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MR. WILLIAM JAMES PRIDGEN LPN, EMT

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1780742346

Individual Registrant:
MR. WILLIAM JAMES PRIDGEN LPN, EMT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5296 B BADGER LANE USA MEDDAC ARMY COMMUNITY HOSPITAL BUILDING 166 FT IRWIN, CA 92310 US
Tel: 760-380-3144  Fax: --

Contact information for business:
5296 B BADGER LANE USA MEDDAC ARMY COMMUNITY HOSPITAL BUILDING 166 FT IRWIN, CA 92310 US
Tel: 760-380-3144  Fax: --

Registration Information:
NPI: 1780742346
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
WALPOOO45663

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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