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1386898013
GLORIA FREDERICKS
PAOLI, PA
NPI
1386898013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA SP007210)
Enumeration Date
2008-11-07
Last Update Date
2013-01-31
Business Address
-- GLORIA FREDERICKS CRNP
255 W LANCASTER AVE PAOLI MEDICAL BUILDING 3 SUITE 234
PAOLI, PA 19301-1763
Phone number: 610-647-4260
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Mailing Address
-- GLORIA FREDERICKS CRNP
207 N BROAD ST 3RD FLOOR
PHILADELPHIA, PA 19107-1500
Phone number: 267-479-4165
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