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1104163740
SARAH J FREDRICKS
JANESVILLE, WI
NPI
1104163740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 302-45-31)
Enumeration Date
2013-01-15
Last Update Date
2013-01-15
Business Address
MS. SARAH J FREDRICKS LPN
1406 HOLIDAY DRIVE
JANESVILLE, WI 53545
Phone number: 608-718-9185
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Mailing Address
MS. SARAH J FREDRICKS LPN
1406 HOLIDAY DR
JANESVILLE, WI 53545-0406
Phone number: 608-718-9185
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