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1336993260
JARVIS INGRAM
WARNER ROBINS, GA
NPI
1336993260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
Mr. JARVIS INGRAM
940 GA HIGHWAY 96 STE C
WARNER ROBINS, GA 31088-2585
Phone number: 229-591-4000
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Mailing Address
Mr. JARVIS INGRAM
122 W FORSYTH ST
AMERICUS, GA 31709-3561
Phone number: 229-591-4000
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