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1164486452
MARY R. INGRAM
RAPID CITY, SD
NPI
1164486452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SD RPO22257)
Enumeration Date
2006-04-13
Last Update Date
2011-11-08
Business Address
Ms. MARY R. INGRAM FNP
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2443
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Mailing Address
Ms. MARY R. INGRAM FNP
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2443
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