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1083211478
KACIE MARIE INGRAM
OKLAHOMA CITY, OK
NPI
1083211478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: OK 139)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
KACIE MARIE INGRAM CTRS/L
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-664-4658
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Mailing Address
KACIE MARIE INGRAM CTRS/L
4625 N INDIANA AVE
OKLAHOMA CITY, OK 73118-2225
Phone number:
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