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1619245875
MELISSA A FREDRICKSON
ST AUGUSTINE, FL
NPI
1619245875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106223)
Enumeration Date
2011-12-02
Last Update Date
2023-09-25
Business Address
MELISSA A FREDRICKSON PA-C
230 VILLAGE COMMONS DR
ST AUGUSTINE, FL 32092-4545
Phone number: 904-940-1441
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Mailing Address
MELISSA A FREDRICKSON PA-C
PO BOX 746638
ATLANTA, GA 30374-6638
Phone number: 904-202-1032
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