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1407096027
JASON PHILIP SPARKS
AUSTIN, TX
NPI
1407096027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: TX 100125)
Enumeration Date
2009-02-22
Last Update Date
2009-06-03
Business Address
MR. JASON PHILIP SPARKS MED, CPHT, PHTR
11113 RESEARCH BLVD
AUSTIN, TX 78759-5236
Phone number: 512-324-6395
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Mailing Address
MR. JASON PHILIP SPARKS MED, CPHT, PHTR
11970 JOLLYVILLE RD # 215
AUSTIN, TX 78759-2329
Phone number: 512-983-1740
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