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1134165251
EDMUND LEO PRENDERGAST
SUMMERSVILLE, WV
NPI
1134165251
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Professional Name
EDDIE L PRENDERGAST
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 666D)
Enumeration Date
2006-06-20
Last Update Date
2022-08-18
Business Address
Dr. EDMUND LEO PRENDERGAST OD
651 WATER ST
SUMMERSVILLE, WV 26651
Phone number: 304-872-5678
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Mailing Address
Dr. EDMUND LEO PRENDERGAST OD
PO BOX 69
CAMDEN ON GAULEY, WV 26208-0069
Phone number: 304-226-5725
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