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1154802866
ETHEL FREDRICKSON
LAKE VILLAGE, AR
NPI
1154802866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: AR 92236)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
ETHEL FREDRICKSON
1345 CIRCLE DR
LAKE VILLAGE, AR 71653-1593
Phone number: 870-265-0921
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Mailing Address
ETHEL FREDRICKSON
1659 S HIGHWAY 65 82
LAKE VILLAGE, AR 71653-1661
Phone number: 870-632-5000
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