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1518964998
MARK J. FREDRICK
HUNTINGTON BEACH, CA
NPI
1518964998
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Other Name
MARK J FREDRICK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G67380)
Enumeration Date
2005-06-30
Last Update Date
2012-10-16
Business Address
-- MARK J. FREDRICK MD
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Phone number: 714-968-0068
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Mailing Address
-- MARK J. FREDRICK MD
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Phone number:
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