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1700658895
FREDERICK TYRONNE HOWARD
VICTORVILLE, CA
NPI
1700658895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
FREDERICK TYRONNE HOWARD
12955 OAKWOOD ST
VICTORVILLE, CA 92392-0570
Phone number: 760-983-5250
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Mailing Address
FREDERICK TYRONNE HOWARD
PO BOX 1248
VICTORVILLE, CA 92393-1248
Phone number: 760-669-0300
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