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1881259604
ISAIAH CHARLES INGRAM
INDIANAPOLIS, IN
NPI
1881259604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-07
Last Update Date
2021-04-06
Business Address
ISAIAH CHARLES INGRAM
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Phone number: 317-944-4034
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Mailing Address
ISAIAH CHARLES INGRAM
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Phone number: 317-944-4034
Copy
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