Individual
DAKOTA ALAN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1697 S GREATHOUSE DR, ATOKA, OK 74525-3407
(580) 889-5555
Mailing address
100 E MAIN ST, CENTRAHOMA, OK 74534-5204
(580) 258-0811
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
03/24/2025
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