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1255734133
JUSTIN SPARKS
WEST PLAINS, MO
NPI
1255734133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
-- JUSTIN SPARKS
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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Mailing Address
-- JUSTIN SPARKS
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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