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1356301485
BENJAMIN DERRICK INGRAM
COLUMBIA, SC
NPI
1356301485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1320)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
Dr. BENJAMIN DERRICK INGRAM OD
4406-A FOREST DRIVE SUITE 1
COLUMBIA, SC 29206
Phone number: 803-782-7080
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Mailing Address
Dr. BENJAMIN DERRICK INGRAM OD
4406 - A FOREST DRIVE SUITE 1
COLUMBIA, SC 29206
Phone number: 803-782-7080
Copy
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