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1366878068
KEVIN JEROME FREDERICK
LONG BEACH, CA
NPI
1366878068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-09-25
Last Update Date
2013-09-25
Business Address
Mr. KEVIN JEROME FREDERICK
1501 HUGHES WAY SUITE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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Mailing Address
Mr. KEVIN JEROME FREDERICK
1501 HUGHES WAY SUITE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
Copy
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