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1376014373
CHARLENE SPARKS
ORANGE, CA
NPI
1376014373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA48904)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
CHARLENE SPARKS PTA
393 S TUSTIN ST
ORANGE, CA 92866-2501
Phone number: 714-289-2400
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Mailing Address
CHARLENE SPARKS PTA
393 S TUSTIN ST
ORANGE, CA 92866-2501
Phone number: 714-289-2400
Copy
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