RANDALL EDWARD PRIDGEN

WILSON, NC
NPI1679641591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0328)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- RANDALL EDWARD PRIDGEN LAT, ATC
501 ROUNTREE ST W
WILSON, NC 27893-2811
Phone number: 252-399-6520
Mailing Address
-- RANDALL EDWARD PRIDGEN LAT, ATC
2102 CAMERON RD SW
WILSON, NC 27893-4502
Phone number: 252-289-5005
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