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Individual
SAEDAH A INGRAM
Active
Individual
SAEDAH A INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
713197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289714204
—
TX
01
—
8687UG
BCBS
TX
Enumeration date
01/05/2012
Last updated
01/10/2019
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