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1598204539
DOROTHEA FREDERICK
MOORESTOWN, NJ
NPI
1598204539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00667600)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- DOROTHEA FREDERICK
282 CHESTER AVE
MOORESTOWN, NJ 08057-3306
Phone number: 856-222-3292
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Mailing Address
-- DOROTHEA FREDERICK
8 PANCOAST BLVD
DELRAN, NJ 08075-1436
Phone number:
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