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1568907160
PHILIP INGRAM
LOS ANGELES, CA
NPI
1568907160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-01-05
Last Update Date
2017-01-05
Business Address
-- PHILIP INGRAM
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-2929
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Mailing Address
-- PHILIP INGRAM
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number:
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