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Individual

MR. BRYON KENT SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIC. AC.

Contact information

Practice address
2045 MAIN ST, WAILUKU, HI 96793-1648
(808) 205-8454
Mailing address
1983 LIKO PL, WAILUKU, HI 96793-1214
(808) 205-8454

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
699
HI

Other

Enumeration date
09/30/2009
Last updated
02/04/2010
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