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1851162408
JUSTIN FREDERICKS
SACRAMENTO, CA
NPI
1851162408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
JUSTIN FREDERICKS
3090 FITE CIR STE 102
SACRAMENTO, CA 95827-1810
Phone number: 916-701-5197
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Mailing Address
JUSTIN FREDERICKS
7609 MCTAVISH CIR
SACRAMENTO, CA 95828-4337
Phone number: 707-564-8020
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