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1619024379
DOUGLAS RAY SPARKS
KILLEEN, TX
NPI
1619024379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP116234)
Enumeration Date
2007-01-04
Last Update Date
2024-02-29
Business Address
Mr. DOUGLAS RAY SPARKS crna
2201 CLEAR CREEK RD
KILLEEN, TX 76549-4110
Phone number: 254-724-2111
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Mailing Address
Mr. DOUGLAS RAY SPARKS crna
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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