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1750356192
DANIEL WAYNE INGRAM
RALEIGH, NC
NPI
1750356192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102777)
Enumeration Date
2006-02-21
Last Update Date
2021-03-29
Business Address
DANIEL WAYNE INGRAM PA C
4207 LAKE BOONE TRL
RALEIGH, NC 27607
Phone number: 919-785-3400
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Mailing Address
DANIEL WAYNE INGRAM PA C
4207 LAKE BOONE TRL
RALEIGH, NC 27607-6684
Phone number: 919-784-1410
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