THELISA A SPARKS

BETHANY, OK
NPI1528706272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
THELISA A SPARKS
3631 N HAMMOND AVE APT 101
BETHANY, OK 73008-4264
Phone number: 140-560-9721
Mailing Address
THELISA A SPARKS
3631 N HAMMOND AVE APT 101
BETHANY, OK 73008-4264
Phone number: 140-560-9721
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