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1447731302
REGINA M FREDERICK
FORT WAYNE, IN
NPI
1447731302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71008494A)
Enumeration Date
2018-08-28
Last Update Date
2024-12-02
Business Address
REGINA M FREDERICK NP
11143 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1728
Phone number: 260-266-8820
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Mailing Address
REGINA M FREDERICK NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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