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1639553902
CHERYL LYNN FREDRICK
KENNETT, MO
NPI
1639553902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MO 2006025554)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
Ms. CHERYL LYNN FREDRICK LPN
925 HIGHWAY V V
KENNETT, MO 63857
Phone number: 573-717-7059
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Mailing Address
Ms. CHERYL LYNN FREDRICK LPN
1201 ELY ST
KENNETT, MO 63857-1336
Phone number: 573-717-7059
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