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1386112100
AMANDA MARIE FREDERICK
CONCORD, NC
NPI
1386112100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08418)
Enumeration Date
2018-11-09
Last Update Date
2024-04-03
Business Address
AMANDA MARIE FREDERICK
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1838
Phone number: 704-237-4240
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Mailing Address
AMANDA MARIE FREDERICK
8936 CYPRESS FOREST DR
CHARLOTTE, NC 28216-1674
Phone number:
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