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1912166364
MARK JAMES INGRAM
TULSA, OK
NPI
1912166364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 1581)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
Mr. MARK JAMES INGRAM L.P.C.
9421 E 95TH PL
TULSA, OK 74133-6166
Phone number: 918-557-8476
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Mailing Address
Mr. MARK JAMES INGRAM L.P.C.
9421 E 95TH PL
TULSA, OK 74133-6166
Phone number: 918-557-8476
Copy
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