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Licenses
Physician Assistant
Colorado
1418
Mamie D. Fredrickson
Physician Assistant at 12, Portland, OR
License number
Colorado 1418
Issued Date
Apr 13, 2001
Renew Date
Feb 1, 2002
Expiration Date
Jan 31, 2004
Type
Physician Assistant
Address
Address
408 NW 12Th Ave #207, Portland, OR 97209
Physician Assistant licenses in Colorado
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4212 SE 11Th Ave, Portland, OR 97202