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1093743957
JEFFREY ALAN FREDERICK
NORMAN, OK
NPI
1093743957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: OK PA 936)
Enumeration Date
2006-06-29
Last Update Date
2013-07-15
Business Address
JEFFREY ALAN FREDERICK PA-C
3650 W ROCK CREEK RD 110A
NORMAN, OK 73072-2202
Phone number: 405-364-2666
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Mailing Address
JEFFREY ALAN FREDERICK PA-C
4200 W MEMORIAL RD 606
OKLAHOMA CITY, OK 73120-9350
Phone number: 405-755-1930
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