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1043811417
SPARKLE L BLACKWOOD
SAN BERNARDINO, CA
NPI
1043811417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
SPARKLE L BLACKWOOD
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1164
Phone number: 909-963-5355
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Mailing Address
SPARKLE L BLACKWOOD
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1164
Phone number: 909-963-5355
Copy
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