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1669782645
ANDREA JAYNE FREDERICK
STANFORD, CA
NPI
1669782645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19137)
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
-- ANDREA JAYNE FREDERICK N.P
300 PASTEUR DR. ROOM A260
STANFORD, CA 94305-5319
Phone number: 650-724-9220
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Mailing Address
-- ANDREA JAYNE FREDERICK N.P
234 BERESFORD AVE
REDWOOD CITY, CA 94061-3504
Phone number: 650-261-9279
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