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1013625276
JEANNIE SPARKS
CHARLESTON, WV
NPI
1013625276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WV 32773)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
JEANNIE SPARKS LPN
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301-2835
Phone number: 681-313-4759
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Mailing Address
JEANNIE SPARKS LPN
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301-2835
Phone number: 681-313-4759
Copy
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