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1447606231
SEAN JOSEPH PRENDERGAST
LEBANON, OR
NPI
1447606231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD193346)
Enumeration Date
2016-05-11
Last Update Date
2020-11-10
Business Address
SEAN JOSEPH PRENDERGAST
525 N SANTIAM HWY
LEBANON, OR 97355-4363
Phone number: 541-258-2101
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Mailing Address
SEAN JOSEPH PRENDERGAST
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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