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Individual

ASHLEY INGALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
190 SW BRUMBACK ST UNIT 2539, MCMINNVILLE, OR 97128-6899
(208) 371-7622
Mailing address
190 SW BRUMBACK ST UNIT 2539, MCMINNVILLE, OR 97128-6899
(208) 371-7622

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/10/2019
Last updated
02/10/2019
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