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1669028759
ELISE FREDEKING
PANAMA CITY, FL
NPI
1669028759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11003617)
Enumeration Date
2019-08-14
Last Update Date
2021-04-21
Business Address
ELISE FREDEKING NP-C
2100 STATE AVE
PANAMA CITY, FL 32405-4587
Phone number: 850-763-0036
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Mailing Address
ELISE FREDEKING NP-C
2100 STATE AVE
PANAMA CITY, FL 32405-4587
Phone number: 209-968-3257
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