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1588339048
BREANNA KATHLEEN FREDRICK
ATLANTA, GA
NPI
1588339048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
BREANNA KATHLEEN FREDRICK AA
1000 JOHNSON FERRY RD
ATLANTA, GA 30342-1606
Phone number: 646-279-3423
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Mailing Address
BREANNA KATHLEEN FREDRICK AA
4633 NW 93RD TER
SUNRISE, FL 33351-5236
Phone number: 646-279-3423
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