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1588902233
BENJAMIN KIRK FREDERICK
PORTSMOUTH, VA
NPI
1588902233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
Dr. BENJAMIN KIRK FREDERICK M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0669
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Mailing Address
Dr. BENJAMIN KIRK FREDERICK M.D.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0669
Copy
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