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1881365583
EBONY ELISE INGRAM
SAN LEANDRO, CA
NPI
1881365583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
EBONY ELISE INGRAM
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-924-0548
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Mailing Address
EBONY ELISE INGRAM
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-924-0548
Copy
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