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Individual

SETH INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
125 SUPERIOR ST, NEWTON FALLS, OH 44444-1774
(330) 501-2760
Mailing address
5760 PATRIOT BLVD., AUSTINTOWN, OH 44515-1170

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003398
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APS.00398
OH
Enumeration date
03/03/2023
Last updated
03/03/2023
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