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1740431329
VICTORIA SPARKS
ST PETERSBURG, FL
NPI
1740431329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL MA0005659)
Enumeration Date
2008-10-01
Last Update Date
2008-10-01
Business Address
-- VICTORIA SPARKS L.M.T.
1432 9TH ST N
ST PETERSBURG, FL 33704-3302
Phone number: 727-821-7771
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Mailing Address
-- VICTORIA SPARKS L.M.T.
5121 27TH AVE S
GULFPORT, FL 33707-5413
Phone number: 727-821-7771
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