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1093134116
STACEY FREDERICK
POUGHKEEPSIE, NY
NPI
1093134116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NV 266189-1)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- STACEY FREDERICK LPN
4 JEFFERSON PLZ
POUGHKEEPSIE, NY 12601-4035
Phone number: 845-473-5900
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Mailing Address
-- STACEY FREDERICK LPN
4 JEFFERSON PLZ
POUGHKEEPSIE, NY 12601-4035
Phone number: 845-473-5900
Copy
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