ANTHONY INGRAM

BROKEN ARROW, OK
NPI1528424199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-01-12
Last Update Date2016-01-12
Business Address
Mr. ANTHONY INGRAM
20779 E 48TH ST S
BROKEN ARROW, OK 74014-8756
Phone number: 918-271-0586
Mailing Address
Mr. ANTHONY INGRAM
20779 E 48TH ST S
BROKEN ARROW, OK 74014-8756
Phone number: 918-271-0586
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