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1558136085
STEPHEN EARL SPARKS
DINGESS, WV
NPI
1558136085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
STEPHEN EARL SPARKS
85 SPARKS DR
DINGESS, WV 25671-1105
Phone number: 304-733-1094
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Mailing Address
STEPHEN EARL SPARKS
85 SPARKS DR
DINGESS, WV 25671-1105
Phone number:
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