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1003138249
OVETA B JACK
BROOKLYN, NY
NPI
1003138249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 504242)
Enumeration Date
2010-02-15
Last Update Date
2010-02-15
Business Address
-- OVETA B JACK RN
2202 BEVERLEY RD
BROOKLYN, NY 11226-5408
Phone number: 718-462-2269
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Mailing Address
-- OVETA B JACK RN
2202 BEVERLEY RD
BROOKLYN, NY 11226-5408
Phone number: 718-462-2269
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