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1801200357
BROOKE RENAE SPARKS
FREDERICKSBURG, VA
NPI
1801200357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024171738)
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
-- BROOKE RENAE SPARKS NP-C
10718 BALLANTRAYE DR.
FREDERICKSBURG, VA 22407
Phone number: 540-479-4204
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Mailing Address
-- BROOKE RENAE SPARKS NP-C
9711 INKWOOD DR
FREDERICKSBURG, VA 22407-9344
Phone number: 540-419-9522
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