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1619613817
IMELDA VELASCO INGRAM
COVINGTON, LA
NPI
1619613817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: LA RN129197)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
IMELDA VELASCO INGRAM RN
325 S JACKSON ST
COVINGTON, LA 70433-3096
Phone number: 225-363-8884
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Mailing Address
IMELDA VELASCO INGRAM RN
325 S JACKSON ST
COVINGTON, LA 70433-3009
Phone number: 225-363-8884
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