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1043475353
RUSSELL D. INGRAM
BETHANY, OK
NPI
1043475353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 26430)
Enumeration Date
2008-07-25
Last Update Date
2015-07-31
Business Address
-- RUSSELL D. INGRAM M.D.
7530 NW 23RD ST
BETHANY, OK 73008-4921
Phone number: 405-787-8550
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Mailing Address
-- RUSSELL D. INGRAM M.D.
7530 NW 23RD ST
BETHANY, OK 73008-4921
Phone number: 405-787-8550
Copy
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