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1760911895
IAN SPARKS
MIDDLEBURG HEIGHTS, OH
NPI
1760911895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50-005023rx)
Enumeration Date
2017-06-12
Last Update Date
2017-06-12
Business Address
IAN SPARKS PA
18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130-3417
Phone number: 440-816-8000
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Mailing Address
IAN SPARKS PA
PO BOX 638478
CINCINNATI, OH 45263-8478
Phone number:
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