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Maine Doctors Office 25 A June Street Suite 111 Medical Office Building Sanford ME 04073 NameDate of BirthAddressSSNCityStatePhone NumberZip Codeemail Previous Physician Medical Conditions Medical

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1. Begin by gathering all necessary personal information, such as your full name, date of birth, and contact information.
2. Find the appropriate forms provided by Dr. Shirley Frederick MD to fill out. These may be available on their website or provided to you in person.
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4. Start by entering your personal information accurately and legibly. This may include your name, address, phone number, and email address.
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Dr. Shirley Frederick, MD is likely a medical professional; however, specific details about her specialties or practice are not provided.

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