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1063115848
CLARK CONSTANTINE INGRAM
COLUMBUS, OH
NPI
1063115848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
DR. CLARK CONSTANTINE INGRAM MD
395 W 12TH AVE STE 662
COLUMBUS, OH 43210-1267
Phone number: 614-366-5978
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Mailing Address
DR. CLARK CONSTANTINE INGRAM MD
395 W 12TH AVE STE 662
COLUMBUS, OH 43210-1267
Phone number:
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