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1174835821
VIRGINIA INGRAM
BETHESDA, MD
NPI
1174835821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MD D0017216)
Enumeration Date
2010-07-10
Last Update Date
2010-07-10
Business Address
Dr. VIRGINIA INGRAM
5709 DURBIN RD
BETHESDA, MD 20817-6118
Phone number: 301-907-7831
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Mailing Address
Dr. VIRGINIA INGRAM
5709 DURBIN ROAD
BETHESDA, MD 20817
Phone number:
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