK LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
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Mailing Address
-- TRACEY FREDERICK LPN
1786 BAILEY AVE
BUFFALO, NY 14211-2418
Phone number: 716-510-4904
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