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1922169945
REBECCA EUGENIA SPARKS
MATTOON, IL
NPI
1922169945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209005418)
Enumeration Date
2006-12-13
Last Update Date
2024-04-26
Business Address
Mrs. REBECCA EUGENIA SPARKS ANP
2512 HURST DR STE 120
MATTOON, IL 61938-9200
Phone number: 217-258-7590
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Mailing Address
Mrs. REBECCA EUGENIA SPARKS ANP
2512 HURST DR STE 120
MATTOON, IL 61938-9200
Phone number: 217-258-7590
Copy
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