GREGORY R PENDERGAST

ROUND ROCK, TX
NPI1619570561
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT6282)
Enumeration Date2020-11-20
Last Update Date2021-12-09
Business Address
GREGORY R PENDERGAST LAT, ATC
901 HIDDEN VALLEY DR APT 6302
ROUND ROCK, TX 78665-1475
Phone number: 817-932-4285
Mailing Address
GREGORY R PENDERGAST LAT, ATC
901 HIDDEN VALLEY DR APT 6302
ROUND ROCK, TX 78665-1475
Phone number: 817-932-4285
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