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1831432236
IRINA VITA SPARKS
GOSHEN, IN
NPI
1831432236
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Former Name
IRINA DANILOVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: IN 01080898A)
Enumeration Date
2013-04-03
Last Update Date
2021-01-20
Business Address
Mrs. IRINA VITA SPARKS MD
200 HIGH PARK AVE
GOSHEN, IN 46526-4810
Phone number: 574-364-2888
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Mailing Address
Mrs. IRINA VITA SPARKS MD
200 HIGH PARK AVE
GOSHEN, IN 46526-4810
Phone number:
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