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1609274059
FREDERICA PHOENIX
VIRGINIA BEACH, VA
NPI
1609274059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: VA 147587-0000-7200)
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
Ms. FREDERICA PHOENIX
4793 SHALLOWFORD CIR
VIRGINIA BEACH, VA 23462-7924
Phone number: 757-735-0976
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Mailing Address
Ms. FREDERICA PHOENIX
4793 SHALLOWFORD CIR
VIRGINIA BEACH, VA 23462-7924
Phone number: 757-735-0976
Copy
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