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1497038558
BEVERLY SPARKS
WESTON, WV
NPI
1497038558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01587)
Enumeration Date
2011-09-26
Last Update Date
2020-10-20
Business Address
BEVERLY SPARKS PA
936 SHARPE HOSPITAL ROAD
WESTON, WV 26452
Phone number: 304-269-1210
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Mailing Address
BEVERLY SPARKS PA
1005 WHITE WILLOW WAY
MORGANTOWN, WV 26505-6119
Phone number: 304-460-5123
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