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Individual
ERIN INGERSOLL
Active
Individual
ERIN INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011406-1
NY
174400000X
Specialist
46TR00398600
NJ
Other
Enumeration date
08/31/2007
Last updated
02/02/2015
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