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1568800860
MELISSA R. SPARKS
PUEBLO, CO
NPI
1568800860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
-- MELISSA R. SPARKS PTA
14 CAREFREE LN
PUEBLO, CO 81001-1712
Phone number: 719-696-9685
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Mailing Address
-- MELISSA R. SPARKS PTA
14 CAREFREE LN
PUEBLO, CO 81001-1712
Phone number: 719-696-9685
Copy
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