LARRY SPARKS

LARGO, FL
NPI1851729719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  8317)
Enumeration Date2013-10-30
Last Update Date2013-10-30
Business Address
Mr. LARRY SPARKS
10476 131ST ST
LARGO, FL 33774-4734
Phone number: 727-593-5569
Mailing Address
Mr. LARRY SPARKS
10476 131ST ST
LARGO, FL 33774-4734
Phone number: 727-593-5569
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