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1841921343
SHEA SPARKS
AUGUSTA, GA
NPI
1841921343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
SHEA SPARKS
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3186
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Mailing Address
SHEA SPARKS
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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