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1568012896
TRACEY FREDERICK
NEW ALBANY, IN
NPI
1568012896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3013585)
Enumeration Date
2019-09-18
Last Update Date
2022-06-09
Business Address
TRACEY FREDERICK APRN
3602 NORTHGATE CT STE 39
NEW ALBANY, IN 47150-6417
Phone number: 812-670-5684
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Mailing Address
TRACEY FREDERICK APRN
PO BOX 21890
BELFAST, ME 04915-4115
Phone number: 502-907-0356
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