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1174185326
KELLY DANEAN INGRAM
CLEVELAND, OK
NPI
1174185326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
KELLY DANEAN INGRAM
907 W CADDO ST
CLEVELAND, OK 74020-4201
Phone number: 918-308-5511
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Mailing Address
KELLY DANEAN INGRAM
907 W CADDO ST
CLEVELAND, OK 74020-4201
Phone number: 918-308-5511
Copy
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