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1508400375
PHILLIP SPARKS
KILLEEN, TX
NPI
1508400375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-19-103514)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
PHILLIP SPARKS
4201 OLD FLORENCE RD
KILLEEN, TX 76542-6672
Phone number: 254-716-8743
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Mailing Address
PHILLIP SPARKS
4201 OLD FLORENCE RD
KILLEEN, TX 76542-6672
Phone number: 254-716-8743
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