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1124463880
CHARLES JIM
BAYSIDE, NY
NPI
1124463880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 084231-1)
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
-- CHARLES JIM
4611 216TH ST
BAYSIDE, NY 11361-3452
Phone number: 917-535-9921
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Mailing Address
-- CHARLES JIM
4611 216TH ST
BAYSIDE, NY 11361-3452
Phone number: 917-535-9921
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