BRENT ALAN SPARKS

TERRE HAUTE, IN
NPI1518994813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28115785A)
Enumeration Date2006-06-26
Last Update Date2015-07-23
Business Address
Mr. BRENT ALAN SPARKS C.R.N.A.
1421 N 7TH ST
TERRE HAUTE, IN 47807-1005
Phone number: 812-231-4608
Mailing Address
Mr. BRENT ALAN SPARKS C.R.N.A.
4215 CARRIAGE LN
TERRE HAUTE, IN 47805-8628
Phone number: 812-239-2707
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