JETTA SPARKS

CHILLICOTHE, OH
NPI1154707883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.17583-NP)
Enumeration Date2015-08-04
Last Update Date2020-12-08
Business Address
JETTA SPARKS
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601-8620
Phone number: 740-779-7813
Mailing Address
JETTA SPARKS
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601-8620
Phone number: 740-779-7813
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