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1164552980
FRIEDA G SPARKS
ST AUGUSTINE, FL
NPI
1164552980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA0025687)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- FRIEDA G SPARKS LMT
10-G ST JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
Phone number: 904-794-0507
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Mailing Address
-- FRIEDA G SPARKS LMT
10-G ST JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
Phone number: 904-794-0507
Copy
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