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1831398296
JEAN A FREDERIC
BROOKLYN, NY
NPI
1831398296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NY 003751-1)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
JEAN A FREDERIC P.A
121 DEKALB AVE BROOKLYN
BROOKLYN, NY 11201-5425
Phone number: 718-250-8103
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Mailing Address
JEAN A FREDERIC P.A
121 DEKALB AVE BROOKLYN
BROOKLYN, NY 11201-5425
Phone number: 718-250-8103
Copy
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