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1093906869
KEVIN G FREDENBURG
JACKSONVILLE, FL
NPI
1093906869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 27117)
Enumeration Date
2007-08-07
Last Update Date
2022-08-15
Business Address
KEVIN G FREDENBURG PT
2080 CHILD ST
JACKSONVILLE, FL 32214-3328
Phone number: 904-542-7375
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Mailing Address
KEVIN G FREDENBURG PT
77079 COBBLESTONE DR
YULEE, FL 32097-0645
Phone number: 530-591-2820
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