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1396427001
MICHAEL FREDERIKSEN
WATSONVILLE, CA
NPI
1396427001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
MICHAEL FREDERIKSEN
411 E LAKE AVE
WATSONVILLE, CA 95076-4424
Phone number: 831-728-6445
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Mailing Address
MICHAEL FREDERIKSEN
411 E LAKE AVE
WATSONVILLE, CA 95076-4424
Phone number: 831-728-6445
Copy
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