ALICE SPARKS

LA GRANGE, KY
NPI1609123900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: KY  3007528)
Enumeration Date2012-08-07
Last Update Date2013-04-24
Business Address
-- ALICE SPARKS APRN
1015 NEW MOODY LN
LA GRANGE, KY 40031-9142
Phone number: 502-991-0589
Mailing Address
-- ALICE SPARKS APRN
799 E BRANNON RD
NICHOLASVILLE, KY 40356-6038
Phone number: 859-971-4652
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