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1578149415
NICHOLAS INGRAM
LOS ANGELES, CA
NPI
1578149415
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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
2021-03-22
Last Update Date
2021-03-22
Business Address
NICHOLAS INGRAM
1200 N STATE ST RM 1011
LOS ANGELES, CA 90089-1001
Phone number: 323-409-7053
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Mailing Address
NICHOLAS INGRAM
2110 DARTMOUTH DR
REDDING, CA 96001-5815
Phone number: 714-309-1503
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