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1316229495
FREDERICK BOARD
SAN BERNARDINO, CA
NPI
1316229495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-14
Last Update Date
2022-07-19
Business Address
FREDERICK BOARD
2080 S E ST
SAN BERNARDINO, CA 92408
Phone number: 909-388-9191
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Mailing Address
FREDERICK BOARD
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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