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1164613733
ASA INGRAM
PERRIS, CA
NPI
1164613733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 5542)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
Mr. ASA INGRAM CAS
2055 N PERRIS BLVD
PERRIS, CA 92571-2509
Phone number: 951-674-5354
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Mailing Address
Mr. ASA INGRAM CAS
565 CHANEY ST
LAKE ELSINORE, CA 92530-2722
Phone number: 951-674-5354
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