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1649558750
DEANNA ELAINE INGRAM
MINNETONKA, MN
NPI
1649558750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9187104)
Enumeration Date
2011-07-25
Last Update Date
2020-11-19
Business Address
DEANNA ELAINE INGRAM FNP
9900 BREN RD E
MINNETONKA, MN 55343-9664
Phone number: 800-328-5979
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Mailing Address
DEANNA ELAINE INGRAM FNP
103 KNOB HILL RD
VALDOSTA, GA 31602-4220
Phone number: 904-718-9387
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