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1497358931
STEVEN INGRAM
FAIRMONT, WV
NPI
1497358931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
STEVEN INGRAM
113 KERNS AVE
FAIRMONT, WV 26554-4523
Phone number: 304-612-0470
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Mailing Address
STEVEN INGRAM
113 KERNS AVE
FAIRMONT, WV 26554-4523
Phone number: 304-612-0470
Copy
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