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Individual
ROBERT NEAL INGRAM
Active
Individual
ROBERT NEAL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28161093A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003284A
IN
Other
Enumeration date
06/15/2010
Last updated
01/12/2021
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