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1013296607
CANDACE RAE SPARKS
MEMPHIS, TN
NPI
1013296607
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Former Name
CANDACE RAE HALVORSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9038)
Enumeration Date
2011-08-12
Last Update Date
2014-02-19
Business Address
-- CANDACE RAE SPARKS P.T.
6286 BRIARCREST AVE SUITE 110
MEMPHIS, TN 38120-4023
Phone number: 901-259-1600
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Mailing Address
-- CANDACE RAE SPARKS P.T.
PO BOX 8888
BELFAST, ME 04915-8888
Phone number: 901-259-4260
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