DANIEL PAUL SPARKS

GROTON, CT
NPI1336919216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
DANIEL PAUL SPARKS
39 BROAD STREET EXT
GROTON, CT 06340-3746
Phone number: 623-297-7438
Mailing Address
DANIEL PAUL SPARKS
39 BROAD STREET EXT
GROTON, CT 06340-3746
Phone number:
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