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1013057488
JAY L SPARKS
SPRINGFIELD, MO
NPI
1013057488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 104280)
Enumeration Date
2007-02-07
Last Update Date
2013-05-02
Business Address
Dr. JAY L SPARKS MD
3231 S NATIONAL AVE SUITE 220
SPRINGFIELD, MO 65807-7304
Phone number: 417-820-7450
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Mailing Address
Dr. JAY L SPARKS MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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