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1093561995
JERMAINE LAMONT BUTLER
ROOSEVELT, NY
NPI
1093561995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
JERMAINE LAMONT BUTLER
246 E GREENWICH AVE
ROOSEVELT, NY 11575-1205
Phone number: 718-413-6822
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Mailing Address
JERMAINE LAMONT BUTLER
246 E GREENWICH AVE
ROOSEVELT, NY 11575-1205
Phone number: 718-413-6822
Copy