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Individual

DAVID INGRAM JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
14215B CENTREVILLE SQ, CHIROPRACTIC FAMILY HEALTH CENTRE, CENTREVILLE, VA 20121-2301
(703) 222-3737
(703) 449-9346
Mailing address
14215B CENTREVILLE SQ, CHIROPRACTIC FAMILY HEALTH CENTRE, CENTREVILLE, VA 20121-2301
(703) 222-3737
(703) 449-9346

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556573
VA

Other

Enumeration date
06/03/2009
Last updated
06/03/2009
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