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1811589914
FARREN SPARKS
QUINWOOD, WV
NPI
1811589914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
FARREN SPARKS
3294 RUSSELLVILLE RD
QUINWOOD, WV 25981-7005
Phone number: 304-992-5161
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Mailing Address
FARREN SPARKS
3294 RUSSELLVILLE RD
QUINWOOD, WV 25981-7005
Phone number:
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