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1083357339
DANIEL WAYNE INGHAM
MEDFORD, OR
NPI
1083357339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 22-CRM-978)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
Mr. DANIEL WAYNE INGHAM CRM
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282
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Mailing Address
Mr. DANIEL WAYNE INGHAM CRM
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-779-1282
Copy
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