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1154916047
EDWARD FREDERICKS
FOLSOM, CA
NPI
1154916047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-03-03
Last Update Date
2021-03-03
Business Address
EDWARD FREDERICKS
1145 SIBLEY ST
FOLSOM, CA 95630-3222
Phone number: 916-292-8060
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Mailing Address
EDWARD FREDERICKS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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