DENISE SPARKS

FORT WAYNE, IN
NPI1881000222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IN  06002110A)
Enumeration Date2014-07-07
Last Update Date2014-07-07
Business Address
-- DENISE SPARKS
6415 BENHAM DRIVE
FORT WAYNE, IN 46815
Phone number: 260-445-8770
Mailing Address
-- DENISE SPARKS
6415 BENHAM DR
FORT WAYNE, IN 46815-8319
Phone number: 260-445-8770
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