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1316061955
MARK JAMES PENDERGAST
SUWANEE, GA
NPI
1316061955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIRO07830)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
MARK JAMES PENDERGAST DC
245 PEACHTREE IND BLVD #100
SUWANEE, GA 30022
Phone number: 678-541-0777
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Mailing Address
MARK JAMES PENDERGAST DC
10945 STATE BRDG RD #401-294
ALPHARETTA, GA 30022
Phone number: 678-541-0777
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