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1467185082
LILLIE MINETTE FREDERICK
MADISON, AL
NPI
1467185082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL F12210791)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
LILLIE MINETTE FREDERICK CRNP
300 SUN TEMPLE DR
MADISON, AL 35758-5919
Phone number: 256-325-9111
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Mailing Address
LILLIE MINETTE FREDERICK CRNP
300 SUN TEMPLE DR
MADISON, AL 35758-5919
Phone number: 256-325-9111
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