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1356128151
KAYLEE GLENN NELSON SPARKS
MOULTON, AL
NPI
1356128151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA11083)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
KAYLEE GLENN NELSON SPARKS
300 HOSPITAL ST
MOULTON, AL 35650-1268
Phone number: 256-974-1146
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Mailing Address
KAYLEE GLENN NELSON SPARKS
300 HOSPITAL ST
MOULTON, AL 35650-1268
Phone number:
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