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1962931071
KENDYL INGRAM
PUEBLO, CO
NPI
1962931071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: CO SA.0002224)
Enumeration Date
2017-06-12
Last Update Date
2017-06-21
Business Address
KENDYL INGRAM CSFA
2101 W 32ND ST
PUEBLO, CO 81008-1321
Phone number: 719-231-0177
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Mailing Address
KENDYL INGRAM CSFA
2101 W 32ND ST
PUEBLO, CO 81008-1321
Phone number:
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