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1063732246
MICHAEL SPARKS
MAYKING, KY
NPI
1063732246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2010-06-10
Last Update Date
2010-06-10
Business Address
-- MICHAEL SPARKS
3367 HWY 119
MAYKING, KY 41837
Phone number: 606-633-4439
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Mailing Address
-- MICHAEL SPARKS
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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