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1972362705
LEON ALAN INGRAM
FAIRFIELD, CA
NPI
1972362705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-14
Last Update Date
2024-03-14
Business Address
LEON ALAN INGRAM
1695 SUNSET AVE
FAIRFIELD, CA 94533-4255
Phone number: 707-251-1241
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Mailing Address
LEON ALAN INGRAM
999 MARSHALL RD APT 24
VACAVILLE, CA 95687-5757
Phone number: 707-439-6930
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