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Individual

REBECCA FREDRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
(660) 438-5091
Mailing address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 438-5193
(660) 438-5091

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014015285
MO

Other

Enumeration date
06/02/2014
Last updated
06/02/2014
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