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1861909228
ELIZABETH THOMAS PENDERGRASS
HUNTSVILLE, AL
NPI
1861909228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-129310)
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
ELIZABETH THOMAS PENDERGRASS CRNP
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-7317
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Mailing Address
ELIZABETH THOMAS PENDERGRASS CRNP
5737 JONES VALLEY DR SE
HUNTSVILLE, AL 35802-1829
Phone number: 256-683-1447
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