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1538390190
JAMIE SPARKS
O FALLON, IL
NPI
1538390190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-07-30
Last Update Date
2009-07-30
Business Address
-- JAMIE SPARKS
1000 ILLINI DR
O FALLON, IL 62269-3571
Phone number: 618-622-9246
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Mailing Address
-- JAMIE SPARKS
1000 ILLINI DR
O FALLON, IL 62269-3571
Phone number: 618-622-9246
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