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1669088779
DIANA LYNN SPARKS
SUTTON, WV
NPI
1669088779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-23
Last Update Date
2020-10-22
Business Address
DIANA LYNN SPARKS
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
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Mailing Address
DIANA LYNN SPARKS
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Copy
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