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1619577053
JESSICA C INGRAM
BOWLING GREEN, KY
NPI
1619577053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3015369)
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
JESSICA C INGRAM NP-C
2349 RUSSELLVILLE RD
BOWLING GREEN, KY 42101-3986
Phone number: 270-282-8280
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Mailing Address
JESSICA C INGRAM NP-C
1679 PENNS CHAPEL RD
BOWLING GREEN, KY 42101-8619
Phone number:
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