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Individual
MR. FREDRICK FRANCIS SHIPLEY
Active
Individual
MR. FREDRICK FRANCIS SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8024
OR
174400000X
Specialist
MA 00016730
WA
Other
Enumeration date
02/01/2010
Last updated
12/21/2010
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