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1487356176
JUSTIN FREDERICKS
SAN DIEGO, CA
NPI
1487356176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: IN 02007896A)
Enumeration Date
2023-03-20
Last Update Date
2024-11-25
Business Address
JUSTIN FREDERICKS DO
2841 RENDOVA RD
SAN DIEGO, CA 92155-5779
Phone number: 727-742-6825
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Mailing Address
JUSTIN FREDERICKS DO
2841 RENDOVA RD
SAN DIEGO, CA 92155-5490
Phone number: 727-742-6825
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