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1427291863
STACEY D SPARKS
SHREVEPORT, LA
NPI
1427291863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 205277)
Enumeration Date
2009-04-15
Last Update Date
2019-02-08
Business Address
STACEY D SPARKS MD
845 OLIVE ST
SHREVEPORT, LA 71104-2141
Phone number: 318-226-4892
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Mailing Address
STACEY D SPARKS MD
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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