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1316514789
MARCIA LYNNE INGRAM
GRAND RAPIDS, MI
NPI
1316514789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MI 4704287466)
Enumeration Date
2021-06-05
Last Update Date
2021-06-05
Business Address
MARCIA LYNNE INGRAM
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-456-1443
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Mailing Address
MARCIA LYNNE INGRAM
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-456-1443
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