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1598117038
JUSTIN GASTON INGRAM
SAN ANTONIO, TX
NPI
1598117038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 73148)
Enumeration Date
2016-07-08
Last Update Date
2023-11-02
Business Address
JUSTIN GASTON INGRAM
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
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Mailing Address
JUSTIN GASTON INGRAM
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
Copy
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