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1821334244
DAVID LAYNE FREDERICK
SEYMOUR JOHNSON A F B, NC
NPI
1821334244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2012-12-13
Last Update Date
2012-12-13
Business Address
MR. DAVID LAYNE FREDERICK IDMT
1050 JABARRAH AVE
SEYMOUR JOHNSON A F B, NC 27531-2310
Phone number: 919-722-1522
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Mailing Address
MR. DAVID LAYNE FREDERICK IDMT
405 WOODHILLE DR
GOLDSBORO, NC 27530-9066
Phone number: 919-648-8310
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