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1295828960
THOMAS LEE PENDERGRAST
PANAMA CITY, FL
NPI
1295828960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OP2933)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. THOMAS LEE PENDERGRAST O.D.
725 N TYNDALL PKWY
PANAMA CITY, FL 32404-3219
Phone number: 850-785-3426
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Mailing Address
Dr. THOMAS LEE PENDERGRAST O.D.
1232 PLANTATION DR
PANAMA CITY, FL 32404-8637
Phone number: 850-874-9803
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