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1225334915
MARISSA DANIELLE SPARKS
FORT WORTH, TX
NPI
1225334915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 725519)
Enumeration Date
2011-01-28
Last Update Date
2014-01-27
Business Address
-- MARISSA DANIELLE SPARKS CRNA
5401 LEDGESTONE DR
FORT WORTH, TX 76132-2344
Phone number: 405-816-6010
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Mailing Address
-- MARISSA DANIELLE SPARKS CRNA
5401 LEDGESTONE DR
FORT WORTH, TX 76132-2344
Phone number: 405-816-6010
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