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1720062235
MELANIE C. FREDERICK
SHREVEPORT, LA
NPI
1720062235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 017823)
Enumeration Date
2005-11-30
Last Update Date
2008-01-30
Business Address
-- MELANIE C. FREDERICK MD
2508 BERT KOUNS LOOP SUITE 103
SHREVEPORT, LA 71118-3133
Phone number: 318-687-5277
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Mailing Address
-- MELANIE C. FREDERICK MD
2508 BERT KOUNS LOOP SUITE 103
SHREVEPORT, LA 71118-3133
Phone number: 318-687-5277
Copy
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