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1427508514
TONI SPARKS, PA
BOISE, ID
NPI
1427508514
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Entity Type
Organization
Authorized Contact
TONI SPARKS
Np/Owner
208-333-0103
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-458A)
Enumeration Date
2016-10-12
Last Update Date
2023-03-07
Business Address
TONI SPARKS, PA
1111 S ORCHARD ST STE 155
BOISE, ID 83705-1966
Phone number: 208-333-0103
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Mailing Address
TONI SPARKS, PA
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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