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Individual

CALVIN SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-1447
(740) 474-2126
Mailing address
6506 YACCA WAY, CANAL WINCHESTER, OH 43110-8615

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0021028
OH

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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