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1356161814
MADISON SPARKS
VANCOUVER, WA
NPI
1356161814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA 61581809)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
MADISON SPARKS
6400 MACARTHUR BLVD UNIT 7533
VANCOUVER, WA 98661-7533
Phone number: 360-313-2391
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Mailing Address
MADISON SPARKS
4506 NE 114TH ST
VANCOUVER, WA 98686-4444
Phone number: 360-606-1557
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