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1740427178
SALLY J PENDERGRASS
TULSA, OK
NPI
1740427178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK R0050582)
Enumeration Date
2009-01-07
Last Update Date
2009-08-25
Business Address
-- SALLY J PENDERGRASS CRNA
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-744-2345
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Mailing Address
-- SALLY J PENDERGRASS CRNA
4500 S GARNETT RD SUITE 300
TULSA, OK 74146-5229
Phone number: 918-664-9892
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