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1891987715
TODDY FARRELL INGRAM
TACOMA, WA
NPI
1891987715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP30007838)
Enumeration Date
2007-08-14
Last Update Date
2007-08-29
Business Address
Mr. TODDY FARRELL INGRAM ARNP-PMH
9040 REID ST
TACOMA, WA 98431-1101
Phone number: 253-968-3172
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Mailing Address
Mr. TODDY FARRELL INGRAM ARNP-PMH
1548 JENSEN AVE
DUPONT, WA 98327-8709
Phone number: 253-301-3474
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