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1639478860
THERESA A FREDERICK
PHOENIXVILLE, PA
NPI
1639478860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN273868)
Enumeration Date
2011-03-28
Last Update Date
2011-03-28
Business Address
Mrs. THERESA A FREDERICK
1288 VALLEY FORGE RD UNIT 69
PHOENIXVILLE, PA 19460-2687
Phone number: 610-933-9483
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Mailing Address
Mrs. THERESA A FREDERICK
496 SPRING ST
POTTSTOWN, PA 19464-5135
Phone number: 610-933-9483
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