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1689218752
COLIN PETER SPARKS
MADISON, WI
NPI
1689218752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WI 14944-146)
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
COLIN PETER SPARKS LMT
8202 EXCELSIOR DR
MADISON, WI 53717-1906
Phone number: 608-831-1766
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Mailing Address
COLIN PETER SPARKS LMT
3637 ALPINE RD
MADISON, WI 53704-2201
Phone number: 608-335-6047
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