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1730865247
MATTHEW PENDERGRASS
AURORA, CO
NPI
1730865247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 0998814)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
MATTHEW PENDERGRASS NP
14991 E HAMPDEN AVE STE 110
AURORA, CO 80014-3980
Phone number: 303-343-9500
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Mailing Address
MATTHEW PENDERGRASS NP
300 W 11TH AVE UNIT 11G
DENVER, CO 80204-3690
Phone number: 251-363-9872
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