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Individual
WILLIAM ALAN FREDRICK
Active
Individual
WILLIAM ALAN FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPO
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
POR85
FL
222Z00000X
Orthotist
POR85
FL
Other
Enumeration date
10/02/2012
Last updated
11/02/2012
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