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1174012249
TANIAH INGRAM
GRAND RAPIDS, MI
NPI
1174012249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374J00000X Doula
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-05-04
Last Update Date
2024-09-06
Business Address
TANIAH INGRAM
1732 BENJAMIN AVE NE
GRAND RAPIDS, MI 49505-5434
Phone number: 616-914-0795
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Mailing Address
TANIAH INGRAM
1732 BENJAMIN AVE NE
GRAND RAPIDS, MI 49505-5434
Phone number:
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