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1689146094
TEMIRA DAIRE INGRAM
SAN DIEGO, CA
NPI
1689146094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-12-23
Last Update Date
2018-12-23
Business Address
TEMIRA DAIRE INGRAM
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
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Mailing Address
TEMIRA DAIRE INGRAM
405 ELLA LN
SAN DIEGO, CA 92114-5700
Phone number:
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