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1720511850
ANNETTA LENISE SPARKS
HAWTHORNE, CA
NPI
1720511850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-05
Last Update Date
2017-04-05
Business Address
-- ANNETTA LENISE SPARKS
11616 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2366
Phone number: 310-679-5900
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Mailing Address
-- ANNETTA LENISE SPARKS
11616 HAWTHORNE BLVD
HAWTHORNE, CA 90250-2366
Phone number: 310-679-5900
Copy
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