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1891414777
DANIEL JAMES FREDERICK
LIVONIA, MI
NPI
1891414777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5351011347)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
DANIEL JAMES FREDERICK
33333 6 MILE RD
LIVONIA, MI 48152-3265
Phone number: 734-513-5078
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Mailing Address
DANIEL JAMES FREDERICK
66 ADELAIDE ST APT 53
DETROIT, MI 48201-3155
Phone number: 586-438-6272
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