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1396341418
KEVIN PAUL INGRAM
MEDINA, OH
NPI
1396341418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-06
Last Update Date
2021-02-18
Business Address
KEVIN PAUL INGRAM
1065 MEDINA RD
MEDINA, OH 44256-5375
Phone number: 330-596-1042
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Mailing Address
KEVIN PAUL INGRAM
1065 MEDINA RD STE 300
MEDINA, OH 44256-5374
Phone number: 330-596-1042
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