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1467950915
LAKEISHA MICHELE SPARKS
AUGUSTA, GA
NPI
1467950915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN223216)
Enumeration Date
2018-01-30
Last Update Date
2018-03-30
Business Address
LAKEISHA MICHELE SPARKS NP
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-446-0344
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Mailing Address
LAKEISHA MICHELE SPARKS NP
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2603
Phone number: 706-446-5941
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