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1255903837
JEREMY SPARKS
SPRINGFIELD, OH
NPI
1255903837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OH RN.410677)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
JEREMY SPARKS
2150 MONTEGO DR
SPRINGFIELD, OH 45503-6464
Phone number: 937-219-9210
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Mailing Address
JEREMY SPARKS
1318 S STATE ROUTE 202
TROY, OH 45373-9638
Phone number: 937-219-9210
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