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1376799072
LAWANDA D PENDERGRASS
SUMTER, SC
NPI
1376799072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-13
Last Update Date
2011-06-30
Business Address
-- LAWANDA D PENDERGRASS
1175 N GUIGNARD DR
SUMTER, SC 29150-1519
Phone number: 803-775-2677
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Mailing Address
-- LAWANDA D PENDERGRASS
215 N MAGNOLIA ST
SUMTER, SC 29150-4943
Phone number: 803-775-2677
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