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1265792063
JELANI D INGRAM
DALLAS, TX
NPI
1265792063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX p2873)
Enumeration Date
2012-05-25
Last Update Date
2014-09-03
Business Address
Dr. JELANI D INGRAM M.D.
5201 S WESTMORELAND RD
DALLAS, TX 75237-1622
Phone number: 214-339-2047
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Mailing Address
Dr. JELANI D INGRAM M.D.
PO BOX 224585
DALLAS, TX 75222-4585
Phone number: 214-339-2047
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