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1396030912
BENJAMIN EDWARD PENDERGRASS
HUNTSVILLE, AL
NPI
1396030912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL SC-62-TA-905)
Enumeration Date
2011-06-10
Last Update Date
2016-11-15
Business Address
Dr. BENJAMIN EDWARD PENDERGRASS O.D.
600 WASHINGTON ST NW
HUNTSVILLE, AL 35801-4751
Phone number: 256-533-6838
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Mailing Address
Dr. BENJAMIN EDWARD PENDERGRASS O.D.
15933 CLAYTON RD SUITE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393
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