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1982059960
LORI SPARKS
FARMINGTON, MO
NPI
1982059960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 41113472)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- LORI SPARKS RN
1565 SAINTE GENEVIEVE AVE
FARMINGTON, MO 63640-3454
Phone number: 573-756-5749
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Mailing Address
-- LORI SPARKS RN
PO BOX 459
FARMINGTON, MO 63640-0459
Phone number:
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