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1194112870
BLAKE SPARKS
GALVESTON, TX
NPI
1194112870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX BP10052654)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
-- BLAKE SPARKS M.D.
301 UNIVERSITY BLVD
GALVESTON, TX 77555-0724
Phone number: 409-772-8119
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Mailing Address
-- BLAKE SPARKS M.D.
301 UNIVERSITY BLVD
GALVESTON, TX 77555-0724
Phone number: 409-772-8119
Copy
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