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1972934313
KELLY SPARKMAN
BEAUMONT, TX
NPI
1972934313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 594189)
Enumeration Date
2013-12-11
Last Update Date
2022-03-30
Business Address
KELLY SPARKMAN PMHNP
2750 S 8TH ST
BEAUMONT, TX 77701-7719
Phone number: 409-839-1032
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Mailing Address
KELLY SPARKMAN PMHNP
2750 S 8TH ST
BEAUMONT, TX 77701-7719
Phone number: 409-839-2227
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