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1366793986
CAROLYN MAVIS INGRAM
TULSA, OK
NPI
1366793986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- CAROLYN MAVIS INGRAM MS
6216 S LEWIS AVE SUITE 180
TULSA, OK 74136-1044
Phone number: 918-960-7852
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Mailing Address
-- CAROLYN MAVIS INGRAM MS
546 E PINE PL
TULSA, OK 74106-4340
Phone number: 918-587-5165
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