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1083208037
CARRIE ELIZABETH INGRAM
PONCA CITY, OK
NPI
1083208037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-21
Last Update Date
2021-04-09
Business Address
CARRIE ELIZABETH INGRAM
110 N 4TH ST
PONCA CITY, OK 74601-4527
Phone number: 580-749-5056
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Mailing Address
CARRIE ELIZABETH INGRAM
110 N 4TH ST.
PONCA CITY, OK 74601-1536
Phone number: 580-749-5056
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