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Individual

GRACE E FREDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4702 MILL POND DR SE, AUBURN, WA 98092-3801
(425) 365-3875
Mailing address
PO BOX 2942, REDMOND, WA 98073-2942
(425) 365-3875

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60195794
WA

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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