JONATHAN SPARKS

LARAMIE, WY
NPI1740722974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-11-04
Last Update Date2016-11-04
Business Address
-- JONATHAN SPARKS
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-721-1515
Mailing Address
-- JONATHAN SPARKS
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-721-1515
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