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1891483533
QUINTIN EDWARD INGRAM
AURORA, IL
NPI
1891483533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
Mr. QUINTIN EDWARD INGRAM
70 S RIVER ST
AURORA, IL 60506-5185
Phone number: 630-779-2045
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Mailing Address
Mr. QUINTIN EDWARD INGRAM
70 S RIVER ST
AURORA, IL 60506-5185
Phone number: 630-779-2045
Copy
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