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Individual

LAURA SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4152 WEST STATE ROAD 56, HANOVER, IN 47243
(812) 762-4510
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005027
IN

Other

Enumeration date
08/11/2014
Last updated
08/21/2020
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