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1194418517
FREDRICKA GOOSEBERRY
LOS ANGELES, CA
NPI
1194418517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 750996)
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
FREDRICKA GOOSEBERRY RN
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-897-6105
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Mailing Address
FREDRICKA GOOSEBERRY RN
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-897-6105
Copy
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