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1144899741
SHAWNTAY SPARKS
MINERAL WELLS, TX
NPI
1144899741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1044883)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
SHAWNTAY SPARKS ACNP-BC
400 SW 25TH AVE
MINERAL WELLS, TX 76067-8246
Phone number: 325-647-6979
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Mailing Address
SHAWNTAY SPARKS ACNP-BC
1 CREEKWOOD CIR
BROWNWOOD, TX 76801-6651
Phone number: 325-647-6979
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