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Coburn Ingram
NPI 1588276836 · on the registry since 2020 · sole proprietor
Practice
- Address
- 52 Engh Rd Unit 30
Omak, WA 98841 - Phone
- (509) 429-0949
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington