PAIGE SPARKS

ECRU, MS
NPI1669170262
Former NamePAIGE BASSI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  905800)
Enumeration Date2023-02-22
Last Update Date2023-08-03
Business Address
PAIGE SPARKS
5482 MS-15
ECRU, MS 38841
Phone number: 662-488-8799
Mailing Address
PAIGE SPARKS
5482 MS-15
ECRU, MS 38841
Phone number:
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