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1932939154
EARL GARY SPARKS
FRESNO, CA
NPI
1932939154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-WZIRHF)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
EARL GARY SPARKS
3636 N 1ST ST STE 123
FRESNO, CA 93726-6818
Phone number: 559-512-6802
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Mailing Address
EARL GARY SPARKS
3636 N 1ST ST STE 123
FRESNO, CA 93726-6818
Phone number: 559-512-6802
Copy
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