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1386360436
LATEIFAH SHAREE INGRAM
CLINTON, NC
NPI
1386360436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
253Z00000X In Home Supportive Care
(Licence: NC HC6967)
Enumeration Date
2022-10-19
Last Update Date
2023-06-26
Business Address
LATEIFAH SHAREE INGRAM
110 E MAIN ST STE 200D
CLINTON, NC 28328-4029
Phone number: 919-440-2650
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Mailing Address
LATEIFAH SHAREE INGRAM
314 PERKINS RD
GOLDSBORO, NC 27530-8053
Phone number: 919-440-2650
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