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1013604602
CLARENCE SPARKS
LOMA LINDA, CA
NPI
1013604602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
CLARENCE SPARKS
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4074
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Mailing Address
CLARENCE SPARKS
11234 ANDERSON ST BLDG SUITEC
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6131
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