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1396461174
GEORGE SPARKS
ELIZABETHTOWN, KY
NPI
1396461174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
GEORGE SPARKS
907 N MULBERRY ST STE 200
ELIZABETHTOWN, KY 42701-2018
Phone number: 270-982-7372
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Mailing Address
GEORGE SPARKS
907 N MULBERRY ST STE 200
ELIZABETHTOWN, KY 42701-2018
Phone number: 270-982-7372
Copy
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