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1588346787
PRESTON SPARKS
BROOKHAVEN, GA
NPI
1588346787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT016725)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
PRESTON SPARKS
2669 OSBORNE RD NE
BROOKHAVEN, GA 30319-8400
Phone number: 404-477-7777
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Mailing Address
PRESTON SPARKS
105 FIELDFARE DR
KATHLEEN, GA 31047-2532
Phone number: 478-952-3782
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