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1174528053
DOUGLAS E FREDERICK
WICHITA, KS
NPI
1174528053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KS 45623)
Enumeration Date
2005-06-16
Last Update Date
2014-05-19
Business Address
Mr. DOUGLAS E FREDERICK ARNP
1947 N FOUNDERS CIR
WICHITA, KS 67206-3548
Phone number: 316-613-4640
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Mailing Address
Mr. DOUGLAS E FREDERICK ARNP
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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