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1962554741
WALTER L PENDERGRAST
WILMINGTON, NC
NPI
1962554741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 080616)
Enumeration Date
2007-01-18
Last Update Date
2021-03-17
Business Address
WALTER L PENDERGRAST CRNA
2131 S 17TH ST NHRMC ANESTHESIA DEPT.
WILMINGTON, NC 28401-7407
Phone number: 910-772-9202
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Mailing Address
WALTER L PENDERGRAST CRNA
2131 S 17TH ST NHRMC ANESTHESIA DEPT.
WILMINGTON, NC 28401-7407
Phone number: 910-772-9202
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