JEFF SPARKS

BOLIVAR, MO
NPI1932175965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  005482)
Enumeration Date2006-02-28
Last Update Date2007-07-09
Business Address
-- JEFF SPARKS
2000B S SPRINGFIELD AVE
BOLIVAR, MO 65613-9654
Phone number: 417-326-7455
Mailing Address
-- JEFF SPARKS
PO BOX 33
BOLIVAR, MO 65613-0033
Phone number: 417-326-7455
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