Mark Anthony Sparks JR.

NPI #1053824771 in Laramie, Wyoming

Provider Information

NPI Number
1053824771
Entity Type
Individual
Name
Mark Anthony Sparks JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Nov 16, 2017
Last Updated
Mar 23, 2018

Practice Location

Address
1263 N 15TH ST
State
Wyoming
ZIP Code
82072-2343
Phone
(307) 745-8915

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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