DAVID LAYNE FREDERICK

SEYMOUR JOHNSON A F B, NC
NPI1821334244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2012-12-13
Last Update Date2012-12-13
Business Address
Mr. DAVID LAYNE FREDERICK IDMT
1050 JABARRAH AVE
SEYMOUR JOHNSON A F B, NC 27531-2310
Phone number: 919-722-1522
Mailing Address
Mr. DAVID LAYNE FREDERICK IDMT
405 WOODHILLE DR
GOLDSBORO, NC 27530-9066
Phone number: 919-648-8310
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