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1508361361
MARIAN INGRAM
PLANTATION, FL
NPI
1508361361
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Former Name
MARIAN JOSE RODRIGUEZ GUTIERREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9111067)
Enumeration Date
2018-03-26
Last Update Date
2021-08-20
Business Address
MARIAN INGRAM Physician Assistant
350 NW 84TH AVE STE 102
PLANTATION, FL 33324-1820
Phone number: 954-370-7555
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Mailing Address
MARIAN INGRAM Physician Assistant
350 NW 84TH AVE STE 102
PLANTATION, FL 33324-1820
Phone number: 954-370-7555
Copy
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