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1154699882
KELLY SPARKS
NEW YORK, NY
NPI
1154699882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 006957)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Ms. KELLY SPARKS RD
1 GUSTAVE L LEVY PL BOX 1104
NEW YORK, NY 10029-6500
Phone number: 212-659-9300
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Mailing Address
Ms. KELLY SPARKS RD
166 E 91ST ST APT 4B
NEW YORK, NY 10128-2003
Phone number: 440-759-1220
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