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1376628248
JACKIE L. INGRAM
OLYMPIA, WA
NPI
1376628248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00011670)
Enumeration Date
2006-10-26
Last Update Date
2022-07-21
Business Address
-- JACKIE L. INGRAM LMP
3912 MARTIN WAY E SUITE B
OLYMPIA, WA 98506
Phone number: 360-459-9780
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Mailing Address
-- JACKIE L. INGRAM LMP
460 W BULB FARM RD
SHELTON, WA 98584-9154
Phone number: 360-490-6490
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