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1407176944
JENNIFER MICHELLE SPARKS
COSTA MESA, CA
NPI
1407176944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-07
Last Update Date
2011-06-14
Business Address
-- JENNIFER MICHELLE SPARKS
611 SHASTA LANE SUITE 100
COSTA MESA, CA 92626
Phone number: 714-803-9181
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Mailing Address
-- JENNIFER MICHELLE SPARKS
611 SHASTA LANE SUITE 100
COSTA MESA, CA 92626
Phone number: 714-803-9181
Copy
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