SHAWN PATRICK SPARKS

BILOXI, MS
NPI1174736540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MS  AT0312)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
MR. SHAWN PATRICK SPARKS A.T.C.
15012 LEMOYNE BLVD
BILOXI, MS 39532-5205
Phone number: 228-396-1285
Mailing Address
MR. SHAWN PATRICK SPARKS A.T.C.
1633 S. 11TH ST.
OCEAN SPRINGS, MS 39564
Phone number: 228-875-5833
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