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1467926550
KEVIN CARLTON INGRAM
CAMPBELL, CA
NPI
1467926550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
KEVIN CARLTON INGRAM
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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Mailing Address
KEVIN CARLTON INGRAM
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
Copy
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