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1790416998
SAMANTHA FREDERICK
GASTONIA, NC
NPI
1790416998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: NC 30000898)
Enumeration Date
2022-06-20
Last Update Date
2022-12-15
Business Address
SAMANTHA FREDERICK
2520 ABERDEEN BLVD
GASTONIA, NC 28054-0635
Phone number: 704-868-8400
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Mailing Address
SAMANTHA FREDERICK
1005 ORCHARD GROVES CT APT 202
BELMONT, NC 28012-4089
Phone number:
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