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1629035225
GARY W. FREDERICKSEN
WILLIAMSBURG, VA
NPI
1629035225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618000905)
Enumeration Date
2006-04-27
Last Update Date
2013-11-27
Business Address
-- GARY W. FREDERICKSEN OD
120 KINGS WAY SUITE 1300
WILLIAMSBURG, VA 23185-2505
Phone number: 757-345-3001
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Mailing Address
-- GARY W. FREDERICKSEN OD
856 J CLYDE MORRIS BLVD SUITE A
NEWPORT NEWS, VA 23601-1318
Phone number:
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