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1477026789
OMAR JARVIS
BRONX, NY
NPI
1477026789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
OMAR JARVIS
764 E 176TH ST
BRONX, NY 10460-4606
Phone number: 718-542-8770
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Mailing Address
OMAR JARVIS
1576 TAYLOR AVE APT 4K
BRONX, NY 10460-3363
Phone number: 347-765-4941
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