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1356987291
CODY SPARKS
COAL GROVE, OH
NPI
1356987291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-26
Last Update Date
2023-06-14
Business Address
CODY SPARKS
225 CARLTON DAVIDSON LN
COAL GROVE, OH 45638-2924
Phone number: 740-533-0648
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Mailing Address
CODY SPARKS
901 WASHINGTON ST
PORTSMOUTH, OH 45662-3944
Phone number: 740-354-7702
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