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1598488587
SEAN PAUL SPARE
STENNIS SPACE CENTER, MS
NPI
1598488587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
SEAN PAUL SPARE IDC
2606 LOWER GAINESVILLE RD
STENNIS SPACE CENTER, MS 39529-0001
Phone number: 228-813-4050
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Mailing Address
SEAN PAUL SPARE IDC
2606 LOWER GAINESVILLE ROAD
STENNIS SPACE CENTER, MS 39529-0001
Phone number: 228-813-4050
Copy
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