KRISTAN C SPARKS

SHELLEY, ID
NPI1174723332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP638)
Enumeration Date2007-07-24
Last Update Date2007-07-24
Business Address
Dr. KRISTAN C SPARKS O.D.
169 S EMERSON AVE
SHELLEY, ID 83274-1226
Phone number: 208-357-5733
Mailing Address
Dr. KRISTAN C SPARKS O.D.
PO BOX 547
SHELLEY, ID 83274-0547
Phone number: 208-357-5733
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