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1770026486
WANET ELIZABETH SPARKS
FUQUAY VARINA, NC
NPI
1770026486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5009121)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
Ms. WANET ELIZABETH SPARKS NP
605 N MAIN ST
FUQUAY VARINA, NC 27526-2026
Phone number: 919-552-8299
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Mailing Address
Ms. WANET ELIZABETH SPARKS NP
8 CHESTNUT BLUFFS LN
DURHAM, NC 27713-9163
Phone number: 919-604-6418
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