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1194938373
DENNIS ALAN INGRAM
PARKER, AZ
NPI
1194938373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: AZ 1140)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
DENNIS ALAN INGRAM STATE LICENSED OPTIC
1317 JOSHUA AVE SUITE H
PARKER, AZ 85344
Phone number: 928-669-6971
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Mailing Address
DENNIS ALAN INGRAM STATE LICENSED OPTIC
828 CRYSTAL VIEW DR
PARKER, AZ 85344
Phone number: 928-667-3153
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