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Individual
MR. WILLIAM JAMES PRIDGEN
Active
Individual
MR. WILLIAM JAMES PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN, EMT
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPOOO45663
WA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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