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1578923694
KELLY FREDERICK
TOLEDO, OH
NPI
1578923694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN.131019IV)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- KELLY FREDERICK LPN
6605 W CENTRAL AVE
TOLEDO, OH 43617-1000
Phone number: 419-255-4050
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Mailing Address
-- KELLY FREDERICK LPN
22 MARINA DR
FREMONT, OH 43420-8524
Phone number: 419-255-4050
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