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1750076212
LEVI INGRAM
KOKOMO, IN
NPI
1750076212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001851A)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
LEVI INGRAM
2312 S DIXON RD STE 250
KOKOMO, IN 46902-6426
Phone number: 765-459-7275
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Mailing Address
LEVI INGRAM
931 LIVE OAK CT
KOKOMO, IN 46901-0701
Phone number: 765-210-4899
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