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1295427946
LAQUANDA FREDERICKS
LUMBERTON, NC
NPI
1295427946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
LAQUANDA FREDERICKS MD
395 W 27TH ST
LUMBERTON, NC 28358-3018
Phone number: 910-739-7551
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Mailing Address
LAQUANDA FREDERICKS MD
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-735-8781
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