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1407837024
JESSE C INGRAM
DALLAS, TX
NPI
1407837024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 23078)
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
Business Address
-- JESSE C INGRAM PhD
5201 S WESTMORELAND RD
DALLAS, TX 75237-1622
Phone number: 214-339-2047
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Mailing Address
-- JESSE C INGRAM PhD
5201 S WESTMORELAND RD
DALLAS, TX 75237-1622
Phone number: 214-339-2047
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