Phillip Ingersoll

NPI #1003186826 in Noble, Oklahoma

Provider Information

NPI Number: 1003186826
Entity Type: Individual
Name: Phillip Ingersoll
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 10, 2012
Last Updated: Jan 10, 2012

Practice Location

Address: 408 N 6TH ST
City: Noble
State: Oklahoma
ZIP Code: 73068-8473
Phone: (405) 568-2698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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