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1013568393
DEIDRE SPARKS
WYNNE, AR
NPI
1013568393
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Professional Name
DEIDRE SPARKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 4680)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
DEIDRE SPARKS
1871 FALLS BLVD N
WYNNE, AR 72396-4026
Phone number: 870-208-8989
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Mailing Address
DEIDRE SPARKS
10 WILLOW CREEK LN APT 10109
JONESBORO, AR 72404-7319
Phone number: 870-494-0156
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