DONALD WALTER INGRAM

SENECA, SC
NPI1073246872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: SC  801)
Enumeration Date2022-07-08
Last Update Date2022-07-08
Business Address
DONALD WALTER INGRAM LDO
1636 REVOLUTIONARY DR
SENECA, SC 29672
Phone number: 864-885-9075
Mailing Address
DONALD WALTER INGRAM LDO
1636 SANDIFER BLVD
SENECA, SC 29678-0906
Phone number:
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