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1760034185
TRISTAN INGRAM
PORTLAND, ME
NPI
1760034185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
TRISTAN INGRAM
527 OCEAN AVE STE 19
PORTLAND, ME 04103-4972
Phone number: 207-573-7424
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Mailing Address
TRISTAN INGRAM
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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