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1073677738
HAL I PENDERGRASS
MARYLAND HEIGHTS, MO
NPI
1073677738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 01632)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- HAL I PENDERGRASS MA
12131 DORSETT RD SUITE 220
MARYLAND HEIGHTS, MO 63043-2418
Phone number: 314-298-0900
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Mailing Address
-- HAL I PENDERGRASS MA
12131 DORSETT RD SUITE 220
MARYLAND HEIGHTS, MO 63043-2418
Phone number: 314-298-0900
Copy
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