EBONY INGRAM

BARTOW, FL
NPI1407247521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5216601)
Enumeration Date2015-02-11
Last Update Date2015-02-11
Business Address
-- EBONY INGRAM
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
Mailing Address
-- EBONY INGRAM
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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