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1902813926
BENITA FREDRICK
FREEPORT, NY
NPI
1902813926
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Former Name
BENITA FREDRICKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 006435-1)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Mrs. BENITA FREDRICK PTA
49 CHURCH ST
FREEPORT, NY 11520-3830
Phone number: 516-623-6253
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Mailing Address
Mrs. BENITA FREDRICK PTA
2856 CLARK AVE
OCEANSIDE, NY 11572-1905
Phone number: 516-594-2191
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