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1104148782
AMY SPARKS
MORGANTOWN, WV
NPI
1104148782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 20040009-22)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
-- AMY SPARKS FNP-BC
341 SPRUCE ST
MORGANTOWN, WV 26505-5504
Phone number: 304-292-8234
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Mailing Address
-- AMY SPARKS FNP-BC
341 SPRUCE ST
MORGANTOWN, WV 26505-5504
Phone number:
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