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1174349401
JOSE OVALLE
BROOKLYN, NY
NPI
1174349401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 404201031)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
JOSE OVALLE
1317 AVENUE J FL 2
BROOKLYN, NY 11230-3605
Phone number: 646-384-9283
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Mailing Address
JOSE OVALLE
176 S WASHINGTON AVE APT C6
BERGENFIELD, NJ 07621-2930
Phone number: 646-384-9283
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