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1124411962
JESSICA FREDERICK
GRAND BLANC, MI
NPI
1124411962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009090)
Enumeration Date
2015-03-17
Last Update Date
2015-03-17
Business Address
-- JESSICA FREDERICK MS, OTRL
8481 HOLLY RD
GRAND BLANC, MI 48439-1812
Phone number: 810-694-1711
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Mailing Address
-- JESSICA FREDERICK MS, OTRL
7264 FRANCES RD
FLUSHING, MI 48433-8834
Phone number: 810-407-4909
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