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1164883286
SHANNON SPARKS
WENATCHEE, WA
NPI
1164883286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60664247)
Enumeration Date
2016-03-16
Last Update Date
2022-09-07
Business Address
SHANNON SPARKS
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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Mailing Address
SHANNON SPARKS
820 N CHELAN AVE
WENATCHEE, WA 98801-2028
Phone number: 509-663-8711
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