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1720739337
JACK SPARKS
KANSAS CITY, KS
NPI
1720739337
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Former Name
JANE SPARKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS 03989)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
JACK SPARKS
7840 WASHINGTON AVE
KANSAS CITY, KS 66112-2152
Phone number: 913-328-4708
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Mailing Address
JACK SPARKS
7732 JEFFERSON ST
KANSAS CITY, MO 64114-1730
Phone number: 816-588-9591
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