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1578530242
MARK A FREDRICKSON
MIDLAND, TX
NPI
1578530242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX H7056)
Enumeration Date
2006-03-02
Last Update Date
2024-07-12
Business Address
Dr. MARK A FREDRICKSON MD
1800 HERITAGE BLVD
MIDLAND, TX 79707
Phone number: 432-704-1696
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Mailing Address
Dr. MARK A FREDRICKSON MD
P O BOX 81045
MIDLAND, TX 79708-1045
Phone number: 432-704-1696
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